340B Drug Pricing Program Database
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Sagebrush Health Services - information as of 5/9/2025 1:03:22 AM
Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Arthritis Clinic of Central Utah
Type
Sexually Transmitted Diseases
340B ID
Entity Address
3650 N University Ave
#150
Provo, UT 84604
Grant Number
NH25PS005205
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
Pharmacy Address
13925 YALE AVE STE 145
IRVINE, CA 92620-2670
Pharmacy Comments
Contract Details
Approval Date
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
Signed By Date
1/28/2024
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