Contract Pharmacy Details

EXPRESS MED PHARMACEUTICALS, INC. DBA SE
STD532122 Health Connections Inc.

Covered Entity Details

Entity Name

Health Connections Inc.

Subdivision Name

Type

Sexually Transmitted Diseases

340B ID

STD532122

Entity Address

4655 N. Port Washington Road
Suite 325
Glendale, WI 53212-1004

Grant Number

NH25PS0051480500

Participating Start Date

8/4/2021

Last Recertification Date

5/31/2024

Pharmacy Details

Pharmacy Name

EXPRESS MED PHARMACEUTICALS, INC. DBA SE

Pharmacy Address

3950 BRODHEAD RD STE 100
MONACA, PA 15061

Pharmacy Comments

Contract Details

Approval Date

8/4/2021

Contract Begin Date

8/4/2021

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ericka Sinclair, Chief Executive Officer
(414) 999-1099

Contract Pharmacy Representative

ExpressMed Pharmaceutical Inc
Jeffrey J Liberati, President / CEO
(888) 350-6337

Signed By Date

7/15/2021

340B Drug Pricing Program Database