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This variable is contained in the following files: Plan Characteristics File
SAS Name
EXCLUDED_TIER_PRE_ICL

For Enhanced Alternative plans that cover excluded drugs as a supplemental benefit, this variable Indicates whether the Part D plan provides coverage on this tier during the Pre-initial coverage limit (ICL) phase.

Comments

The CCW constructs the Plan Characteristics File from information submitted by plan sponsors to CMS’s Health Plan Management System (HPMS).

Employer and National Program of All-inclusive Care for the Elderly (PACE) plans are waived from reporting Plan Benefit Package information.

For those plans that did not report, the value of this variable will be blank.

Source: CMS (HPMS Files)

CodeCode value
Y
Yes
N
No