340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF NEW YORK, INC.

Pharmacy Address

RITE AID #758
8015 NIAGARA FALLS BOULEVARD
NIAGARA FALLS, NY 14304

Pharmacy Comments

Approval Date

4/16/2021

Contract Begin Date

6/3/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2022
Covered Entity Terminated

Covered Entity Signing Official

Michael Osborne, Vice President, Finance
(716) 828-2011

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5978

Signed By Date

4/12/2021