Pre-ICL Standard Mail Order - number of days in 1 month supply

SAS Name
PRE_ICL_DAYS_MO_1M

This variable identifies the number of days in a one month supply of a drug on this tier, when using a mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Comments

Starting in 2016, CMS changed how they describe pharmacy networks. The mail order pharmacies are currently referred to as standard mail order pharmacies. There is no change in the meaning of the variable, and the data values are the same over time.

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)