340B Drug Pricing Program Database

Pharmacy Name

CAREMARK NEW JERSEY SPECIALTY PHCY, LLC

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
180 PASSAIC AVE UNIT B-5
FAIRFIELD, NJ 07004

Pharmacy Comments

Approval Date

4/14/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Paul Gaden, Chief Executive
(503) 215-8603

Contract Pharmacy Representative

CVS
Tony Russo, Senior Director, Specialty Product Development
(973) 461-1550

Signed By Date

4/14/2017