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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:

  • Prescription Drug Data Collection Reporting page
  • Prescription Drug Data Collection Reporting Instructions
  • Prescription Drug Data Collection FAQs

 

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.

 

Carrier Articles Related to RxDC

RxDC

11/09/2022

UnitedHealthcare and Prescription Drug Data Collection Reporting (RxDC) Requirements

Under the Consolidated Appropriations Act (CAA), health insurers offering group or individual health coverage and self-funded (ASO) group health plans are required to report data annually regarding pr...
11/09/2022

Anthem and Prescription Drug Data Collection Reporting (RxDC) Requirements

Anthem sent an email to employers in September outlining Prescription Drug Data Collection (RxDC) reporting requirements that begin December 27, 2022. The RxDC reporting provision of the Consolidat...

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