Contract Pharmacy Details

RITE AID OF NEW JERSEY, INC.
RWI07101 Rutgers, The State University of New Jersey

Covered Entity Details

Entity Name

Rutgers, The State University of New Jersey

Subdivision Name

RBHS-New Jersey Medical School

Type

Ryan White Part A

340B ID

RWI07101

Entity Address

140 Bergen Street
ACC, D- Level, Room D1725
Newark, NJ 07103-0000

Grant Number

H89HA00003

Participating Start Date

1/1/2015

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

RITE AID OF NEW JERSEY, INC.

Pharmacy Address

RITE AID #1977
35 MILL ROAD
IRVINGTON, NJ 07111

Pharmacy Comments

Contract Details

Approval Date

4/14/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/18/2023
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283

Contract Pharmacy Representative

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

Signed By Date

4/14/2022

340B Drug Pricing Program Database