Why RxDC Matters
What Is RxDC Compliance?
RxDC, or Prescription Drug Data Collection, is a compliance requirement for health plan sponsors.
It mandates the submission of 10 data files to the Centers for Medicare & Medicaid Services (CMS), detailing medical and pharmacy spending from the previous calendar year.
These files must be submitted annually by June 1st.
Self-Funded Health Plans (SFHPs) are required to:
Submit specific data from the prior Calendar Year
Provide Premium and Member Cost
Complete all submissions by June 1st
Why RxDC is Important
Regulatory Compliance
Ensures
adherence to ACA requirements and prevents potential fines or penalties from CMS for non-compliance
Transparency
Provides plan sponsors with detailed insights into PBM profitability, rebate structures, and drug pricing trends to optimize pharmacy benefits
Audit Readiness
Maintain a documented history of compliance, ensuring preparedness in the event of a CMS audit and supporting financial oversight
Partnering with Rx Data Collection, an Independent RxDC Submission Entity, streamlines compliance while revealing the hidden value within your data
Time to Begin
Uncover hidden pharmacy benefit costs with Rx Data Collection. Stay compliant, gain transparency and take control of your pharmacy spend!
Email [email protected] or click the button below to learn more.
Rx Data Collection
Premium Data Submission
We submit your Plan Sponsor Premium Data to meet RxDC compliance, potentially saving you thousands on compliance fees!
RxData Advantage
We collect, analyze, and submit your pharmacy data, providing valuable insights to help you maximize your benefits.
TPA Submission Services
We customize our services for TPAs and healthcare brokers seeking a streamlined process that prevents overwhelming their teams with paperwork.
Get In Touch
Assistance Hours
Mon – Sat 9:00am – 5:00pm
Sunday – CLOSED
Email:
Phone:
(716) 249-0689