340B Drug Pricing Program Database

Name

Sagebrush Health Services

Subdivision Name

Farmington Clinic - Vivo

Type

Sexually Transmitted Diseases

340B ID

STD06032

Grant Number

6 NU62PS924521-04-02

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.
Rapid HIV test kits
1/1/2018 - 12/31/2023

Current Program Status

Terminated

Registration Date

4/17/2023

Participating Start Date

5/9/2023

Participating Approval Date

5/9/2023

Last Recertification Date

Notice of Funding Opportunity (NOFO) Number

PS18-1802

Termination Date
Termination Reason

1/1/2024
Business decision by the Covered Entity

Authorizing Official

Sagebrush Health Services
Jami Dybik, Vice President
(843) 814-5177

Primary Contact

Sagebrush Health
Vladimir Abadjiev, Controller
(702) 526-3146

Street Address

220 Farmington Ave
2nd Floor
Farmington, CT 06032

Billing Address
Same as Street Address