Contract Pharmacy Details

OPTUM FRONTIER THERAPIES, LLC
DSH270004 BILLINGS CLINIC

Covered Entity Details

Entity Name

BILLINGS CLINIC

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH270004

Entity Address

2800 TENTH AVENUE NORTH
BILLINGS, MT 59101

Medicare Provider Number

270004

Participating Start Date

1/1/2016

Last Recertification Date

8/20/2024

Pharmacy Details

Pharmacy Name

OPTUM FRONTIER THERAPIES, LLC

Pharmacy Address

325 W ATHERTON RD
SUITE 1
FLINT, MI 48507-2601

Pharmacy Comments

Contract Details

Approval Date

1/3/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Chad W Miller, Vice President Clinic Operations
(406) 657-4603

Contract Pharmacy Representative

Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677

Signed By Date

1/3/2024

340B Drug Pricing Program Database