Pre-ICL In-Network Non-Preferred Pharmacy Copay for other days supply
SAS Name
PRE_ICL_INNPP_COPAY_OS
This variable identifies the beneficiary copay amount for a days supply of the drugs (other than 1 or 3 months) on this tier, using an in-network non-preferred pharmacy (INNPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
Comments
This variable was only populated from 2007-2012. Plans that use a coinsurance percentage amount rather than a co-payment amount will not have a value in this field; see instead the corresponding coinsurance variable called (PRE_ICL_INNPP_COINS_OS).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.
This variable was only populated from 2007-2012. Plans that use a coinsurance percentage amount rather than a co-payment amount will not have a value in this field; see instead the corresponding coinsurance variable called (PRE_ICL_INNPP_COINS_OS).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.