Deductible Met
$310 / $1500
Lya Patient Hub
Insurance & Benefits
Your coverage details, deductible tracking, prior auth status, and pharmacy
Out-of-Pocket Met
$310 / $4500
Benefits Verified
Verified
Feb 1, 2026, 6:30 PM
Primary Insurance
Plan
Anthem Blue Cross PPO
Member ID
XBC-8841-9921
Group ID
LYA-EMP-442
Effective
2026-01-01
Specialist Copay
$40
Coverage Year
2026
Formulary & Prior Auth Status
| Medication | Tier | Prior Auth |
|---|---|---|
| ImmunaFlex | Tier 4 – Specialty | Pending |
| CardiaRelief | Tier 3 – Preferred Brand | Approved |
Pharmacy
Pharmacy
Accredo Specialty Pharmacy
1-800-803-2523
Refill Method
Auto-refill enabled
Next Fill
2026-02-26
Last filled: 2026-01-27