Att 8 - Submittal Form J Formulary Disruption Analysis.xlsx
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- Solicitation number
- 2025-0200-0177 / 02-101-25
- Issued by
- Alaska
About this file
This document is a Submittal Form J for Formulary Disruption Analysis, covering pharmacy benefit management for an active employee health plan. The analysis covers claims data from May 1, 2024 to August 31, 2024, with an average of 16,928 members covered. The plan utilizes a broad formulary with exclusions for both non-specialty and specialty medications, requiring a comprehensive review of potential prescription disruptions.
The analysis requires detailed documentation of medication changes, including the number of distinct members impacted, percentage of total members affected, and the number of prescriptions impacted. The form mandates a granular breakdown of medication transitions across different tiers (Generic, Preferred Brand, Non-Preferred Brand) and tracking of medications moving from covered to excluded status. Providers must list each medication by NDC (National Drug Code), including the number of distinct patients, total prescriptions, specialty indicators, and proposed tier placement. The form also requires alternative medication recommendations for drugs that are not covered or are being moved to excluded status.
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Formulary Disrupt_Employee
| Submittal Form J - Formulary Disruption Analysis |
| Formulary Disruption - Active Employee Plan |
| Offeror must complete the following formulary disruption tables for the commercial plan for Active Employees based on the offeror's proposed formulary. PBM analysis must be based on the most recent four months in the commercial plan's claims data that will be provided upon the submission of the ITP and NDA forms as detailed in RFP Section 3.18 Nondisclosure and Confidentiality. Results to be included are the number of members that will require a change as well as the number of prescriptions associated with the formulary change. | ||||||||
| Claims Dispensed between 5/1/2024 and 8/31/2024 | ||||||||
| Average number of members covered: 16,928 | ||||||||
| Non-Specialty formulary: Broad Formulary with Exclusions | ||||||||
| Specialty formulary: Broad Formulary with Exclusions | ||||||||
| Table 1 - Summary | ||||||||
| Type of Change | Number of Distinct Members Impacted | % of Total Members | Number of Scripts Impacted | % of Total Scripts (including all brands and generics) | ||||
| Non-Specialty | ||||||||
| No change | ||||||||
| Positive (higher-cost tier to lower-cost tier) | ||||||||
| Negative (lower-cost tier to higher-cost tier) | ||||||||
| Moving from Covered to Not Covered/Excluded | ||||||||
| Specialty | ||||||||
| No change | ||||||||
| Positive (higher-cost tier to lower-cost tier) | ||||||||
| Negative (lower-cost tier to higher-cost tier) | ||||||||
| Moving from Covered to Not Covered/Excluded | ||||||||
| Note: Each distinct member of the population may be impacted positively, negatively or not at all. Therefore, the number of members impacted in the table above are not additive. | ||||||||
| Table 2 - Detailed Disruption Results | ||||||||
| Offeror must complete the table below by listing each drug utilized in the most recent four months of the Active Employee Plan's claims data by NDC, the number of distinct patients for which the drug was dispensed and the total number of prescriptions filled. For each NDC, indicate if the drug is specialty or non-specialty with respect to the offeror's formulary and indicate the tier that the drug will be considered for the purposes of calculating member cost share. (Note: Tier 1 = Generic; Tier 2 = Preferred Brand, Tier 3 = Non-Preferred Brand and Excluded = no access. The drop down for "Not Covered/1x Use" should be used to indicate a single use NDCs that are not on formulary. When this drop down is used, provide the offeror's alternate NDC and drug name that is on the offeror's formulary. The drop down for Invalid/Expired NDC should be used for drugs that are no longer available to be filled.) | ||||||||
| NDC | Drug Name | Therapeutic Class | Number of Distinct Patients | Number of Scripts | Specialty Indicator | Tier | Alternative NDC | Alternative Drug Name |
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This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .