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

Indicates the type of cost sharing that drugs on the tier are subject to in the during the pre-initial coverage limit (ICL) phase, which may include copayment, co-insurance, or the greater/lesser of the two.

Comments

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

Source: CMS (HPMS Files)

CodeCode value
1
Coinsurance
2
Copayment
4
Lesser of Coinsurance and Copayment