Contract Pharmacy Details

ACCREDO HEALTH GROUP, INC.
RWI30058A AIDS Healthcare Foundation

Covered Entity Details

Entity Name

AIDS Healthcare Foundation

Subdivision Name

AHF Healthcare Center - Atlanta Midtown

Type

Ryan White Part A

340B ID

RWI30058A

Entity Address

735 Piedmont Avenue NE
Atlanta, GA 30308

Grant Number

H89HA00007

Participating Start Date

4/1/2017

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

ACCREDO HEALTH GROUP, INC.

Pharmacy Address

4750 E 450 S
SUITE A
WHITESTOWN, IN 46075

Pharmacy Comments

Contract Details

Approval Date

4/12/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022

Contract Pharmacy Representative

Express Scripts
Gene McCabe, 340B Sales Directo
(615) 943-7520

Signed By Date

4/12/2024

340B Drug Pricing Program Database