CVS Caremark® is providing the following information to assist participating pharmacies in the 2018 Medicare Part D Retail Performance Network Program for Aetna Medicare Part D Plans.

Performance Measurement: A time period consisting of 6 months’ retrospective view for trimester 1, and year-to-date retrospective view for trimesters 2 and 3—i.e., 8 and 12 months respectively—from which claims are provided to PQS to include in its measurement.

Applicable Claims: The eligible brand claims within a given trimester in which the network variable rate will be applied. Pharmacies should accrue in preparation for the collection period.

Calculation: Time period immediately following a given trimester where performance scores are calculated, pharmacies are ranked among all participating pharmacies to derive each pharmacy’s network variable rate within each network variable rate range, and applicable brand claims are multiplied by each network variable rate achieved by the pharmacy to determine the final amount to be collected for a trimester. *Indicates the approximate time pharmacies will be able to view the PQS performance measures in EQuIPP (Electronic Quality Improvement Platform for Plans & Pharmacies) that are used in the calculation.

*Please see attached for more information.