340B Drug Pricing Program Database

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

1101 NORTH CENTRAL AVE
STE 102
PHOENIX, AZ 85004

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

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

Signed By Date

4/9/2024