340B Drug Pricing Program Database

Pharmacy Name

CAREMARK ILLINOIS SPECIALTY PHARMACY, LL

Pharmacy Address

DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056

Pharmacy Comments

Approval Date

10/9/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Patrick B. Carrier, President & CEO
(505) 913-5202

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/9/2017