Back to top

This variable describes the secondary type of pharmacy that filled the prescription, if applicable.

Providers are not required by NCPDP to specify a secondary dispenser type.

This is the secondary taxonomy code for the pharmacy, if applicable. This field allows researchers to better understand the type of pharmacy that dispensed the medication. Pharmacies are not required by NCPDP to specify a secondary dispenser type.

The type of pharmacy used. This variable indicates the type of pharmacy that dispensed the prescription, as recorded on the PDE.  

CMS requires Part D plans to maintain pharmacy networks that are sufficient to ensure access to Medicare beneficiaries – including retail, home infusion, and long-term care pharmacies.  Plan sponsors have contracts with pharmacies to provide “in-network” services.

This variable describes the tertiary type of pharmacy that filled the prescriptionm, if applicable.

Providers are not required by NCPDP to specify a tertiary dispenser type.

This is the tertiary taxonomy code for the pharmacy, if applicable. This field allows researchers to better understand the type of pharmacy that dispensed the medication. Pharmacies are not required by NCPDP to specify a tertiary dispenser type.

The last day of business for the pharmacy at this location, as reported to NCPDP. This variable is populated with dates only for stores that have closed or are planning to close. The date may not correspond with the year of the data file.

The date the pharmacy opened at this location, as reported by the pharmacy to NCPDP.

The state where the pharmacy is physically located, using the standard two-character postal state code.

CODE INDICATING THE PLACE WHERE THE SERVICE WAS PERFORMED.

A code indicating where the service was performed. CMS 1500 values are used for this data element.

This variable is the unique plan benefit package (PBP) identifier for the beneficiary’s Part D plan of record for the year.  CMS assigns an identifier to each PBP within a contract that a Part D plan sponsor has with CMS.

If the beneficiary was enrolled in more than one plan during the year, this is the plan benefit package identifier for the plan in which the beneficiary was enrolled at the end of the year. 

This variable is the unique plan benefit package (PBP) number for the plan sponsor's contract. CMS assigns an identifier to each PBP within a contract that a plan sponsor has with CMS.

This field is a key that links the plan sponsor's contract and plan identifiers.

This variable is the unique plan benefit package (PBP) number for the plan sponsor's contract. CMS assigns an identifier to each PBP within a contract that a plan sponsor has with CMS. This was the Plan ID for the plan in 2014. It may or may not be the same as the Plan ID in the reference year (2015).

This field is a key that links the plan sponsor's contract and plan identifiers.

This variable is the unique plan benefit package (PBP) number for the plan sponsor's contract. CMS assigns an identifier to each PBP within a contract that a plan sponsor has with CMS. This was the Plan ID for the plan in 2015. It may or may not be the same as the Plan ID in the reference year (2016).

This field is a key that links the plan sponsor's contract and plan identifiers.

This variable is the unique plan benefit package (PBP) number for the plan sponsor's contract. CMS assigns an identifier to each PBP within a contract that a plan sponsor has with CMS. This was the Plan ID for the plan in 2016. It may or may not be the same as the Plan ID in the reference year (2017).

This field is a key that links the plan sponsor's contract and plan identifiers.

This variable is the unique plan benefit package (PBP) number for the plan sponsor's contract. CMS assigns an identifier to each PBP within a contract that a plan sponsor has with CMS. This was the Plan ID for the plan in 2015 (the reference year). It may or may not be the same as the Plan ID in the prior year (2014).

This field is a key that links the plan sponsor's contract and plan identifiers.

This variable is the unique plan benefit package (PBP) number for the plan sponsor's contract. CMS assigns an identifier to each PBP within a contract that a plan sponsor has with CMS. This was the Plan ID for the plan in 2016 (the reference year). It may or may not be the same as the Plan ID in the prior year (2015).

This field is a key that links the plan sponsor's contract and plan identifiers.

This variable is the unique plan benefit package (PBP) number for the plan sponsor's contract. CMS assigns an identifier to each PBP within a contract that a plan sponsor has with CMS. This was the Plan ID for the plan in 2017 (the reference year). It may or may not be the same as the Plan ID in the prior year (2016).

This field is a key that links the plan sponsor's contract and plan identifiers.

This variable is the name of the plan benefit package (PBP) for the plan sponsor's contract.

This variable is the unique Part D contract identifier for the beneficiary’s Part D plan of record for the year. CMS assigns an identifier to each contract that a Part D plan has with CMS.

If the beneficiary was enrolled in more than one plan during the year, this is the contract number for the Part D plan in which the beneficiary was enrolled at the end of the year.

The first character of the plan contract ID is a letter representing the type of plan.

This variable indicates whether any excluded drugs are part of the Part D plan's supplemental coverage (e.g., benzodiapines, barbiturates).  

Indicates whether or not the Part D plan pays for Over-the-Counter medications (OTCs) under the Utilization Management Program.

Pages