Contract Pharmacy Details

ACCREDO HEALTH GROUP INC
HM4799 HEMOPHILIA OF GEORGIA, INC.

Covered Entity Details

Entity Name

HEMOPHILIA OF GEORGIA, INC.

Subdivision Name

Type

Comprehensive Hemophilia Treatment Center

340B ID

HM4799

Entity Address

8607 Roberts Drive
Suite 150
Sandy Springs, GA 30350

Grant Number

H30MC24046

Participating Start Date

12/1/1992

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

ACCREDO HEALTH GROUP INC

Pharmacy Address

2100 RIVERCHASE CTR STE 405
HOOVER, AL 35244-1852

Pharmacy Comments

Contract Details

Approval Date

7/15/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Robert J Maloney, Chief Executive Officer
(770) 518-8272

Contract Pharmacy Representative

Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044

Signed By Date

7/15/2024

340B Drug Pricing Program Database