RxDC Reporting
Prescription Drug Data Collection (RxDC) reporting remains one of the most misunderstood and operationally challenging compliance requirements facing employer-sponsored health plans.
While many employers assume their carriers, TPAs, or pharmacy benefit managers are handling the reporting process, responsibility often remains shared across multiple parties, creating significant compliance risk when assumptions replace verification.
StanleyKup provides end-to-end RxDC reporting services that help employers satisfy annual reporting obligations, coordinate vendor data collection, and maintain documentation supporting compliance.
Why RxDC Reporting Matters
The Consolidated Appropriations Act requires health plans and insurers to submit detailed prescription drug and healthcare spending information to the Centers for Medicare & Medicaid Services (CMS) annually. The reporting includes plan-level information, prescription drug spending data, premium information, rebates, fees, and other healthcare cost data.
Many employers discover late in the reporting cycle that required information resides across multiple vendors, including pharmacy benefit managers, third-party administrators, carriers, and consultants. Missing information, incomplete submissions, and reporting delays can create unnecessary compliance exposure.
StanleyKup helps employers navigate the process from data collection through final submission.
Our Rxdc Reporting Approach
Vendor Coordination
Successful RxDC reporting often depends on obtaining information from multiple organizations. We work directly with employers, brokers, TPAs, carriers, and pharmacy benefit managers to gather required information and coordinate reporting responsibilities.
Data Collection and Review
Our team reviews plan information, reporting files, vendor data, and supporting documentation to identify missing information and reduce submission errors before filing.
Submission Management
We prepare and submit required reporting information through the CMS Health Insurance Oversight System (HIOS) portal and provide documentation confirming submission completion.
Documentation and Record Retention
Employers receive copies of submission confirmations and reporting documentation that can be retained with plan records to support future compliance inquiries and internal governance reviews.
RxDC Service Options
Reporting Entity Only
For employers, consultants, or vendors who prepare their own reporting files, StanleyKup provides submission-only services. Clients provide completed reporting files, and we submit the information through the CMS portal and provide confirmation of submission.
Guided Service
Our guided approach walks employers through the reporting process step by step. We provide data collection guidance, generate required reporting files from information provided, submit the reporting package, and deliver submission documentation.
White Glove Service
Our most comprehensive option includes direct coordination with TPAs, PBMs, brokers, carriers, and employer representatives. We collect required information, prepare reporting files, manage submissions, and provide complete reporting support from start to finish.
The StanleyKup Advantage
StanleyKup Legal & Compliance brings legal insight, compliance expertise, and practical support together under one roof. We help employers, brokers, and service providers navigate complex requirements with clear guidance, responsive support, and solutions designed around how their organizations actually operate. Our approach is hands-on and accessible. No call centers. No unnecessary layers. Just experienced professionals who understand the regulations, the operational realities, and what it takes to keep compliance moving forward. Compliance doesn’t have to be complicated.
Let StanleyKup help you take control.
Book a Meeting
We offer comprehensive compliance solutions, as well as à la carte services to fit your needs. Not sure what you need? Book a complimentary consulting meeting with StanleyKup to help us learn about your business.