340B Drug Pricing Program Database

Pharmacy Name

SUPERX DRUGS CORP

Pharmacy Address

DBA THE KROGER CO OF MI 600
540 S MAIN ST
LAPEER, MI 48446

Pharmacy Comments

Approval Date

7/27/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/3/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Tara Soules, Chief Financial Officer
(989) 772-6818

Contract Pharmacy Representative

Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875

Signed By Date

7/15/2021