March 12, 2025
RxDC Fully Insured Average Monthly Premium Data Collection
Applies to fully insured groups
Last month, we shared our approach to support group customers with Prescription Drug Data Collection (RxDC) reporting for the 2024 reference year. As indicated, fully insured group customers need to provide their average monthly premium data for inclusion in our submission.
What’s Needed: Starting the week of March 17, employer group contacts that we have on file will be emailed notifications to submit this data through Blue Access for EmployersSM. The submission can be done by the employer group or a broker (Primary Producer of Record or Delegated Producer with Maintenance Use). The data collection portal in BAESM will open on March 17 and close on May 2.
The form in BAE gives groups easy access to the Centers for Medicare & Medicaid Services’ average monthly premium calculation method for the 2024 data collection. The CMS outlined these calculation methods in Section 6.1 of this year’s RxDC reporting instructions. 
Deadline: This data submission must be submitted by May 2, 2025. Since CMS requires this data, any employer groups not included in our submission will need to submit their own average monthly premium data directly to CMS by June 1, 2025. Groups should consult their own legal or regulatory counsel for any additional information on this requirement should they elect not to provide data to Blue Cross and Blue Shield of Texas for our RxDC submission.
This data is not necessary for plans that are not required to submit RxDC reporting to CMS (i.e. stand-alone dental or vision, Medicare and retiree-only plans).
Reminder emails will be sent in April to any groups who have not yet completed the data submission.
If you have questions regarding this data collection, please contact your BCBSTX representative.
