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RxDC Reporting for the 2024 Plan Year

Monday, March 03, 2025

Group health plans and health insurance issuers must annually submit detailed information on prescription drug and healthcare spending to CMS. This reporting is referred to as the “prescription drug data collection” (or “RxDC report”). The next RxDC report is due by Sunday, June 1, 2025, covering data for 2024.

Towne Benefits is gathering information from each of our carrier partners to help employers meet the RxDC reporting timelines. Please see below for the carrier/TPA deadlines and information.

Aetna

  1. Aetna will send an email to all Small Group plan sponsors with instructions on how to submit the required data.
  2. Employer should fill out the RxDC Plan Sponsor Data Collection Form by March 31, 2025. 
  3. Required data includes:
    1. Average monthly premium paid by members
    2. Average monthly premium paid by employer
  4. If the form is not complete or is missing information after March 31, Aetna will submit the report without the required data.

Anthem

  1. Anthem will email all Fully Insured National Account, Large Group, and Small Group commercial clients, as well as clients with Minimum Premium, MEWA, and Anthem Balanced Funding plans. The email will include a link to an online form for employers to provide the information Anthem needs to complete the filings on their behalf.
  2. Anthem will also email ASO Large Group and National Account clients and provide a link for them to request that Anthem file their 2024 D1 Premium and Life Years report. For those who opt-in, Anthem will submit the aggregated data by market segment on their behalf for the benefits we administer and maintain.
  3. All forms are due by March 19, 2025.

Blue Cross NC

  1. Blue Cross NC emailed Fully Insured and ASO employers to complete a form for missing data. The form should be completed by March 31, 2025. 
  2. Blue Cross NC will submit the data in its system to CMS; however, your group’s data will not be complete without the required information gathered through this survey.
  3. Click here for more information.

Cigna

Please refer to Cigna's list of FAQs for more information.

Sentara Health Plans

  1. Sentara will email all Fully Insured Large Groups a form to complete no later than February 27, 2025. Click here for more information.
  2. Fully Insured Small Groups and BusinessEDGE Groups do not need to complete the form. 

UnitedHealthcare

  1. UHC emailed a Request for Information (RFI) tool to all Fully Insured and Level Funded groups in February. Click here for more information.
  2. Employers have until March 31, 2025 to complete the RFI.