340B Drug Pricing Program Database
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RWIID627618 ILLINOIS DEPARTMENT OF PUBLIC HEALTH (Active)
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Main Details
Name
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Subdivision Name
HIV/AIDS/ADAP SECTION
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID627618
Grant Number
5 X07HA00013-35-00
Additional Details
Current Program Status
Active
Registration Date
4/1/1997
Participating Start Date
4/1/1997
Participating Approval Date
6/7/2005
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2025 - 3/31/2026
Contacts
Authorizing Official
Illinois Dept of Public Health
Efrain Rivera, ADAP Administrator
(217) 558-3392
Primary Contact
Illinois Department of Public Health
Brianne Madden, ADAP Formulary Specialist
(217) 524-5983
Addresses
Street Address
535 West Jefferson Street
SPRINGFIELD, IL 62702-5076
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/22/06 NEW 340B ID # (WAS RW627618)
07/20/2010
May 2025
May 2025
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