As a reminder, Excellus BlueCross BlueShield (BCBS) will complete the required pharmacy benefit and prescription drug cost reporting for all fully insured and self-funded groups that have both our medical and pharmacy coverage. However, you and/or your broker must submit premium contribution information for the 2025 reference year using the online Prescription Data Collection (RxDC) form by April 10, 2026.

In this quarter’s Legislative Update, we highlight key political, legislative, and regulatory developments that may impact our industry.

The Medical Commercial Community Rated Underwriting Guidelines have been updated to include the newly implemented Out of Area (OOA) and Professional Employer Organization (PEO) rules.