This variable is contained in the following files:
SAS Name
PRCNG_EXCPTN_CD
This variable indicates if the PDE was processed by the Part D plan using pricing rules that differ from the plan's negotiated price. Most PDEs have missing values, indicating that they were obtained from in-network pharmacies.
Source: PDE
| Code | Code value |
|---|---|
| M | Medicare is a secondary payer (MSP) |
| O | Out of network pharmacy |
| Blank | In-network pharmacy |