Gap In-Network Pharmacy - days in 1 month supply

SAS Name
GAP_DAYS_INP_1M

This variable identifies the number of days in a one month supply of a drug on this tier, when using an in-network pharmacy (INP) during the coverage gap phase of the Part D benefit.

Comments

This variable was new in 2007. It will only be populated if the plan has an enhanced benefit design with extra coverage in the gap. 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).Employer and National Program of All-inclusive Care for the Elderly (PACE) plans are waived from reporting Plan Benefit Package information. For those plans that did not report, the value of this variable will be blank.