340B Drug Pricing Program Database

Pharmacy Name

OPTUM PHARMACY 702, LLC

Pharmacy Address

1050 PATROL RD
JEFFERSONVILLE, IN 47130

Pharmacy Comments

Approval Date

2/6/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kathleen M LaRaia, Vice President
(231) 392-8410

Contract Pharmacy Representative

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

Signed By Date

1/16/2024