DEPARTMENT OF INSURANCE
Affiliations
NameLucyRx Health Solutions, Inc.DOIID1143782NAIC NPN19403269
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentPharmacy Benefit ManagersNot Applicable8/13/2021 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Pharmacy Benefit Managers01/15/202603/31/2026   
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBohanon, Vicky Hawks 1307917Administrator - Not Applicable11/1/202312/12/2024
InactiveGong, Erica 1143510Administrator - Not Applicable8/13/20213/31/2023
ActiveHawkins, Melissa 1143509Administrator - Not Applicable3/25/2024 

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