Pre-ICL In-Network Pharmacy Coinsurance for other days supply

SAS Name
PRE_ICL_INP_COINS_OS

This variable identifies the beneficiary co-insurance percentage for a days supply of the drugs (other than 1 or 3 months) on this tier, using an in-network pharmacy 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 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_INP_COPAY_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.