340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

CAREMARK KANSAS SPECIALTY PHARMACY
CAH101315-00 JAY HOSPITAL, INC.

Covered Entity Details

Critical Access Hospital
CAH101315-00
14114 ALABAMA STREET
Jay, FL 32565-1219
101315
7/1/2024
8/28/2024


Pharmacy Details

CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219

Contract Details

6/4/2024
7/1/2024


Contacts


Andrew L. Terry, Vice President Revenue Management
(850) 469-7643



CVS Health
Christian Reid, 340B Program Director
(401) 770-2118
4/15/2024