Important Plan Design Change Deadlines

Matt Dengel  •   July 17, 2019

The season to make plan design changes is here! The National CooperativeRx account management team is ready to assist you with plan recommendations. If you are considering a change, please reach out to your designated account executive. Please keep the following deadlines in mind for changes to go into effect January 1, 2020:

September 2, 2019

  • All formulary changes
  • Add-on programs (such as clinical programs)
  • Specialty copay changes

October 1, 2019

  • New or existing clients who wish to integrate with medical integrators who have established connections with CVS
  • Implementation of add-on or restructured plan designs
  • Revised information technology systems/eligibility change requests (including third-party administrator changes)
  • New data file requests

November 1, 2019 (Non-complex changes)

  • Basic copay or coinsurance changes
  • Updates to reporting access
  • Refill restriction updates and limited plan coverage updates
  • Standard drug coverage changes (using an existing list)
  • Non-integrated deductible or MOOP addition
  • DAW addition
  • Turning off accumulations

We look forward to helping you get your changes in place for the new year. Thank you for being a Cooperative member!