This report provides a monthly review of Drugs with the Therapeutic Class. The goal is to provide insight into the program performance by Therapeutic Class to see where high costs are being incurred.

Additional Information:

This report contains two sheets.

  • The first sheet provides a summary overview of the therapeutic classes by group and its associated costs.
  • The second sheet provides detailed information about the Generic Product Identifiers (GPI) associated with the therapeutic classes.

File Format: Excel

File Name Format:

<PBM_ID>_<Client_code>_THERAPEUTIC_CLASS_REPORT_<RunDate>_<ExecutionID>

Example: ACMEPBM_ACME_THERAPEUTIC_CLASS_REPORT_07112024_1112

Summary based on Group & Therapeutic Class 

Field #Field NameDescription
1ReportDescribes the name of the Report
2PBMPBM External ID and PBM Name
3AccountAccount ID and Account Name. If the report is extracted for multiple accounts, then the accounts are separated by a comma.
4Start DateExtract Period Start date
5End DateExtract Period End date
6Group IDGroup External ID
7Therapeutic ClassTherapeutic Class of the Drugs
8Rx VolumeTotal number of prescriptions
9Total Rx CostTotal cost of prescriptions
10Total MemberTotal cost paid by members
11Total PlanTotal cost covered by the plan
12TotalsThis is the total of all the above amounts  and Rx Volumes



Sample report (Sheet 1 - Group-wise summary based on Therapeutic Class) 

GPI Level data of Therapeutic class report

Note: This tab shows the therapeutic report data expanded to GPI (Generic Product Identifier) level

Field #Field NameDescription
1Group IDGroup External ID
2Therapeutic ClassTherapeutic Class of the Drugs
3GPIGeneric Product Identifier
4Rx VolumeNumber of prescriptions
5Total Rx CostTotal cost of prescriptions
6Total Member PaidTotal cost paid by members
7Total Plan PaidTotal cost covered by the plan

Sample report (Sheet 2 - Therapeutic report expanded to GPI classification) :

Refer to the attached sample report for more details

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