Pre-ICL Out-of-Network Pharmacy - days in other day supply

SAS Name
PRE_ICL_DAYS_OONP_OS

This variable identifies the number of days in an "other" days supply of the drugs (other than 1 or 3 months) on this tier, when using an out-of-network pharmacy (OONP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Comments

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)