This variable is contained in the following files:
SAS Name
DISEASE
This variable is the FDA-approved indication for which the drug (represented by the FRMLRY_RX_ID) is considered on-formulary.
Values: Text description (e.g., CROHN DISEASE and ARTHRITIS, PSORIATIC)
Source: CMS (HPMS files)
Comments
Starting in 2020, Medicare Part D plan sponsors may limit formulary inclusion of a Part D drug to only certain FDA-approved indications. The corresponding standardized medical subject headings (MeSH) for this value appears in the variable called “MESH_CUI.” Both variables are included in the CMS created indication-based reference file in HPMS for plan sponsors to use for indication-based drug coverage.
The US National Library of Medicine maintains the standardized MeSH. MeSH is a hierarchically-organized terminology for indexing and cataloging of biomedical information. It is used for the indexing of PubMed and other NLM databases. Additional information is available on the NLM.NIH.gov website.
Starting in 2020, Medicare Part D plan sponsors may limit formulary inclusion of a Part D drug to only certain FDA-approved indications. The corresponding standardized medical subject headings (MeSH) for this value appears in the variable called “MESH_CUI.” Both variables are included in the CMS created indication-based reference file in HPMS for plan sponsors to use for indication-based drug coverage.
The US National Library of Medicine maintains the standardized MeSH. MeSH is a hierarchically-organized terminology for indexing and cataloging of biomedical information. It is used for the indexing of PubMed and other NLM databases. Additional information is available on the NLM.NIH.gov website.