340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HEALTHCARE EVOLUTION, LLC
STD06032 Sagebrush Health Services
Print
Covered Entity Details
Entity Name
Sagebrush Health Services
Subdivision Name
Farmington Clinic - Vivo
Type
Sexually Transmitted Diseases
340B ID
STD06032
Entity Address
220 Farmington Ave
2nd Floor
Farmington, CT 06032
Grant Number
6 NU62PS924521-04-02
Participating Start Date
5/9/2023
Last Recertification Date
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
HEALTHCARE EVOLUTION, LLC
Pharmacy Address
649 N LEWIS RD STE 230A
ROYERSFORD, PA 19468
Pharmacy Comments
Contract Details
Approval Date
6/23/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jami Dybik, Vice President
(843) 814-5177
Contract Pharmacy Representative
Vivo Infusions
Emma Singh, VP of Pharmacy Operations
(610) 495-6800
Signed By Date
6/23/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session