RxDC Guide: Pharmacy Data Collection Under The CAA
Carrier Updates
Thursday, March 07 2024
The Consolidated Appropriations Act of 2021 (CAA) added pharmacy reporting requirements under the Internal Revenue Code, ERISA, and the PHSA. To help brokers and groups navigate these requirements, we've created a RxDC guide.
RxDC reporting deadlines are different for each carrier. Check out our RxDC Guide that organizes carrier deadlines, links to the employer survey, and additional information about this requirement from our carriers. These requirement deadlines are coming up, review the RxDC guide below.
Please note this is guide is for fully insured plans.
For more information about Pharmacy Data Collection Under the CAA read our Whitepaper here.
Carrier | Who's Reporting | Employer Survey Link | Survey Due Date | Resources |
---|---|---|---|---|
Aetna | Carrier will report | Employers will receive an email from Aetna. They need to click the link and provide information for Aetna to submit on their behalf. | Submit survey by 4/12/24 | Aetna Pharmacy Benefit and Drug Costs Reporting Notice |
Anthem | Carrier will report | View survey here | Submit survey by 3/15/24 | Anthem Update: Requests to collect required CAA D1 prescription drug data |
Blue Shield | Carrier will report | View survey here | Submit survey by 4/5/24 | Blue Shield Producer Alert Blue Shield Rx Reporting Survey FAQs Updated 3/1/24 |
California Choice | Please refer to enrolled carrier | Refer to specific carrier's guideline | N/A | |
Cigna + Oscar | Carrier will report | Not released yet | Not released yet | |
Covered California Small Business | Please refer to enrolled carrier | Refer to specific carrier's guideline | N/A | |
Health Net | Carrier will report | No survey required | N/A | Health Net RxDC Update |
Humana | Carrier will report | Survey sent to health plan sponsors directly | Humana RxDC Reporting Requirements | |
Kaiser Permanente | Carrier will report | Kaiser will send form from: Kaiser-PermanenteRxDC@kp.org |
Submit survey by 3/29/24 | Kaiser RxDC Update |
United Healthcare | Carrier will report | Visit the United Healthcare employer portal | Submit survey by 4/10/24 | United Heathcare RxDC reporting portal tools |