340B Drug Pricing Program Database

Pharmacy Name

THE OHIO STATE UNIVERSITY OUTPATIENT PHA

Pharmacy Address

AT THE CCCT
460 W 10TH AVE RM L012
COLUMBUS, OH 43210

Pharmacy Comments

Approval Date

1/27/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Mark Larmore, Chief Financial Officer
(614) 685-9420

Contract Pharmacy Representative

Ohio State University
Kevin Wolowiec, Associate Director
(614) 685-4188

Signed By Date

1/27/2017