340B Drug Pricing Program Database
QUALITY DRUG CLINICAL CARE
STD891491 Sagebrush Health Services - information as of 5/3/2025 11:44:04 PM
Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Centennial SACI
Type
Sexually Transmitted Diseases
340B ID
STD891491
Entity Address
5550 Painted Mirage Rd
Suite 200
Las Vegas, NV 89149
Grant Number
6 NH25PS005179-05-03
Participating Start Date
5/1/2023
Last Recertification Date
6/4/2024
Entity Termination Date
1/14/2025
Pharmacy Details
Pharmacy Name
QUALITY DRUG CLINICAL CARE
Pharmacy Address
4 TECHNOLOGY DR STE 100
IRVINE, CA 92618
Pharmacy Comments
Contract Details
Approval Date
10/29/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/14/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
Lumicera
Eric Huckins, Manager
(608) 716-2667
Signed By Date
10/29/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session