Aetna 2024 RxDC Update

Please note, Aetna emailed plan sponsors on 1/29/25 requesting they complete the Aetna's form by 3/31/25. The email included a link at the bottom to the online form which prepopulates with most of a group's information. Click here to see an example of the button at the bottom of the email.

Prescription drug data reporting submission due 3/31/25

Prescription Drug Data Collection (RxDC) reporting for reference year 2024 is required to be submitted no later than 6/1/2025. This submission must include certain data elements that were not required for the initial submission.

As always, Aetna is committed to complying with all legal and regulatory requirements affecting their business operations and their customer's health benefits. Therefore, Aetna has developed a process to support plan sponsors in the submission of these reports.

In 2025, Aetna will require the following data from all plan sponsors included in Aetna’s D1 file:

• Total premium paid by members for the reference year
• Total premium paid by employer for the reference year
• Funding Arrangement
• Issuer Name/Legal Entity

If a self-insured plan sponsor requests to be excluded from Aetna’s D1 file, you do not need to complete this data collection process. Instead, contact your Aetna account representative to request an exception.

To learn more about the reporting requirements, refer to the CMS RxDC Reporting Instructions.

What you need to do:

Complete the fields provided in this form no later than 3/31/2025.

• If any plan sponsor does not provide the requested data by 3/31, Aetna will submit the report without the required plan sponsor data. Failure to respond with complete and correct information will impact Aetna's ability to accurately report on the plan sponsor’s behalf, and Aetna will not be responsible for any liability associated with the inaccurate report. It may be necessary for you to submit this information to CMS directly.

Aetna is available to help! If you have any questions or want to discuss this process, please contact your Aetna sales team.