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Navigating RxDC Reporting for 2023
While it hardly seems possible, preparations are already underway for the Prescription Drug Data Collection (RxDC) for the 2023 reference year, due no later than June 1, 2024.
As was the case last year, a plan will only be able to rely on its group health carrier to file on its behalf to the extent that it has provided the necessary premium and life year information to the carrier. Carriers and pharmacy benefit managers (PBMs) have already begun sending out requests for information to group plans, some of those communications are easy to miss. Make sure you are opening all carrier correspondence, as deadlines are rapidly approaching. Please make sure you have a plan in place to respond with the needed information within your carrier’s timeline.
| Carrier | Submission Required | Deadline |
|---|---|---|
|
Anthem |
Data submission form must be completed. |
March 15, 2024 |
|
Blue Shield of CA |
Active groups need to fill out the intake form available on Blue Shield’s Employer Connection page upon logging in. |
April 5, 2024 |
|
Kaiser |
Premium reporting form was sent from Kaiser-Permanente-RxDC@kp.org to fully insured contract holders with a group-specific link on February 27, 2024. That link will take contract holders to a portal that is populated with the group’s specific data for them to review and validate. |
March 29, 2024 |
|
HealthNet |
The Plan will not be requesting any data from the groups to complete plan list P2 and data file D1 on behalf of their clients. |
N/A |
|
United Healthcare/UMR/Surest |
UHC clients must complete the Request for Information (RFI) tool in the employer portal. UMR and Surest released their own survey on February 16. |
80 UHC RFI is due April 10, 2024 |
|
Sutter Health |
Premium Reporting Form must be complete |
March 1, 2024 |
|
Express Scripts |
Complete the ESI Data Submission. |
March 15, 2024 |
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