Prescription Drug Data Collection (RxDC) – Employer Guidance

Overview

Each year, health insurance companies and some employer health plans are required by law to report information about prescription drug costs and overall healthcare spending to the federal government.

This requirement comes from Section 204 of the Consolidated Appropriations Act of 2021. The process is called RxDC reporting, which stands for Prescription Drug Data Collection. The reports include not only details about prescription drug costs, but also information such as premiums, enrollment numbers, and other medical spending. The government uses this data to better understand healthcare costs and improve transparency.

If you would like more information about RxDC reporting, what the law requires, or how the data is used, you can visit the official CMS website.

RxDC Resources

Note: Clients contracted with CareFirst Administrators (CFA) or National Claims Admin Services (NCAS) will receive a separate communication to submit their data. Former CareFirst clients from terminated groups will receive RxDC survey communications and may use the link below to access the survey directly.

CareFirst will submit all RxDC files on behalf of our fully insured clients and our self-insured clients that are not contracted under a Shared Processing Services Agreement or Network Lease Agreement. CareFirst will submit data for all applicable clients.