DEPARTMENT OF INSURANCE

Name	LuckyRx Health Solutions Texas, LLC	DOIID	991433	NAIC NPN	18761560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Pharmacy Benefit Managers	Not Applicable	1/21/2020		3/31/2027

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Pharmacy Benefit Managers	01/15/2027	03/31/2027

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	5904 Stone Creek Dr, Suite 120 The Colony, TX 75056
Mailing	7373 Wisconsin Ave, Suite 910 Bethesda, MD 20814

Internet Information

Type	Address
Business Email	elisa.muller@cerpassrx.com
Internet	cerpassrx.com
Business Email	brittany.brodie@cerpassrx.com

Phone Information