Contract Pharmacy Details

BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
STD891286 Sagebrush Health Services

Covered Entity Details

Entity Name

Sagebrush Health Services

Subdivision Name

Dr. Ann Wierman, MD

Type

Sexually Transmitted Diseases

340B ID

STD891286

Entity Address

3150 N. Tenaya Way
Ste 200
Las Vegas, NV 89128

Grant Number

6 NH25PS005179-05-03

Participating Start Date

5/1/2023

Last Recertification Date

6/1/2024

Entity Termination Date

1/14/2025

Pharmacy Details

Pharmacy Name

BIOPLUS SPECIALTY PHARMACY SERVICES, LLC

Pharmacy Address

376 NORTHLAKE BLVD
ALTAMONTE SPRINGS, FL 32701-5261

Pharmacy Comments

Contract Details

Approval Date

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Mithila Urs, Director
(714) 797-8666

Contract Pharmacy Representative

BioPlus Rx
Daniel Hakimi, 340b Regional Field Director West
(425) 273-7756

Signed By Date

4/15/2025

340B Drug Pricing Program Database