340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HY-VEE, INC.
CAH161326-00 MADISON COUNTY MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
MADISON COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH161326-00
Entity Address
300 W. HUTCHINGS STREET
WINTERSET, IA 50273
Medicare Provider Number
161326
Participating Start Date
9/1/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HY-VEE, INC.
Pharmacy Address
HY-VEE PHARMACY (1898)
923 N FIRST ST.
WINTERSET, IA 50273
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/11/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARCIA HENDRICKS, CEO
(515) 462-2373 Ext: 609
Contract Pharmacy Representative
Hy-vee Inc.
Marshall Sanders, 340B Program Manager
(515) 267-6009
Signed By Date
1/17/2017
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