Pre-ICL Long Term Care Pharmacy Copay for 1 month supply

SAS Name
PRE_ICL_LTCP_COPAY_1M

This variable identifies the beneficiary copay amount for a 1 month supply of the drugs on this tier, using long term care pharmacy (LTCP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Comments

Plans that use a coinsurance percentage amount rather than a co-payment will not have a value in this field; see instead the corresponding coinsurance variable called (PRE_ICL_LTCP_COINS_1M).

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)