Contract Pharmacy Details

RAINA RX LLC
CHC26605-00 NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES

Covered Entity Details

Entity Name

NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CHC26605-00

Entity Address

580 W 5th St
Reno, NV 89503-4432

Grant Number

H80CS26605

Participating Start Date

4/1/2014

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

RAINA RX LLC

Pharmacy Address

DBA ROUTE 300 PHARMACY
1208 ROUTE 300
SUITE 103
NEWBURGH, NY 12550

Pharmacy Comments

Contract Details

Approval Date

4/7/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/29/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Sharon Chamberlain, Chief Executive Officer
(775) 348-2895

Contract Pharmacy Representative

BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209

Signed By Date

4/7/2020

340B Drug Pricing Program Database