Excluded Drugs Covered on this Tier in the Gap Phase
SAS Name
EXCLUDED_TIER_GAP
For Enhanced Alternative plans that have indicated coverage of excluded drugs as a supplemental benefit, this variable Indicates whether the Part D plan provides coverage on this tier in the gap phase.
Comments
This variable was new in 2012. The coverage gap is technically referred to as the initial coverage limit (ICL) for the Part D benefit. The CCW constructs the Plan Characteristics File from information submitted by Part D plan sponsors to CMS’s Health Plan Management System (HPMS).
This variable was new in 2012. The coverage gap is technically referred to as the initial coverage limit (ICL) for the Part D benefit. The CCW constructs the Plan Characteristics File from information submitted by Part D plan sponsors to CMS’s Health Plan Management System (HPMS).