340B Drug Pricing Program Database

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5400
728 SOUTH WEST 4TH AVENUE
ONTARIO, OR 97914

Pharmacy Comments

Approval Date

1/10/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/10/2025
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Lannie Checketts, RHM CFO Idaho Oregon Region
(208) 367-7347

Contract Pharmacy Representative

Rite Aid
Charlene Kaiser, VP, Managed Care Operations
(918) 645-6652

Signed By Date

1/10/2022