340B Drug Pricing Program Database

Pharmacy Name

CVS ALBANY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 00575
259 WEST MAIN ST.,
BATAVIA, NY 14020

Pharmacy Comments

Approval Date

4/12/2013

Contract Begin Date

4/12/2013

Carve-In Effective Date

Contract Comments

04/12/2013 - public health emergency declared in the state of NY effective 10/27/2012

Contract Termination Date
Termination Reason

3/27/2019
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Robert L. Chiavetta, CFO
(585) 344-5249

Contract Pharmacy Representative

CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762

Signed By Date

4/12/2013