340B Drug Pricing Program Database

Name

TRICOUNTY HEALTH DEPARTMENT

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD840782

Grant Number

6 NH25PS005169-04-04

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

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.
Condoms, lubricant
3/1/2025 - 2/28/2026

Current Program Status

Active

Registration Date

1/1/1998

Participating Start Date

1/1/1998

Participating Approval Date

11/11/2004

Last Recertification Date

5/13/2024

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Authorizing Official

TriCounty Health Department
Kirk W. Benge, Director
(435) 247-1172

Primary Contact

TriCounty Health Department
KayCee Asay, Nursing Director
(435) 247-1193

Street Address

133 SOUTH 500 EAST
VERNAL, UT 84078

Billing Address
Same as Street Address