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EXPRESS SCRIPTS
STD331362 University of Miami PrEP Clinic
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Covered Entity Details
Entity Name
University of Miami PrEP Clinic
Subdivision Name
Mobile Wellness Unit
Type
Sexually Transmitted Diseases
340B ID
STD331362
Entity Address
1951 NW 7th avenue
480
Miami, FL 33136
Grant Number
6-NU62PS924532-03-02
Participating Start Date
10/1/2018
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
EXPRESS SCRIPTS
Pharmacy Address
ESI MAIL PHARMACY SERVICE INC
4600 N HANLEY RD
SAINT LOUIS, MO 63134
Pharmacy Comments
Contract Details
Approval Date
1/18/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Susanne Doblecki-Lewis, Professor of Clinical Medicine and Chief, Division of Infectious Diseases
(305) 243-7652
Contract Pharmacy Representative
Accredo Health Group, Inc.
Travis Behrens, Lead Director, 340B Client Sales
(407) 988-7044
Signed By Date
1/18/2024
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