Contract Pharmacy Details

WALGREEN ARIZONA DRUG CO.
STD85716 The Arizona Board of Regents

Covered Entity Details

Entity Name

The Arizona Board of Regents

Subdivision Name

University of Arizona PrEP/PEP Program

Type

Sexually Transmitted Diseases

340B ID

STD85716

Entity Address

655 N. Alvernon Way Tucson
Suite 210
Tucson, AZ 85711

Grant Number

NU62PS924818

Participating Start Date

4/1/2024

Last Recertification Date

5/14/2025

Pharmacy Details

Pharmacy Name

WALGREEN ARIZONA DRUG CO.

Pharmacy Address

WALGREENS SPECIALTY PHARMACY #16500
1830 E. BROADWAY BLVD.
SUITE 136
TUCSON, AZ 85719

Pharmacy Comments

Contract Details

Approval Date

3/7/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Elisha Johnson, Director, Clinical Trials and Contracting
(520) 626-7822

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/12/2024

340B Drug Pricing Program Database