Contract Pharmacy Details

OPTUM PHARMACY 705, LLC
FQHCLA414B METRO HEALTH, INC.

Covered Entity Details

Entity Name

METRO HEALTH, INC.

Subdivision Name

600 Pennsylvania Avenue, SE

Type

Health Center Program Look-Alike

340B ID

FQHCLA414B

Entity Address

600 Pennsylvania Avenue, SE # Unit #LL1
WASHINGTON, DC 20003-4316

Grant Number

LALCS39530

Participating Start Date

4/1/2024

Last Recertification Date

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

OPTUM PHARMACY 705, LLC

Pharmacy Address

1100 LEE BRANCH LN
BIRMINGHAM, AL 35242-7298

Pharmacy Comments

Contract Details

Approval Date

1/12/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Duane Taylor, Interim CEO and COO
(202) 638-0750 Ext: 2027744595

Contract Pharmacy Representative

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

Signed By Date

1/12/2024

340B Drug Pricing Program Database