340B Drug Pricing Program Database

Pharmacy Name

ARJ INFUSION SERVICES, LLC

Pharmacy Address

1847 1ST AVE SE
STE. 100
CEDAR RAPIDS, IA 52402

Pharmacy Comments

Approval Date

1/17/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/16/2024
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Tiffany Lawrence, President and CEO, Fargo
(701) 417-2314

Contract Pharmacy Representative

ARJ Infusion
Mitchell Clevenger, Vice President, Business Development
(913) 702-6250

Signed By Date

1/17/2023