Medication Benefit Management Redefined

Change Begins with Sav-Rx. Full service Pharmacy Benefit Manager focused on lowest net cost, highest customer satisfaction and full flexibility for our clients and their patients.

Sav-Rx Consolidated Appropriations Act Portal

This registration form will be utilized by a Third-Party Administrator, Plan Sponsor or designee to receive and/or share pharmacy, plan and/or medical data required for submission by the Center for Medicaid and Medicare Services (CMS). Annual data reporting submissions after December 31, 2021 are due by June 1st each calendar year for the previous year’s pharmacy, plan and medical data.

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Password Requirements: 2 Numbers, 2 Special Characters, 2 Uppercase, 2 Lowercase, at least 10 length

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*TPA/Plan Sponsor/Other

*Firstname

Middlename

*Lastname

*Landline Phone

*Cell phone

*Relationship To Client

Backup Contact Email

Backup Contact Firstname

Backup Contact Lastname

Backup Contact LandLine

Backup Contact CellPhone

Option 1: Plan downloads pharmacy files free of charge; D3, D4, D5, D6, D7, D8, Narrative Response, Supplement to the Narrative, and a partial P2 file. Plan submits data to CMS.
Option 2: Sav-Rx to submit pharmacy ONLY files; D3, D4, D5, D6, D7, D8, Narrative Response, Supplement to the Narrative, and partial P2 provided by Sav-Rx. The P2 file must be completed by Plan and uploaded to the portal.
Option 3: Sav-Rx to submit plan AND pharmacy files; D1, D3, D4, D5, D6, D7, D8, partial Narrative Response, Supplement to the Narrative, and partial P2 provided by Sav-Rx. D1, P2 and questions 1 and 2 within the partial Narrative Response must be completed by Plan and uploaded to the portal.
Option 4: Sav-Rx to submit plan AND medical AND pharmacy files; D1, D2, D3, D4, D5, D6, D7, D8, partial Narrative Response, Supplement to the Narrative, and partial P2 provided by Sav-Rx. D1, D2, P2 and questions 1, 2 and 4 within the partial Narrative Response must be completed by Plan and uploaded to the portal.
Note: Plan is responsible for providing additional data if Sav-Rx is to support previous PBM relationships the Plan has during a full plan year. Additional charges may apply for combing previous PBM data.

Plan Sponsor Info
*Entity Submitting Pharmacy Data On Behalf Of The Plan Sponsor	*Billing Selection	*Plan Sponsor Name	*Plan Sponsor EIN	*Plan Sponsor State	*Sav-Rx Group Number