The RxDC reporting provision of the Consolidated Appropriations Act (CAA) requires reports on drug utilization and spending trends to be submitted to U.S. Department of Health and Human Services. Reports are due annually by June 1.
View the Amwins Connect Health Cost Transparency Guide for Employers.
- Prescription Drug Data Collection Reporting page
- Prescription Drug Data Collection Reporting Instructions
- Prescription Drug Data Collection FAQs
How Carriers Will Handle Reporting
|Carrier will report.||Carrier will report.||Survey closed April 1|
|Carrier will report.||Employer must report:
||Survey closed March 24|
|Blue Cross Blue Shield of Arizona||Carrier will report.||Carrier will report.||No survey has been announced|
|Blue Shield of California||Carrier will report.||Varies; refer to the Reporting Grid.||Survey closed March 31|
|CareFirst BCBS||Employer must report:
||Employer must report:
||No survey is required|
|Cigna||Carrier will report.||Carrier will report.||No survey has been announced|
|Cigna + Oscar||Carrier will report.||n/a||No survey has been announced|
|Cigna Administered by Oscar||Carrier will report.||n/a||No survey has been announced|
|ConnectiCare||Carrier will report.||n/a||Survey Required: due May 18
All employers must provide the following:
|EmblemHealth||Carrier will report.||Carrier will report.||Survey Required: due May 18
All employers must provide the following:
|Florida Blue||Carrier will report.||Carrier will report.||Survey closed April 1|
|FHCP||Carrier will report.||n/a||Survey closed March 31|
|Health Net||Carrier will report.||n/a||No survey has been announced|
|Healthfirst||Carrier will report.||Carrier will report.||No survey has been announced||-|
|Humana||Carrier will report.||Varies; refer to Humana's Prescription Drug Data Guide.||No survey has been announced|
|Kaiser Permanente||Carrier will report.||Carrier will report.||Survey closed April 3|
|Oscar||Carrier will report.||n/a||No survey has been announced|
|Sharp Health Plan||Carrier will report.||n/a||Survey closed May 1|
|Sutter Health Plus||Carrier will report.||n/a||Survey closed March 1|
|Carrier will report.||Varies; refer to the CAA UHC Approach to Pharmacy Benefits and Costs Reporting Guide||
Survey closed March 10
|Western Health Advantage||Carrier will report.
Small employers should review their Group Service Agreement Cover Sheet (renewal doc) to ensure contribution values are correct. This will be used for WHA reporting.
Large employers will be contacted by WHA to confirm contribution values.
|n/a||No survey has been announced|
- The following are administrators and not responsible for reporting: CaliforniaChoice, Covered California, and HealthPass. Employers should follow the enrolled carrier(s) for how reporting will be handled.
- MediExcel Health Plan is exempt from reporting.
Carrier Articles Related to RxDC
Update on Employer Responsibilities for the Upcoming RxDC Reporting Due June 1, 2023Update on Employer Responsibilities for the Upcoming RxDC Reporting due June 1, 2023 May 2023 Many employers received an email from their carrier or TPA (for Self-Insured plans) requesting that ...
Webinar Replay: RxDC Reporting - Do Employers Have To Submit Their Own D1 File?RxDC Reporting - Do Employers Have to Submit Their Own D1 File? May 10, 2023 Many employers, especially those with fully-insured plans, were surprised when their carrier or TPA requested certain...
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Kaiser Permanente®: Act Now - Form Completion Required by Employers for Federal Reporting Under CAAAs part of pharmacy reporting under the Consolidated Appropriations Act (CAA), 2021, Kaiser Permanente is required to submit information on prescription drugs and healthcare spending to CMS. To help e...