Carriers and TPAs handle most of the Prescription Drug Data Collection (RxDC) submission, but need employers’ annual contribution data.
Applies To: All employers with group medical/Rx plans (except ICHRAs).
What employers must provide:
- How much the employer and employees paid for coverage last calendar year
- For self-funded plans: actual fixed costs + claims, minus stoploss rebates and pharmacy rebates
Missing information may require employers to submit directly through HIOS or hire a vendor.
Note: Watch for communications from your Hausmann Group Service Team.
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