25b Quarterly Top Fifteen Medications 60 days following the close of Rx” “Top Annual by Dollars and Number the calendar quarter/year of Scripts 25c Quarterly Therapeutic Category 60 days following the close of “Therapeutic” Annual the calendar quarter/year 25d Quarterly Top Ten Health 60 days following the close of Dollars” “Providers Annual Providers by Dollars the calendar quarter/year 25e Quarterly Top Ten Health 60 days following the close of Utilization” “Providers Annual Providers by Utilization the calendar quarter/year 25f Quarterly Top Ten Diagnosis by 60 days following the close of Dx” “Top Annual Dollars and Utilization the calendar quarter/year 25g Quarterly Observations and 60 days following the close of “Observations” Annual Recommendations the calendar quarter/year Attachment 26: Network Changes Summary DBC 26a Monthly Network Changes 20th of following month Changes” “Network Summary Attachment 27: Network Detailed Reports DBC 27a Quarterly Summary of Provider 60 days following the close of of Network “Summary Network Changes the calendar quarter Changes” 27b Quarterly Primary Care Physician 60 days following the close of Summary” “PCP Summary the calendar quarter 27c Quarterly Primary Care Physician 60 days following the close of “PCP” Network the calendar quarter 27d Quarterly Specialist Network 60 days following the close of “Specialist” the calendar quarter 27e Quarterly Pharmacy Network 60 days following the close of “Pharmacy” the calendar quarter 27f Quarterly Urgent Care Network 60 days following the close of Care” “Urgent the calendar quarter 27g Quarterly Hospital Network 60 days following the of “Hospital” the calendar quarter Attachment 28: Detailed Utilization Reports DBC 28a-28f Quarterly Detailed Utilization 60 days following the close of Cost Claims YTD” “High Reports the calendar quarter Claims Exhibit” “Monthly Level Summary “High YTD” Level Sum (Rolling “High 12)” Plans YTD” “All Plans (Rolling 12)” “All Attachment 29: MAPD Detailed Utilization Reports DBC 29a-29f Quarterly MAPD Detailed 60 days following the close of Cost Claims YTD” “High Utilization Reports the calendar quarter Claims Exhibit” “Monthly Level Summary “High YTD” Level Sum (Rolling “High 12)” Plans YTD” “All Plans (Rolling 12)” “All
25b Quarterly Annual Top Fifteen Medications by Dollars and Number of Scripts 60 days following the close of the calendar quarter/year “Top Rx” 25c Quarterly Annual Therapeutic Category 60 days following the close of the calendar quarter/year “Therapeutic” 25d Quarterly Annual Top Ten Health Providers by Dollars 60 days following the close of the calendar quarter/year “Providers Dollars” 25e Quarterly Annual Top Ten Health Providers by Utilization 60 days following the close of the calendar quarter/year “Providers Utilization” 25f Quarterly Annual Top Ten Diagnosis by Dollars and Utilization 60 days following the close of the calendar quarter/year “Top Dx” 25g Quarterly Annual Observations and Recommendations 60 days following the close of the calendar quarter/year “Observations” Attachment 26: Network Changes Summary DBC 26a Monthly Network Changes Summary 20th of following month “Network Changes” Attachment 27: Network Detailed Reports DBC 27a Quarterly Summary of Provider Network Changes 60 days following the close of the calendar quarter “Summary of Network Changes” 27b Quarterly Primary Care Physician Summary 60 days following the close of the calendar quarter “PCP Summary” 27c Quarterly Primary Care Physician Network 60 days following the close of the calendar quarter “PCP” 27d Quarterly Specialist Network 60 days following the close of the calendar quarter “Specialist” 27e Quarterly Pharmacy Network 60 days following the close of the calendar quarter “Pharmacy” 27f Quarterly Urgent Care Network 60 days following the close of the calendar quarter “Urgent Care” 27g Quarterly Hospital Network 60 days following the of the calendar quarter “Hospital” Attachment 28: Detailed Utilization Reports DBC 28a-28f Quarterly Detailed Utilization Reports 60 days following the close of the calendar quarter “High Cost Claims YTD” “Monthly Claims Exhibit” “High Level Summary YTD” “High Level Sum (Rolling 12)” “All Plans YTD” “All Plans (Rolling 12)” Attachment 29: MAPD Detailed Utilization Reports DBC 29a-29f Quarterly MAPD Detailed Utilization Reports 60 days following the close of the calendar quarter “High Cost Claims YTD” “Monthly Claims Exhibit” “High Level Summary YTD” “High Level Sum (Rolling 12)” “All Plans YTD” “All Plans (Rolling 12)”
Solicitation0900000305Attachment20.docx