340B Drug Pricing Program Database

Pharmacy Name

MONTANA CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 05301
1311 GRAND AVE.
BILLINGS, MT 59102

Pharmacy Comments

Approval Date

12/1/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Lu Byrd, Vice President/Hospital Operations
(406) 238-2328

Contract Pharmacy Representative

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

Signed By Date

12/1/2015