Prescription Drug Data Collection (RxDC) Resources

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.

CMS Resources:

How Carriers Will Handle Reporting

CARRIER	REPORTING Fully Insured	REPORTING Self/Level Funded	EMPLOYER SURVEYS	RESOURCES
Aetna, Banner\|Aetna	Carrier will report.	Carrier will report.	Survey Required: due April 1, 2023 All employers must provide the following: Average monthly premium paid by members Average monthly premium paid by employer Funding arrangement Issuer name/legal entity	Aetna RxDC Reporting Update Aetna RxDC Survey Link
Anthem, Empire	Carrier will report.	Employer must report: D1 Premium and Life Years report Plan List D3-D8 Pharmacy Specific Reports (if pharmacy coverage is not integrated) Carrier will report: P2 – Group Health Plan List D2 – Spending by Category Reporting D3-D8 Pharmacy Specific Reports (if integrated pharmacy coverage through CarelonRx) Narrative Response applicable to Anthem business	Survey Required: due March 24, 2023 All employers must provide percentage of the contribution paid by employer vs employee.	Anthem RxDC overview Anthem RxDC ASO Update Anthem RxDC Survey Notice Survey Link for Employers
Blue Cross Blue Shield of Arizona	Carrier will report.	Carrier will report.	No survey has been announced	BCBSAZ RxDC overview
Blue Shield of California	Carrier will report.	Varies; refer to the Reporting Grid.	Survey Required: due March 16, 2023 All employers must provide contribution values based on their group size and pharmacy benefits; this may be represented as percentage of premium, or as total dollar contribution amount.	Blue Shield Reporting Update Blue Shield Survey/Intake Form Blue Shield D1 Reporting FAQs Blue Shield CAA page
CareFirst BCBS	Employer must report: D1 Premium and Life Years report Plan List Carrier will report: P2 – Group Health Plan List D2 – Spending by Category Reporting Narrative Response applicable to CareFirst business	Employer must report: D1 Premium and Life Years report Plan List Carrier will report: P2 – Group Health Plan List D2 – Spending by Category Reporting Narrative Response applicable to CareFirst business	No survey is required	CareFirst Reporting Update CareFirst Submission Chart Reporting FAQs
Cigna	Carrier will report.	Carrier will report.	No survey has been announced	Cigna RxDC overview
Cigna + Oscar	Carrier will report.	n/a	No survey has been announced	C+O RxDC overview
Cigna Administered by Oscar	Carrier will report.	n/a	No survey has been announced	CabO RxDC overview
EmblemHealth	Carrier will report.	Carrier will report.	No survey has been announced	EmblemHealth RxDC overview EmblemHealth CAA page
Florida Blue	Carrier will report.	Carrier will report.	Survey Required: due April 1, 2023 Calendar year premiums paid by employer and employee. Additional information is for self-insured groups.	Florida Blue RxDC overview Survey Link
FHCP	Carrier will report.	n/a	Survey Required: due March 31, 2023 The survey is only be sent to groups where the necessary information was not collected at last renewal.	FHCP RxDC overview FHCP Survey Form
Health Net	Carrier will report.	n/a	No survey has been announced	Health Net RxDC overview
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	Humana RxDC overview Humana Prescription Drug Data Guide.
Kaiser Permanente	Carrier will report.	Carrier will report.	Survey Required: due April 3, 2023 All employers must provide the following: Average monthly premium paid by members Average monthly premium paid by employer Employer Form 5500 Plan Number (if applicable)	Kaiser RxDC overview Survey Link
Oscar	Carrier will report.	n/a	No survey has been announced	Oscar RxDC overview
Sharp Health Plan	Carrier will report.	n/a	No survey has been announced	Sharp RxDC overview
Sutter Health Plus	Carrier will report.	n/a	Survey closed March 1, 2023	Sutter RxDC overview Sutter RxD Survey Notice Survey Link for Employers
UnitedHealthcare, Oxford	Carrier will report.	Varies; refer to the CAA UHC Approach to Pharmacy Benefits and Costs Reporting Guide	Survey closed March 10, 2023	UHC RxDC overview UHC RxD Survey Notice Survey Link for Employers Survey Tips Flyer UHC CAA FAQs
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	WHA RxDC overview

Other Carriers:

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.

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