Plan Covers Over-the-Counter medications (OTCs) under the Utlization Management Program
SAS Name
OTC_UM_PROGRAM
Indicates whether or not the Part D plan pays for Over-the-Counter medications (OTCs) under the Utilization Management Program.
Comments
This variable was new in 2008. Plans that elect to cover OTC drugs as part of general drug utilization management or part of a step therapy protocol have identified the applicable drugs and they appear in the OCT Drug file (which is delivered as part of the Formulary File, starting in 2010). When OTC_UM_PROGRAM = 'Y' then the over-the-counter drugs that appear in the OTC Drug File are allowed by the plan.
This variable was new in 2008. Plans that elect to cover OTC drugs as part of general drug utilization management or part of a step therapy protocol have identified the applicable drugs and they appear in the OCT Drug file (which is delivered as part of the Formulary File, starting in 2010). When OTC_UM_PROGRAM = 'Y' then the over-the-counter drugs that appear in the OTC Drug File are allowed by the plan.