DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Elixir Rx Solutions LLC DBA : Elixir	DOIID	843817	NAIC NPN	8027577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Administrator	Not Applicable
Inactive	Non Resident	Pharmacy Benefit Managers	Not Applicable	12/27/2016	2/15/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcdonough, James M	883396	Administrator - Not Applicable	12/27/2016	7/31/2020
Denied	Mcdonough, James M	883396	Administrator - Not Applicable
Inactive	Mindala, Sara	733194	Administrator - Not Applicable	9/19/2014	12/31/2016
Inactive	Mindala, Sara	733194	Administrator - Not Applicable	12/27/2016	12/31/2016
Inactive	Sias, Melissa F	549208	Administrator - Not Applicable	2/8/2022	2/15/2024
Inactive	Titterington, Susan Ann	1028352	Administrator - Not Applicable	3/9/2020	11/30/2022