Benefit Phase | ResDAC

Indicates the benefit phase in which the claim was expected to occur based on a data of service ordering of the beneficiary's claims, the beneficiary's accumulated gross drug and out-of-pocket costs, and the plan's deductible, initial coverage limit (ICL) and out-of-pocket threshold (OOPT) amount. Phases may include Deductible, Pre-ICL, ICL (Coverage Gap) or Catastrophic. Events that occur between two different phases are called straddle PDEs.

Code	Code value
Blank	Not a covered drug
XX	PDE Plan Identifiers do not link to the Plan Benefit file
NA	National Pace or Employer Sponsored Plan
DD	Deductible phase
DP	Deductible to Pre-ICL Straddle PDE
DI	Deductible to ICL (coverage gap) Straddle PDE
DC	Deductible to Catastrophic Straddle PDE
PP	Pre-ICL phase
PI	Pre-ICL to ICL Straddle PDE
PC	Pre-ICL to Catastrophic Straddle PDE
II	ICL (coverage gap) Phase
IC	ICL (coverage gap) to Catastrophic Straddle PDE
CC	Catastrophic phase