340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF MICHIGAN, INC.

Pharmacy Address

RITE AID #4022
59010 GRATIOT AVENUE
NEW HAVEN, MI 48048

Pharmacy Comments

Approval Date

11/10/2020

Contract Begin Date

12/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/8/2024
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Brian Balutanski, Regional CFO
(586) 493-3044

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President, Managed Care
(717) 975-5968

Signed By Date

10/15/2020