Data Documentation

Plan Characteristics File
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File Version:
October 2022

For most files, a table of variables will display below, with links to the variable definitions. If no table displays, or if you need additional information for a specific variable, please see the CCW website. Data documentation is available for all files and codebooks for many.

If you are unable to locate the information you need, please contact ResDAC.

File Version:
October 2022

For most files, a table of variables will display below, with links to the variable definitions. If no table displays, or if you need additional information for a specific variable, please see the CCW website. Data documentation is available for all files and codebooks for many.

If you are unable to locate the information you need, please contact ResDAC.

NumberSAS NameVariable Name
1 CONTRACT_ID Part D Contract Identifier
2 PLAN_ID Plan Benefit Package Identifier
3 FORMULARY_ID Part D Formulary Identifier
4 PTCD_INDICATOR Indicates Whether the Current Year Plan is Part C, Part D or Both
5 CONTRACT_NAME Contract Name
6 PLAN_NAME Plan Benefit Package Name
7 ORGANIZATION_MARKETING_NAME Plan Organization Marketing Name
8 PARENT_ORGANIZATION Plan Parent Organization Name
9 EFFECTIVE_DATE Plan Effective Date
10 ORGANIZATION_TYPE Organization Type
11 PLAN_TYPE Plan Type
12 DEMO_TYPE Demonstration Type
13 SNP_TYPE Part D Special Needs Plan (SNP) Type
14 FIDE_SNP Fully Integrated Dual Eligible (FIDE) SNP
15 DSNP_ZERODOLLAR Medicare Zero-Dollar Cost Sharing D-SNP Plan
16 DRUG_BENEFIT_TYPE Part D Drug Benefit Type
17 EGWP_INDICATOR Employer Group Waiver Plan (EGWP) Indicator
18 EGHP_CALENDAR_YEAR_FLAG Employer Group Health Plan (EGHP) Calendar Year Indicator
19 COV_CRITERIA Coverage Criteria (Part A/B or B only Requirement)
20 NATIONAL_PDP National Prescription Drug Plan (PDP) Sponsor
21 DEMINIMIS_PD_FLAG Part D Deminimis Paid Flag
22 DED_APPLY How Part D Deductible is Applied
23 DED_AMT Part D Plan Deductible Amount
24 DED_APPLY_ALL Type of Cost Sharing in the Part D Plan Deductible Phase
25 DED_COSTSHARE_TIERS Tiers with Cost Sharing in the Part D Deductible Phase
26 DED_COPAY Part D Deductible Phase Co-pay Amount
27 DED_COINS Part D Plan Deductible Phase Coinsurance Percentage
28 FREE_FIRST_FILL Indicates Whether Part D Plan Offers Free First Prescription Fill
29 PRE_ICL_APPLY How Part D Pre-ICL Cost-Sharing is Applied in the Part D Plan
30 ICL_APPLY How Part D Initial Coverage Limit (ICL) is Applied in the Part D Plan
31 ICL_AMT Part D Plan Initial Coverage Limit (ICL) Amount
32 POST_OOPT_APPLY How Post Out-of-Pocket (OOP) Threshold Cost-Sharing is Applied in the Part D Plan
33 OOPT_AMT Out-of-Pocket (OOP) Threshold Amount in the Part D Plan
34 EXCLUDED_DRUGS Indicates Whether Part D Plan Covers Excluded Drugs
35 REDUCED_COST_SHARE Indicates Whether Part D Plan Offers Reduced Cost-Sharing
36 REDUCED_DED Indicates Whether Part D Plan Offers Reduced Deductible Amount
37 REDUCED_PREICL_CS Indicates Whether Part D Plan Offers Reduced Pre-ICL Cost-sharing
38 REDUCED_OOPT_CS Indicates Whether Part D Plan Offers Reduced Post Out-of-Pocket (OOP) Threshold Cost-Sharing Amounts
39 INCREASED_ICL Indicates Whether Part D Plan Offers Increased Initial Coverage Limit (ICL) Amount
40 OTC_UM_PROGRAM Part D Plan Covers Over-the-Counter (OTC) Medications under the Utilization Management Program