340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OPTUM PHARMACY 701, LLC
STD85724 Arizona Board of Regents on Behalf of the University of Arizona Department of Medicine
Print
Covered Entity Details
Entity Name
Arizona Board of Regents on Behalf of the University of Arizona Department of Medicine
Subdivision Name
Thomas D. Boyer Liver Institute's Hepatitis C Treatment Program
Type
Sexually Transmitted Diseases
340B ID
STD85724
Entity Address
1501 N. Campbell Ave.
Tucson, AZ 85724
Grant Number
NU62PS924550
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
OPTUM PHARMACY 701, LLC
Pharmacy Address
1830 S HORNE
MESA, AZ 85204
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elisha Johnson, Director, Clinical Trials and Contracting
(520) 626-7822
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
10/14/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session