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Formulary

Short SAS NameLong SAS NameVariable Name
1FORMULARY_IDFORMULARY_IDPart D Formulary Identifier
2FRMLRY_RX_IDFRMLRY_RX_IDCCW Formulary drug identifier
3TIER_IDTIER_IDTier Number
4STEPSTEPStep Number
5QUANTITY_LIMIT_YNQUANTITY_LIMIT_YNQuantity Limit Indicator
6PRIOR_AUTHORIZATION_YNPRIOR_AUTHORIZATION_YNPrior Authorization Indicator
7BNBNFDB Brand Name for Proxy NDC
8GNNGNNGeneric Name
9STRSTRDrug Strength Description
10GCDFGCDFDosage Form Code
11GCDF_DESCGCDF_DESCDosage Form Code Description

Excluded Drugs

Short SAS NameLong SAS NameVariable Name
1FORMULARY_IDFORMULARY_IDPart D Formulary Identifier
2FRMLRY_RX_IDFRMLRY_RX_IDCCW Formulary drug identifier
3CONTRACT_IDCONTRACT_ID Part D Contract Identifier
4PLAN_IDPLAN_IDPart D Plan Benefit Package Identifier
5TIER_IDTIER_IDTier Number
6STEP_THERAPY_YNSTEP_THERAPY_YNDrug Step Therapy
7QUANTITY_LIMIT_YNQUANTITY_LIMIT_YNQuantity Limit Indicator
8PRIOR_AUTHORIZATION_YNPRIOR_AUTHORIZATION_YNPrior Authorization Indicator
9BNBNFDB Brand Name for Proxy NDC
10GNNGNNGeneric Name
11STRSTRDrug Strength Description
12GCDFGCDFDosage Form Code
13GCDF_DESCGCDF_DESCDosage Form Code Description

OTC Drugs

Short SAS NameLong SAS NameVariable Name
1FORMULARY_IDFORMULARY_IDPart D Formulary Identifier
2FRMLRY_RX_IDFRMLRY_RX_IDCCW Formulary drug identifier
3BNBNFDB Brand Name for Proxy NDC
4GNNGNNGeneric Name
5STRSTRDrug Strength Description
6GCDFGCDFDosage Form Code
7GCDF_DESCGCDF_DESCDosage Form Code Description
CSV