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This variable identifies the beneficiary co-insurance percentage for a days supply of the drugs (other than 1 or 3 months) of the drugs on this tier, using an in-network preferred pharmacy (INPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Pre-initial coverage limit: out-of-network pharmacy co-insurance percentage for 1 month supply.

Pre-initial coverage limit: out-of-network pharmacy co-insurance percentage for other supply.

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network non-preferred preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network non-preferred preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using an in-network non-preferred preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.

Pre-initial coverage limit: long term care pharmacy copay amount for 1 month supply.

Pre-initial coverage limit: mail order non-preferred pharmacy copay amount for other supply.

Pre-initial coverage limit: out-of-network pharmacy copay amount for 1 month supply.

Pre-initial coverage limit: out-of-network pharmacy copay amount for other supply.

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