340B Drug Pricing Program Database


HV01710B AIDS Arms, Inc. d/b/a Prism Health North Texas (Active) - information as of 5/6/2025 12:00:10 AM

Main Details
AIDS Arms, Inc. d/b/a Prism Health North Texas
Uptown Clinic
Ryan White Part C
HV01710B
H76HA01710


Additional Details
Active
1/8/2019
4/1/2019
1/24/2019
3/3/2025
4/1/2025 - 3/31/2028

Contacts

AIDS Arms, Inc.
John T. Carlo, CEO
(214) 521-5191

AIDS Arms, Inc.
Sara Dingwall, Interim Pharmacy Director
(772) 202-8205

Addresses

2801 Lemmon Ave
Suite 400
Dallas, TX 75204

AIDS Arms, Inc.
3900 Junius Street
300
Dallas, TX 75246


  • 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 DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201001/14/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884901/14/202004/01/2020  04/01/2020
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750201/14/202004/01/2020 01/14/202401/14/2024
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349201/14/202004/01/2020 01/14/202401/14/2024
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282201/14/202004/01/2020 01/14/202401/14/2024
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624101/14/202004/01/2020 05/31/202306/02/2023
Contract DetailALABAMA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04844 812 BELTLINE RD
DECATURAL3560101/22/202104/01/2021 01/14/202401/14/2024
Contract DetailAVITA PHARMACY 1028340B PARTNERS PHARMACY-DALLAS LLC DBA AV 750 FORT WORTH AVE STE H100
DALLASTX75208-181104/15/201907/01/2019  07/01/2019
Contract DetailAVITA PHARMACY 1029340B PARTNERS PHARMACY LLC D/B/A AVITA P 303 N FRIO ST
SUITE 102 		SAN ANTONIOTX78207-303404/15/201907/01/2019 05/31/201905/31/2019
Contract DetailAVITA PHARMACY 10306800 WEST LOOP S STE 225
BELLAIRETX7740110/12/202001/01/2021 01/14/202401/14/2024
Contract DetailAVITA PHARMACY 1037AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC 2519 CANAL ST
NEW ORLEANSLA7011904/15/201907/01/2019 05/31/201905/31/2019
Contract DetailAVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080804/15/201907/01/2019  07/01/2019
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/14/202004/01/2020  04/01/2020
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/17/202007/01/2020  07/01/2020
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/06/202104/01/2021  04/01/2021
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808310/21/202001/01/2021  01/01/2021
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/17/202007/01/2020  07/01/2020
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/06/202104/01/2021  04/01/2021
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/17/202007/01/2020  07/01/2020
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237404/17/202007/01/2020  07/01/2020
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911910/21/202001/01/2021  01/01/2021
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00609 1625 ELMWOOD AVE.
SPECTRUM BLDG 		BUFFALONY1420701/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 02430 224 EAST 161ST STREET
BRONXNY1045101/22/202104/01/2021 05/17/202207/06/2023
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/12/202001/01/2021  01/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10758 2501 N FIELD STREET
DALLASTX7520101/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10351 3133 E. LEMMON AVENUE
DALLASTX7520401/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06777 4207 LEMMON AVE.
DALLASTX7521901/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10670 4930 MAPLE AVE.
DALLASTX7523501/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07742 5659 LEMMON AVE
DALLASTX7520901/14/202004/01/2020  04/01/2020
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10324 6420 GASTON AVENUE
DALLASTX7521404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11065 9215 MIDWAY ROAD
DALLASTX7522004/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05260 3401 W. WALNUT HILL LN.
IRVINGTX7503804/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16312 2417 N HASKELL AVE
DALLASTX7520404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07413 10014 GARLAND RD
DALLASTX7521804/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03900 14041 NOEL RD.
DALLASTX7524004/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07456 2427 W JEFFERSON BLVD
DALLASTX7521104/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06781 2323 W ILLINOIS AVE
DALLASTX7522404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16364 9440 MARSH LN
DALLASTX7522004/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07748 10003 MARSH LN
DALLASTX7522904/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07647 5111 GREENVILLE AVE STE 140
DALLASTX7520604/17/202007/01/2020 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10634 2350 N. FITZHUGH AVENUE
DALLASTX7520404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.CVS/PHARMACY # 10665 1555 EAST RENNER RD.
RICHARDSONTX7508204/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07672 3798 FOREST LN
DALLASTX7524404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05314 1411 MAIN ST.
DALLASTX7520204/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02979 6120 E. MOCKINGBIRD LN.
DALLASTX7521404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07462 601 N INDUSTRIAL BLVD
BEDFORDTX7602104/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07288 11661 PRESTON RD. STE 218
DALLASTX7523004/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07149 2899 FOREST LANE
DALLASTX7523404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07740 10455 N CENTRAL EXPY
DALLASTX7523104/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07412 5370 W LOVERS LN STE 310
DALLASTX7520904/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04272 4202 ROSS AVE.
DALLASTX7520404/17/202007/01/2020  07/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07623 4610 FRANKFORD RD
DALLASTX7528707/07/202010/01/2020  10/01/2020
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08342 1305 WEST BELTLINE RD.
DESOTOTX7511510/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06864 701 FERRIS AVE
WAXAHACHIETX7516510/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02991 6431 MCCART AVE.
FORT WORTHTX7613310/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05962 3200 TEASLEY LN.
DENTONTX7621010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07631 2603 W BERRY ST
FORT WORTHTX7610910/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10576 3802 E BROAD STREET
MANSFIELDTX7606310/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08345 5195 LAKE RIDGE PKWY.
GRAND PRAIRIETX7505210/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00485 1233 PRECINCT LINE RD.
HURSTTX7605310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07575 5012 TRL LAKE DR
FORT WORTHTX7613310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07702 603 S CEDAR RIDGE DR
DUNCANVILLETX7513710/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08330 6320 RUFE SNOW DR
NORTH RICHLAND HILLSTX7618010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00296 2420 W. WHEATLAND RD.
DALLASTX7523710/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07624 1800 BROWN BLVD
ARLINGTONTX7600610/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07603 1301 N. SAGINAW BLVD.
SAGINAWTX7617910/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07675 105 HARRIS AVE
RED OAKTX7515410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07491 385 E BELT LINE RD
CEDAR HILLTX7510410/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06775 701 E MAIN ST
GRAND PRAIRIETX7505010/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07278 4333 WESTERN CENTER BLVD
FORT WORTHTX7613710/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16707 1401 W GLADE RD
EULESSTX7603910/21/202001/01/2021  01/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06802 237 PIPELINE RD
BEDFORDTX7602210/21/202001/01/2021 06/15/202301/30/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16679 1600 W ARBROOK BLVD
ARLINGTONTX7601510/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 17134 301 CARROLL ST
FORT WORTHTX7610710/21/202001/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07756 2425 AVENUE J
GALVESTONTX7755001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07417 11820 ELAM RD
BALCH SPRINGSTX7518001/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07439 1101 GILMER ST.
SULPHUR SPRINGSTX7548201/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07664 1235 S BUCKNER BLVD
DALLASTX7521701/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07461 1100 N WALNUT CREEK DR
MANSFIELDTX7606301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07467 460 NORTHWEST PARKWAY
AZLETX7602001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.CVSPHARMACY # 17318 5270 S STATE HWY 360
GRAND PRAIRIETX7505201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03707 6151 MATLOCK RD.
ARLINGTONTX7601801/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03134 801 N. TARRANT PKWY.
KELLERTX7624801/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07719 2900 W ANDERSON LN STE 10
AUSTINTX7875701/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07476 5401 WASHINGTON AVE
HOUSTONTX7700701/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07237 3614 CAMP BOWIE BLVD.
FORT WORTHTX7610701/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10487 1305 NORTH HIGHWAY 377
ROANOKETX7626201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06968 901 E. PIONEER PKWY
ARLINGTONTX7601001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY # 10056 5050 SOUTH LANCASTER RD
DALLASTX7521601/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10911 150 EAST ILLINOIS AVE.
DALLASTX7521601/22/202104/01/2021 09/19/202411/19/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08440 4205 N. JOSEY LN.
CARROLLTONTX7501001/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07601 825 S. CROWLEY RD.,
CROWLEYTX7603601/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 17400 39739 LBJ FWY
DALLASTX7523701/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07729 1605 W 4TH ST #12
CAMERONTX7652001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07806 2051 HALL JOHNSON RD
GRAPEVINETX7605101/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07272 3402 SLIDE RD.
LUBBOCKTX7941401/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07801 6000 BRYANT IRVIN RD
FORT WORTHTX7613201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04794 5900 W. PLEASANT RIDGE RD.
ARLINGTONTX7601601/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02976 6401 PRECINCT LINE RD.
NORTH RICHLAND HILLSTX7618201/22/202104/01/2021  04/01/2021
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11091 111 EAST FM 407
ARGYLETX7622601/22/202104/01/2021 01/14/202401/14/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08318 4464 N. TARRANT PKWY
KELLERTX7624401/22/202104/01/2021 11/16/202301/30/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11323 1115 8TH AVENUE
FORT WORTHTX7610410/18/202101/01/2022  01/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07421 810 W PIONEER PKWY
GRAND PRAIRIETX7505110/18/202101/01/2022  01/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06803 2222 N STORY RD
IRVINGTX7506201/19/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04985 8335 WESTCHESTER DR., SUITE 140
DALLASTX7522501/19/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06965 7203 SKILLMAN ST.
DALLASTX7523101/19/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10948 108 W. DAVIS ST.
DALLASTX7520801/19/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.CVS/PHARMACY #10910 3030 SYLVAN AVE
DALLASTX7521201/19/202204/01/2022  04/01/2022
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05844 9390 FOREST LN.
DALLASTX7524301/20/202304/01/2023 07/16/202411/19/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00015 5500 N. MACARTHUR
IRVINGTX7503801/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10880 8580 N MACARTHUR BLVD
IRVINGTX7506301/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05869 1413 OATS DR.
MESQUITETX7515001/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05963 15105 PRESTON RD.
DALLASTX7524801/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11297 6125 LEGACY DRIVE
PLANOTX7502401/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06966 6004 SAMUELL BLVD
DALLASTX7522801/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 04625 525 W. PARKER RD.
PLANOTX7502301/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10436 5201 GOLDEN TRIANGLE BLVD.
FORT WORTHTX7624401/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07440 17410 MARSH LN
DALLASTX7528701/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10909 6474 E. NORTHWEST HWY
DALLASTX7521401/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07431 3430 LAKEVIEW PKWY
ROWLETTTX7508801/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 01104 1540 E. MAIN ST.
ALLENTX7500201/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06806 5010 WESLEY ST
GREENVILLETX7540101/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05259 2129 E. BELT LINE RD.
RICHARDSONTX7508101/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06970 10666 E NORTHWEST HWY
DALLASTX7523801/20/202304/01/2023 12/29/202301/02/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16970 3730 BELT LINE RD
ADDISONTX7500101/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10524 1177 US HIGHWAY 380
FRISCOTX7503301/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02876 201 S. PRESTON RD.
PROSPERTX7507801/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10271 1510 W. HICKORY STREET
DENTONTX7620101/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06824 8024 WALNUT HILL LN.
DALLASTX7523101/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07453 2200 COIT RD.
PLANOTX7507501/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10886 7220 BLUE MOUND ROAD
FORT WORTHTX7613101/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07430 8555 FERGUSON RD
DALLASTX7522801/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 08393 2101 W. SPRING CREEK PKWY.
PLANOTX7502301/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07458 3601 N. BELT LINE RD.
SUNNYVALETX7518201/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06975 506 FIELDER NORTH PLZ
ARLINGTONTX76012-230901/20/202304/01/2023  04/01/2023
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07490 507 CLARKSVILLE ST.
PARISTX7546010/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06854 601 W 7TH AVE
CORSICANATX7511010/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06960 2142 N JOSEY LN
CARROLLTONTX7500610/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07732 605 W. ENNIS AVE.
ENNISTX7511910/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10946 4333 WEST JEFFERSON BLVD
COCKRELL HILLTX7521110/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 02977 100 W. CORPORATE DRIVE
LEWISVILLETX7506710/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05380 8953 VIRGINIA PKWY.
MCKINNEYTX7507110/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY # 5990 904 EAST CARTWRIGHT RD.
MESQUITETX7514910/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06963 7102 CAMPBELL RD
DALLASTX7524810/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07824 5702 LAVON DR
GARLANDTX7504010/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11133 129 SHAHAN PRAIRIE ROAD
OAK POINTTX7506810/23/202301/01/2024  01/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11015 18081 PRESTON ROAD
DALLASTX7525201/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16419 7845 N MACARTHUR BLVD
IRVINGTX7506301/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 16892 1400 PRECINCT LINE RD
HURSTTX7605301/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 05894 13033 COIT RD.
DALLASTX7524001/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 03180 2200 MATLOCK RD.
MANSFIELDTX7606301/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 00334 8995 STACY RD.
MCKINNEYTX7507001/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #10523 270 STONEBROOK PKWY
FRISCOTX7503601/29/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA CVS/PHARMACY #11389 8700 N BELT LINE RD
IRVINGTX75063-602501/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.CVS PHARMACY # 17401 2025 N CENTRAL EXPY
MCKINNEYTX7507001/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06779 3012 MOCKINGBIRD LN
DALLASTX7520501/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07715 410 W ROCHELLE RD
IRVINGTX7506201/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 06856 116 W. UNIVERSITY DR
DENTONTX7620101/30/202404/01/2024  04/01/2024
Contract DetailCVS PHARMACY, INC.DBA: CVS/PHARMACY # 07156 605 W. CAMPBELL RD.
RICHARDSONTX7508004/15/202407/01/2024  07/01/2024
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/17/202007/01/2020  07/01/2020
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503304/17/202007/01/2020 01/14/202401/14/2024
Contract DetailDIPLOMAT SPECIALTY PHARMACY4100 S SAGINAW ST STE D
FLINTMI48507-268310/12/202001/01/2021  01/01/2021
Contract DetailDISTRICT OF COLUMBIA CVS PHARMACY, L.L.CDBA: CVS/PHARMACY # 02787 3642 GEORGIA AVE.
WASHINGTONDC2001001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailDISTRICT OF COLUMBIA CVS PHARMACY, L.L.CDBA: CVS/PHARMACY # 02817 1418 P STREET NW
WASHINGTONDC2000501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/18/202101/01/2022  01/01/2022
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/18/202101/01/2022  01/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/18/202101/01/2022  01/01/2022
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/18/202101/01/2022  01/01/2022
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09804 425 S. SUNRISE WAY
PALM SPRINGSCA9226201/22/202104/01/2021  04/01/2021
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09652 8491 SANTA MONICA BLVD
WEST HOLLYWOODCA9006901/22/202104/01/2021 01/14/202401/14/2024
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09148 313 WASHINGTON ST.
SAN DIEGOCA9210301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16759 2525 4TH ST
EUREKACA9550101/22/202104/01/2021 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC9200 HEMPSTEAD RD STE 150 BLDG D
HOUSTONTX7700807/07/202110/01/2021 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC8535 TOM SLICK, STE 104
SAN ANTONIOTX7822907/07/202110/01/2021 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC2400 TRAWOOD DRIVE SUITE 303A
EL PASOTX7993607/07/202110/01/2021 01/14/202401/14/2024
Contract DetailGENOA HEALTHCARE LLC7510 FM 1765 STE P1
TEXAS CITYTX7759107/07/202110/01/2021 01/14/202401/14/2024
Contract DetailHIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 05987 4800 NORTH DAMEN
CHICAGOIL6062501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 08747 6150 N BROADWAY
CHICAGOIL6066001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHIGHLAND PARK CVS, L.L.C.DBA: CVS/PHARMACY # 01493 5205 N. BROADWAY ST.
CHICAGOIL6064001/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 00170 839 N ORLANDO AVE
WINTER PARKFL3278901/22/202104/01/2021 01/14/202401/14/2024
Contract DetailHOOK-SUPERX, L.L.C.DBA: CVS/PHARMACY # 06603 5005 EAST 56TH ST.
INDIANAPOLISIN4622601/22/202104/01/2021 01/14/202401/14/2024
Contract DetailKROGER PHARMACY2925 CUSTER ROAD
PLANOTX7507504/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY7505 N. MAC ARTHUR BLVD.
IRVINGTX7506304/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #4023612 N BELTLINE ROAD
IRVINGTX7506204/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #4511060 N MAIN STREET
EULESSTX7603904/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #5094901 MAPLE AVE
DALLASTX7523504/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #5185665 E MOCKINGBIRD
DALLASTX7520604/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #5284142 CEDAR SPRINGS
DALLASTX7521904/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #5294241 CAPITOL AVE
DALLASTX7520404/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #5591406 WEST WALNUT
GARLANDTX7504204/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #5672901 LAKE FOREST DRIVE
MCKINNEYTX7507204/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #579500 MARKETPLACE BLVD
FORNEYTX7512604/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #5873939 FRANKFORD ROAD
DALLASTX7528704/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #68917194 PRESTON ROAD
DALLASTX7524804/17/202007/01/2020  07/01/2020
Contract DetailKROGER PHARMACY #8703770 BELT LINE ROAD
ADDISONTX7500104/17/202007/01/2020  07/01/2020
Contract DetailLONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09752 375 GELLERT BLVD
DALY CITYCA9401501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailLONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245310/20/202101/01/2022 01/14/202401/14/2024
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05573 401 HWY 12 EAST
STARKVILLEMS3975901/22/202104/01/2021  04/01/2021
Contract DetailMISSISSIPPI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05835 2401 NORTH HILLS STREET
MERIDIANMS3930501/22/202104/01/2021 01/14/202401/14/2024
Contract DetailMISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08598 9005 EAST 350 HIGHWAY
RAYTOWNMO6413301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailMISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08543 1914 SWIFT
N. KANSAS CITYMO6411601/22/202104/01/2021  04/01/2021
Contract DetailMISSOURI CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05719 621 SW 3RD STREET
LEES SUMMITMO6406301/22/202104/01/2021 01/14/202401/14/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02754 10170 GREEN LEVEL CHURCH RD.
CARYNC2751901/22/202104/01/2021 01/14/202401/14/2024
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850704/23/202507/01/2025  04/23/2025
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/12/202001/01/2021  01/01/2021
Contract DetailOPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/12/202001/01/2021 01/14/202401/14/2024
Contract DetailOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/12/202001/01/2021  01/01/2021
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999204/17/202007/01/2020 10/06/202210/31/2022
Contract DetailPRISM HEALTH NORTH TEXAS PHARMACYEHP TEXAS LLC 4907 SPRING AVE STE 101
DALLASTX75210-136007/02/201910/01/2019  05/17/2022
Contract DetailPRISM HEALTH NORTH TEXAS PHARMACY #2219 SUNSET AVE STE 116A, CONFERENCE 1A
DALLASTX75208-453107/07/202010/01/2020  05/17/2022
Contract DetailPRISM HEALTH NORTH TEXAS PHARMACY #32801 LEMMON AVE STE 100
DALLASTX75204-239607/07/202010/01/2020  05/17/2022
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/14/202004/01/2020  04/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2751 426 S. HENDERSON STREET
FORT WORTHTX7610401/14/202004/01/2020  04/01/2020
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2859 7950 FLOYD CURL DR. STE #106
SAN ANTONIOTX7822901/14/202004/01/2020 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523310/21/202001/01/2021 01/14/202401/14/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/29/202404/01/2024  04/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/30/202404/01/2024  04/01/2024
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #1540 3757 FOREST LN
DALLASTX7523404/17/202007/01/2020  07/01/2020
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #3563 633 WHEATLAND RD
DUNCANVILLETX7511604/17/202007/01/2020  07/01/2020
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #2544 10455 N. CENTRAL EXPWY
DALLASTX7523104/17/202007/01/2020  07/01/2020
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #3296 2380 N FIELD ST
DALLASTX7520104/17/202007/01/2020  07/01/2020
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #3614 315 SOUTH HAMPTON
DALLASTX7520804/17/202007/01/2020  07/01/2020
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #2642 5809 EAST LOVERS LANE
DALLASTX7520604/17/202007/01/2020  07/01/2020
Contract DetailRANDALLS FOOD AND DRUGS LPTOM THUMB PHARMACY #2990 7117 INWOOD
DALLASTX7520904/17/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15318 3826 CEDAR SPRINGS RD
DALLASTX7521904/15/201907/01/2019  07/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 05092 3418 MCKINNEY AVE
DALLASTX7520404/15/201907/01/2019  07/01/2019
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16538 7859 WALNUT HILL LN STE 110
DALLASTX7523007/02/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 07839 3802 CEDAR SPRINGS ROAD
DALLASTX7521907/02/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 05093 1306 N BECKLEY AVE
DALLASTX7520307/02/201910/01/2019  10/01/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 04203 438 W. ILLINOIS AVE.
DALLASTX7522410/15/201901/01/2020  01/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS #13930 11700 PRESTON RD.
SUITE 703 		DALLASTX7523004/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 04013 18207 MIDWAY ROAD
DALLASTX7528704/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 07334 5001 ROSS AVE
DALLASTX75206-770604/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 03879 3732 W NORTHWEST HWY
DALLASTX7522004/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 06660 5742 E MOCKINGBIRD LANE
DALLASTX7520604/15/202007/01/2020  07/01/2020
Contract DetailWALGREEN CO.DBA: WALGREENS # 09647 5201 BELTLINE RD
DALLASTX7525404/15/202007/01/2020  07/01/2020
Contract DetailWalgreens #21373Walgreens Central Fill #21373 4100 Dale Earnhardt Way
STE 200 		NorthlakeTX7626210/20/202101/01/2022  01/01/2022
Contract DetailWALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528404/17/202007/01/2020  07/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503304/17/202007/01/2020  07/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527504/17/202007/01/2020  07/01/2020
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/17/202007/01/2020 01/14/202401/14/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/17/202007/01/2020 10/01/202104/12/2023
Contract DetailWALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528604/17/202007/01/2020  07/01/2020
Contract DetailWARM SPRINGS ROAD CVS, L.L.C.DBA: CVS/PHARMACY # 06867 4490 PARADISE RD.
LAS VEGASNV8916901/22/202104/01/2021 01/14/202401/14/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsAssistance Received From DateUpdateGroup Change Request4/1/2022 12:00:00 AM4/1/2025 12:00:00 AM4/23/2025 9:45 AM
DetailsAssistance Received To DateUpdateGroup Change Request3/31/2025 12:00:00 AM3/31/2028 12:00:00 AM4/23/2025 9:45 AM
DetailsLast Recertification DateUpdateRecertification1/30/2024 2:52:45 PM3/3/2025 3:06:58 PM3/3/2025 3:06 PM
AddressesMain AddressUpdateChange Request 2801 Lemmon Ave 400 Dallas, TX 75204 2801 Lemmon Ave Suite 400 Dallas, TX 7520411/20/2024 3:01 PM
ContactsPrimary ContactUpdateChange RequestDingwall, Sara 340B Director AIDS Arms, Inc. 7722028205Dingwall, Sara Interim Pharmacy Director AIDS Arms, Inc. 77220282058/29/2024 7:45 AM
DetailsAssistance Received To DateUpdateRecertification3/31/2023 12:00:00 AM3/31/2025 12:00:00 AM1/30/2024 2:52 PM
DetailsLast Recertification DateUpdateRecertification2/7/2023 4:17:54 PM1/30/2024 2:52:45 PM1/30/2024 2:52 PM
DetailsNOFO NumberUpdate HRSA-21-058 12/16/2023 10:34 AM
ContactsPrimary ContactUpdateRecertificationDingwell, Sara 340B Director AIDS Arms, Inc. 7722028205Dingwall, Sara 340B Director AIDS Arms, Inc. 77220282052/7/2023 4:17 PM
DetailsAssistance Received From DateUpdateRecertification4/1/2020 12:00:00 AM4/1/2022 12:00:00 AM2/7/2023 4:17 PM
DetailsAssistance Received To DateUpdateRecertification3/31/2022 12:00:00 AM3/31/2023 12:00:00 AM2/7/2023 4:17 PM
DetailsLast Recertification DateUpdateRecertification2/10/2022 11:54:44 AM2/7/2023 4:17:54 PM2/7/2023 4:17 PM
ContactsPrimary ContactUpdateChange RequestReese, Kimberly Compliance Officer AIDS ARMS, INC. d/b/a Prism Health North Texas 4698022504Dingwell, Sara 340B Director AIDS Arms, Inc. 77220282051/23/2023 3:26 PM
AddressesMain AddressUpdateRecertification 2801 Lemmon Ave Suite 400 Dallas, TX 75204 2801 Lemmon Ave 400 Dallas, TX 752042/10/2022 11:54 AM
AddressesBilling AddressUpdateRecertificationAIDS Arms, Inc. 3900 Junius street #300 Dallas, TX 75246AIDS Arms, Inc. 3900 Junius Street 300 Dallas, TX 752462/10/2022 11:54 AM
DetailsLast Recertification DateUpdateRecertification2/23/2021 9:32:52 AM2/10/2022 11:54:44 AM2/10/2022 11:54 AM
AddressesBilling AddressUpdateChange RequestAIDS Arms, Inc. 351 West Jefferson Blvd. #300 Dallas, TX 75208AIDS Arms, Inc. 3900 Junius street #300 Dallas, TX 752461/19/2022 3:54 PM
ContactsPrimary ContactUpdateProfile Change RequestReese, Kimberly Compliance Officer Prism Health North Texas214-521-5191 4698022504Reese, Kimberly Compliance Officer AIDS ARMS, INC. d/b/a Prism Health North Texas 46980225043/19/2021 3:56 PM
DetailsAssistance Received From DateUpdateRecertification 4/1/2020 12:00:00 AM2/23/2021 9:32 AM
DetailsAssistance Received To DateUpdateRecertification 3/31/2022 12:00:00 AM2/23/2021 9:32 AM
DetailsLast Recertification DateUpdateRecertification2/19/2020 11:55:31 AM2/23/2021 9:32:52 AM2/23/2021 9:32 AM
DetailsNOFO NumberUpdateRecertification HRSA-21-0582/23/2021 9:32 AM
ContactsPrimary ContactUpdateProfile Change RequestReese, Kimberly Compliance Officer Prism Health North Texas 4698022504Reese, Kimberly Compliance Officer Prism Health North Texas214-521-5191 46980225042/3/2021 1:51 PM
ContactsPrimary ContactUpdateProfile Change RequestReese, Kimberly Compliance Officer Prism Health North Texas 2145215191-3338Reese, Kimberly Compliance Officer Prism Health North Texas 46980225042/3/2021 11:18 AM
AddressesMain AddressUpdateChange Request 4144 N. Central Expressway Suite 750 Dallas, TX 75204 2801 Lemmon Ave Suite 400 Dallas, TX 7520410/22/2020 9:44 AM
AddressesMain AddressUpdateChange Request 4144 N. Central Expressway #750 Dallas, TX 75204 4144 N. Central Expressway Suite 750 Dallas, TX 752044/16/2020 1:39 PM
DetailsEntity NameUpdateChange RequestAIDS Arms, Inc.AIDS Arms, Inc. d/b/a Prism Health North Texas4/16/2020 1:39 PM
DetailsLast Recertification DateUpdateRecertification 2/19/2020 11:55:31 AM2/19/2020 11:55 AM
ContactsPrimary ContactUpdateChange RequestKOUAME, GILBERT CHIEF FINANCIAL OFFICER AIDS Arms, Inc. 2145215191Reese, Kimberly Compliance Officer Prism Health North Texas 2145215191-333812/31/2019 8:15 AM
DetailsStateUpdate ApprovedActive4/1/2019 12:05 AM
ContactsSigned ByInsertNew Registration Carlo, John T. CEO AIDS Arms, Inc. 21452151911/24/2019 10:08 AM
Details340B IDUpdateNew Registration HV01710B1/24/2019 10:08 AM
DatesParticipating Approval DateUpdateNew Registration 1/24/2019 10:08:40 AM1/24/2019 10:08 AM
DetailsStateUpdateNew RegistrationPendingApproved1/24/2019 10:08 AM
DatesSigned By DateUpdateNew Registration 1/8/2019 9:32:40 AM1/24/2019 10:08 AM
DatesStart DateUpdateNew Registration 4/1/2019 12:00:00 AM1/24/2019 10:08 AM
AddressesMain AddressInsertNew Registration  4144 N. Central Expressway #750 Dallas, TX 752041/8/2019 9:32 AM
AddressesBilling AddressInsertNew Registration AIDS Arms, Inc. 351 West Jefferson Blvd. #300 Dallas, TX 752081/8/2019 9:32 AM
ContactsPrimary ContactInsertNew Registration KOUAME, GILBERT CHIEF FINANCIAL OFFICER AIDS Arms, Inc. 21452151911/8/2019 9:32 AM
ContactsAuthorizing OfficialInsertNew Registration Carlo, John T. CEO AIDS Arms, Inc. 21452151911/8/2019 9:32 AM
DetailsLast Recertification DateInsertNew Registration  1/8/2019 9:32 AM
DetailsGrant NumberInsertNew Registration H76HA017101/8/2019 9:32 AM
Details340B IDInsertNew Registration  1/8/2019 9:32 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/8/2019 9:32 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/8/2019 9:32 AM
DetailsMedicare Provider NumberInsertNew Registration  1/8/2019 9:32 AM
DetailsEntity NameInsertNew Registration AIDS Arms, Inc.1/8/2019 9:32 AM
DetailsProgram CodeInsertNew Registration HV1/8/2019 9:32 AM
DetailsEntity SubnameInsertNew Registration Uptown Clinic1/8/2019 9:32 AM
DatesParticipating Approval DateInsertNew Registration  1/8/2019 9:32 AM
DetailsStateInsertNew Registration Pending1/8/2019 9:32 AM
DatesRegistration DateInsertNew Registration 1/8/2019 9:32:37 AM1/8/2019 9:32 AM
DatesSigned By DateInsertNew Registration  1/8/2019 9:32 AM
DatesStart DateInsertNew Registration  1/8/2019 9:32 AM
TerminationsTermination CommentsInsertNew Registration  1/8/2019 9:32 AM
TerminationsTermination DateInsertNew Registration  1/8/2019 9:32 AM
TerminationsTermination Effective DateInsertNew Registration  1/8/2019 9:32 AM
TerminationsTermination ReasonInsertNew Registration  1/8/2019 9:32 AM