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This variable is contained in the following files: Plan Characteristics File
Short SAS Name
PRE_ICL_INNPP_COINS_1M
SAS Name
PRE_ICL_INNPP_COINS_1M

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network non-preferred preferred pharmacy (INNPP)during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Comments

Plans that use a co-payment amount rather than a coinsurance percentage will not have a value in this field; see instead the corresponding co-payment variable called (PRE_ICL_INNPP_COPAY_1M). The CCW constructs the Plan Characteristics File from information submitted by Part D 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.