What employer groups need to know about the RxDC Report

Our 2022 filing is now complete.

Understanding the RxDC Report

Under Section 204 of the Consolidated Appropriations Act, insurance companies and employer-based health plans must submit information regarding prescription drug benefits and health care spending to the Centers for Medicare & Medicaid Services (CMS) by June 1 of each year for the prior year’s coverage. This report is also known as the RxDC Report.

New federal legislation requires employer groups to report on the average monthly premium they and their employees paid the year prior. This information is reported on the D1 Template of the RxDC Report filing.

Information requested

Average monthly premium paid by employees (i.e., payroll contribution)
Average monthly premium paid by the employer group (i.e., total amount of premium paid, minus the employee contribution amounts paid)
General employer group information (i.e., employer group name, Employer Identification Number [EIN], etc.)

Deadline to submit information

We are no longer accepting RxDC information from employers for 2022.

Questions

If you have any questions, please check out our FAQ or contact your account manager. We are happy to help!

Resources

For more information, please view these resources from CMS.

CMS RxDC Reporting Instruction Manual (see pages 21-22)
CMS RxDC Reporting Website