340B Drug Pricing Program Database

Pharmacy Name

CAREMARK ILLINOIS SPECIALTY PHARMACY, LL

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056

Pharmacy Comments

Approval Date

6/5/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Randy S Gelow, Owner/Medical Doctor
(602) 669-2585

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/9/2024