340B Drug Pricing Program Database


STD85716 The Arizona Board of Regents (Active) - information as of 6/8/2025 11:54:36 PM

Main Details
The Arizona Board of Regents
University of Arizona PrEP/PEP Program
Sexually Transmitted Diseases
STD85716
NU62PS924818


In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
technical assistance for PrEP/PEP and use of state resources including MEDSIS database, other PrEP/PEP data reporting systems, and PEP educational materials developed by the state.
8/1/2024 - 5/31/2025


Additional Details
Active
1/12/2024
4/1/2024
3/7/2024
5/14/2025
PS24-0047

Contacts

University of Arizona
Elisha Johnson, Director, Clinical Trials and Contracting
(520) 626-7822

Petersen HIV Clinic
Connie Chan, Director of Clinical Operations and 340B
(520) 626-2575

Addresses

655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85711

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailCURANT HEALTH FLORIDA, LLC11001 ROOSEVELT BLVD N STE 1400
ST PETERSBURGFL3371604/15/202407/01/2024  07/01/2024
Contract DetailCURANT HEALTH GEORGIA LLCCURANT HEALTH 200 TECHNOLOGY CT SE BLDG 200
SUITE B
SMYRNAGA30082-525004/15/202407/01/2024  07/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.DBA: WALGREENS # 04045 4685 E GRANT RD
TUCSONAZ8571203/07/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS SPECIALTY PHARMACY #16500 1830 E. BROADWAY BLVD.
SUITE 136
TUCSONAZ8571903/07/202404/01/2024  04/01/2024
Contract DetailWALGREEN ARIZONA DRUG CO.WALGREENS CENTRAL FILL #21372 120 N 83RD AVE
STE 200
TOLLESONAZ8535303/07/202404/01/2024  04/01/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsNature of Support: Support Received From DateUpdateRecertification11/7/2023 12:00:00 AM8/1/2024 12:00:00 AM5/14/2025 3:16 PM
DetailsNature of Support: Support Received To DateUpdateRecertification11/7/2028 12:00:00 AM5/31/2025 12:00:00 AM5/14/2025 3:16 PM
DetailsLast Recertification DateUpdateRecertification5/7/2024 6:03:11 PM5/14/2025 3:16:47 PM5/14/2025 3:16 PM
DetailsGrant NumberUpdateRecertificationNU62PS924550NU62PS9248185/14/2025 3:16 PM
DetailsNOFO NumberUpdateRecertificationCDC PS 18-1802PS24-00475/14/2025 3:16 PM
DetailsLast Recertification DateUpdateRecertification 5/7/2024 6:03:11 PM5/7/2024 6:03 PM
AddressesMain AddressUpdateChange Request 655 N. Alvernon Way Tucson Suite 210 Tucson, AZ 85716 655 N. Alvernon Way Tucson Suite 210 Tucson, AZ 857114/24/2024 7:39 AM
DetailsStateUpdate ApprovedActive4/1/2024 12:01 AM
AddressesMain AddressInsertNew Registration  655 N. Alvernon Way Tucson Suite 210 Tucson, AZ 857163/7/2024 12:56 PM
ContactsSigned ByInsertNew Registration Johnson, Elisha Director, Clinical Trials and Contracting University of Arizona 52062678223/7/2024 12:56 PM
Details340B IDUpdateNew Registration STD857163/7/2024 12:56 PM
DatesParticipating Approval DateUpdateNew Registration 3/7/2024 12:56:54 PM3/7/2024 12:56 PM
DetailsStateUpdateNew RegistrationPendingApproved3/7/2024 12:56 PM
DatesSigned By DateUpdateNew Registration 1/29/2024 6:54:15 PM3/7/2024 12:56 PM
DatesStart DateUpdateNew Registration 4/1/2024 12:00:00 AM3/7/2024 12:56 PM
AddressesMain AddressInsertNew Registration  655 N. Alvernon Way Tucson Suite 210 Tucson, AZ 857161/29/2024 6:54 PM
DetailsGrant NumberUpdateNew RegistrationCDC PS 18-1802NU62PS9245501/29/2024 6:54 PM
DetailsNOFO NumberUpdateNew RegistrationNU62PS924550CDC PS 18-18021/29/2024 6:54 PM
AddressesMain AddressInsertNew Registration  655 N. Alvernon Way Tucson Suite 210 Tucson, AZ 857161/12/2024 5:44 PM
DetailsNature of Support: In Kind Support DescriptionInsertNew Registration technical assistance for PrEP/PEP and use of state resources including MEDSIS database, other PrEP/PEP data reporting systems, and PEP educational materials developed by the state. 1/12/2024 5:44 PM
DetailsNature Of SupportInsertNew Registration In-Kind products or services (see note below; must have been purchased with section 318 funds)1/12/2024 5:44 PM
DetailsNature of Support: Support Received From DateInsertNew Registration 11/7/2023 12:00:00 AM1/12/2024 5:44 PM
DetailsNature of Support: Support Received To DateInsertNew Registration 11/7/2028 12:00:00 AM1/12/2024 5:44 PM
ContactsAuthorizing OfficialInsertNew Registration Johnson, Elisha Director, Clinical Trials and Contracting University of Arizona 52062678221/12/2024 5:44 PM
ContactsPrimary ContactInsertNew Registration Chan, Connie Director of Clinical Operations and 340B Petersen HIV Clinic 52062625751/12/2024 5:44 PM
DetailsAssistance Received From DateInsertNew Registration  1/12/2024 5:44 PM
DetailsAssistance Received To DateInsertNew Registration  1/12/2024 5:44 PM
DetailsLast Recertification DateInsertNew Registration  1/12/2024 5:44 PM
DetailsGrant NumberInsertNew Registration CDC PS 18-18021/12/2024 5:44 PM
Details340B IDInsertNew Registration  1/12/2024 5:44 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/12/2024 5:44 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/12/2024 5:44 PM
DetailsMedicare Provider NumberInsertNew Registration  1/12/2024 5:44 PM
DetailsEntity NameInsertNew Registration The Arizona Board of Regents1/12/2024 5:44 PM
DetailsNOFO NumberInsertNew Registration NU62PS9245501/12/2024 5:44 PM
DetailsProgram CodeInsertNew Registration STD1/12/2024 5:44 PM
DetailsEntity SubnameInsertNew Registration University of Arizona PrEP/PEP Program1/12/2024 5:44 PM
DatesParticipating Approval DateInsertNew Registration  1/12/2024 5:44 PM
DetailsStateInsertNew Registration Pending1/12/2024 5:44 PM
DatesRegistration DateInsertNew Registration 1/12/2024 5:44:40 PM1/12/2024 5:44 PM
DatesSigned By DateInsertNew Registration  1/12/2024 5:44 PM
DatesStart DateInsertNew Registration  1/12/2024 5:44 PM
TerminationsTermination CommentsInsertNew Registration  1/12/2024 5:44 PM
TerminationsTermination DateInsertNew Registration  1/12/2024 5:44 PM
TerminationsTermination Effective DateInsertNew Registration  1/12/2024 5:44 PM
TerminationsTermination ReasonInsertNew Registration  1/12/2024 5:44 PM