340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF NEW YORK, INC.

Pharmacy Address

RITE AID #2448
1070 GENESEE STREET
BUFFALO, NY 14211

Pharmacy Comments

Approval Date

4/17/2023

Contract Begin Date

5/3/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/19/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Matthew D Drake, EVP Chief Financial Officer
(716) 859-8836

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5978

Signed By Date

4/17/2023