Contract Pharmacy Details

GENOA HEALTHCARE LLC
STD333192 IMG Helps Inc

Covered Entity Details

Entity Name

IMG Helps Inc

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD333192

Entity Address

6470 NW 5th Way
Fort Lauderdale, FL 33309

Grant Number

NU62PS924633f

Participating Start Date

7/1/2021

Last Recertification Date

5/6/2024

Pharmacy Details

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

1650 COUNTY SERVICES PARKWAY, SUITE 300,
MARIETTA, GA 30008

Pharmacy Comments

Contract Details

Approval Date

3/19/2024

Contract Begin Date

3/19/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Steve Vixamar, COO
(954) 529-1178

Contract Pharmacy Representative

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

Signed By Date

3/19/2024

340B Drug Pricing Program Database