Keenan Briefings

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Prescription Drug Data
Briefing

Prescription Drug Data Collection (RxDC) Submission Guidelines for 2024

February 26, 2025

The Prescription Drug Data Collection (RxDC) for the 2024 reference year must be filed by June 1, 2025, and carriers, TPAs, and PBMs have begun to reach out to employers for the information necessary to complete the filing. 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.

 

Submission Required

Deadline

Anthem

Anthem is offering to submit the D1 reporting for the 2025 RxDC submission on behalf of their ASO groups for the 2024 reporting year. Clients must complete the D1 reporting request and the required information through this form and submit it to Anthem no later than March 19, 2025. 

Note: Anthem is not validating any employer submitted data for accuracy. In addition, Anthem will not accept data from third party vendors (e.g., Stop Loss vendor), thus groups or their vendors will be responsible for submitting the appropriate reporting to CMS for these vendors, if applicable.

March 19, 2025

Blue Shield of California

Active groups need to fill out the intake form available on Blue Shield’s Employer Connection page upon logging in. Groups without access to an Employer Connection account can submit required information via the Prescription Drug & Healthcare Spending Survey using their group ID and the following web key: #25yr24

Terminated groups will need to fill out this intake form, using their Blue Shield group ID and the following web key: #25yr24

April 19, 2025                                                                                                                                                                                               

Kaiser

The premium reporting form was sent from Kaiser-Permanente-RxDC@kp.org to fully insured contract holders with a group-specific link that is open February 1 through March 31, 2025. 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 31, 2025

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. It is important for you to complete the RFI by the March 31 deadline. To save time, we recommend using the UHC RxDC RFI worksheet to gather the required data in advance. Links to the worksheet are also in the RxDC Brainshark video and in the RxDC FAQs.

March 31, 2025

 

Stutter Health Premium Reporting Form must be complete March 1, 2025

Keenan is not a law firm and no opinion, suggestion, or recommendation of the firm or its employees shall constitute legal advice. Clients are advised to consult with their own attorney for a determination of their legal rights, responsibilities, and liabilities, including the interpretation of any statute or regulation, or its application to the clients’ business activities.