RxDC Reporting Requirements – FORM D1

Click here to open the editable FORM D1 PDF document.

To access RxDC Reporting Data – Illustrative Calculations document for guidance on how to calculate the required fields in FORM D1, Click here.

Upon completion of FORM D1, save document and email to Benecard at BCSRxDC@benecard.com no later than April 8th, 2024.

Benecard will submit the information to CMS by June 1st, 2024.