340B Drug Pricing Program Database

Pharmacy Name

RITE AID OF NEW YORK, INC.

Pharmacy Address

RITE AID #650
419 DIVISION STREET
NORTH TONAWANDA, NY 14120

Pharmacy Comments

Approval Date

11/9/2012

Contract Begin Date

10/27/2012

Carve-In Effective Date

Contract Comments

11/07/2012 - public health emergency declared in the state of NY effective 10/27/2012

Contract Termination Date
Termination Reason

3/1/2025
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Raj Mehta, CFO/Vice President of Finance
(716) 278-4399

Contract Pharmacy Representative

Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217

Signed By Date

10/15/2012