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2025 Aetna Prescription Drug Data (RxDC) Collection Requirement

Jan 30, 2025
Category
Carrier News

Prescription Drug Data Collection (RxDC) reporting for reference year 2024 is required to be submitted no later than June 1, 2025. 

As always, Aetna is committed to complying with all legal and regulatory requirements affecting business operations and their customer's health benefits. Therefore, Aetna has developed a process to support their plan sponsors in the submission of these reports.

Aetna will request information from plan sponsors

Starting Friday, January 31, Aetna will begin emailing plan sponsors to collect information for this years report. In 2025, Aetna will require the following data from all plan sponsors included in Aetna’s D1 file:

  • Total premium paid by members for the reference year
  • Total premium paid by employer for the reference year
  • Funding Arrangement
  • Issuer Name/Legal Entity

If a self-insured plan sponsor requests to be excluded from Aetna’s D1 file, employers do not need to complete this data collection process. Instead, plan sponsors should contact their account representative to request an exception.

To learn more about the reporting requirements, refer to the RxDC Reporting Instructions.

What plan sponsors need to do

Complete the fields provided in the emailed form no later than March 31, 2025.

If any plan sponsor does not provide the requested data by March 31, Aetna will submit the report without the required plan sponsor data. Failure to respond with complete and correct information will impact Aetna's ability to accurately report on the plan sponsor’s behalf, and Aetna will not be responsible for any liability associated with the inaccurate report. It may be necessary for the employer to submit this information to CMS directly.

Contact your Amwins Connect Sales Representative with any questions.

 

 

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