Contract Pharmacy Details

PANTHERX SPECIALTY PHARMACY
RWIID90 SC DEPARTMENT OF PUBLIC HEALTH

Covered Entity Details

Entity Name

SC DEPARTMENT OF PUBLIC HEALTH

Subdivision Name

STD/HIV SECTION (SC ADAP Direct Purchase Operations)

Type

Ryan White Part B ADAP Direct Purchase

340B ID

RWIID90

Entity Address

2100 Bull Street
SC DPH, STD/HIV/VH Section (SC ADAP)
Columbia, SC 29201

Grant Number

X07HA00038

Participating Start Date

12/1/1992

Last Recertification Date

2/28/2025

Pharmacy Details

Pharmacy Name

PANTHERX SPECIALTY PHARMACY

Pharmacy Address

24 SUMMIT PARK DR STE 101
PITTSBURGH, PA 15275-1104

Pharmacy Comments

Contract Details

Approval Date

1/13/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/10/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Janet Tapp, Director STD/HIV Division
(803) 898-0625

Contract Pharmacy Representative

Rob Snyder, Director of Strategic Development
(412) 246-9858 Ext: 1029

Signed By Date

1/13/2014

340B Drug Pricing Program Database