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RON GROUP, LLC DBA BLUE SKY SPECIALTY PH
RWIID90 SC DEPARTMENT OF PUBLIC HEALTH
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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
RON GROUP, LLC DBA BLUE SKY SPECIALTY PH
Pharmacy Address
813 PROVIDENCE RD
SUITE 1
CHARLOTTE, NC 28207
Pharmacy Comments
Contract Details
Approval Date
1/12/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ali B Mansaray, Division Director of STD/HIV/AIDS/VH
(803) 898-0625
Contract Pharmacy Representative
Blue Sky Specialty Pharmacy
Juiana Horton-DeFrancis, VP of Managed Care Contracting and Payer Relations
(866) 822-0103
Signed By Date
1/12/2024
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