Contract Pharmacy Details

GENOA HEALTHCARE LLC
CH11355-00 FIRST CARE CLINIC, INC.

Covered Entity Details

Entity Name

FIRST CARE CLINIC, INC.

Subdivision Name

First Care Clinic, Inc.

Type

HRSA-Funded Health Center

340B ID

CH11355-00

Entity Address

105 W. 13th Street
Hays, KS 67601

Grant Number

H80CS12891

Participating Start Date

10/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

GENOA HEALTHCARE LLC

Pharmacy Address

208 E 7TH ST
HAYS, KS 67601

Pharmacy Comments

Contract Details

Approval Date

4/15/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Eric C Flax, CEO
(785) 621-4990

Contract Pharmacy Representative

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

Signed By Date

4/15/2024

340B Drug Pricing Program Database