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SAS Name
PRE_ICL_INPP_COPAY_DAILY
This variable identifies the beneficiary co-payment amount for a one day supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a referred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
Starting in 2016, CMS changed how they describe pharmacy networks. The INPP are currently referred to as preferred pharmacies within split networks. There is no change in the meaning of the variable, and the data values are the same over time.
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)