340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
RWII354011B West Alabama AIDS Outreach (Active)
Print
Main Details
Name
West Alabama AIDS Outreach
Subdivision Name
Five Horizons Health Services - Selma
Type
Ryan White Part B
340B ID
RWII354011B
Grant Number
X07HA00049
Additional Details
Current Program Status
Active
Registration Date
10/2/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/3/2023
Last Recertification Date
2/10/2025
Time Period the Assistance was Received
4/1/2025 - 3/31/2026
Contacts
Authorizing Official
West Alabama AIDS Outreach dba Five Horizons Health Services
Will Rainer, Chief Compliance Officer
(659) 734-2319
Primary Contact
West Alabama AIDS Outreach dba Five Horizons Health Services
Nicole Vazquez, 340B Program Manager
(659) 284-2371
Addresses
Street Address
1023 Medical Center Parkway
STE 308
Selma, AL 36701
Billing Address
West Alabama AIDS Outreach dba Five Horizons Health Services
2715 7th Street
Tuscaloosa, AL 35401
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date: (03/13/2023) until terminated 07/1/2023), reinstatement effective date (01/1/2024)
11/03/2023
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
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