Contract Pharmacy Details

ACCREDO HEALTH GROUP, INC.
CHC54598-00 TRILLIUM HEALTH, INC.

Covered Entity Details

Entity Name

TRILLIUM HEALTH, INC.

Subdivision Name

Trillium Health Mobile Access Clinic (MAC)

Type

HRSA-Funded Health Center

340B ID

CHC54598-00

Entity Address

170 Science Pkwy
Rochester, NY 14620-4251

Grant Number

H80CS54598

Participating Start Date

4/1/2025

Last Recertification Date

Pharmacy Details

Pharmacy Name

ACCREDO HEALTH GROUP, INC.

Pharmacy Address

2 BOULDEN CIR STE 1
NEW CASTLE, DE 19720-3492

Pharmacy Comments

Contract Details

Approval Date

3/7/2025

Contract Begin Date

4/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Gregory Clyde Ewing, S.V.P. Compliance, Privacy, Technology & Regulatory Affairs/CCO
(585) 545-7218

Contract Pharmacy Representative

Accredo
Diana Florio, 340B Managing Director
(407) 988-7044

Signed By Date

3/6/2025

340B Drug Pricing Program Database