Contract Pharmacy Details

DOC-YOUR-DOSE PHARMACY
RWIID70112 STD/HIV Program

Covered Entity Details

Entity Name

STD/HIV Program

Subdivision Name

OFFICE OF PUBLIC HEALTH

Type

Ryan White Part B ADAP Direct Purchase

340B ID

RWIID70112

Entity Address

1450 POYDRAS ST.
Suite 2136
NEW ORLEANS, LA 70112

Grant Number

X07HA00018

Participating Start Date

7/1/1998

Last Recertification Date

2/14/2025

Pharmacy Details

Pharmacy Name

DOC-YOUR-DOSE PHARMACY

Pharmacy Address

17275 HIGHWAY 77
GROSSE TETE, LA 70740-3008

Pharmacy Comments

Contract Details

Approval Date

4/13/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/24/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

DeAnn Gruber, Administrative Director Louisiana OPH STD/HIV Program
(504) 568-7474

Contract Pharmacy Representative

Doc Your Dose Pharmacy
DARLENE BROWN, CO-OWNER/PHARMACIST
(225) 287-1373

Signed By Date

4/13/2018

340B Drug Pricing Program Database