340B Drug Pricing Program Database

Pharmacy Name

ADVENTIST MIDWEST HEALTH

Pharmacy Address

DBA UCHICAGO MEDICINE ADVENTHEALTH PHARM
120 N OAK ST
HINSDALE, IL 60521

Pharmacy Comments

Approval Date

4/12/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/13/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

CHASE AALBORG, CFO
(630) 312-6001

Contract Pharmacy Representative

AMITA Health
Myra Priser, Pharmacy Manager
(630) 856-8126

Signed By Date

4/12/2018