Indicates Whether Excluded Drugs are Covered on this Tier in the Gap Phase
SAS Name
EXCLUDED_TIER_GAP
For Enhanced Alternative plans that cover excluded drugs as a supplemental benefit, this variable Indicates whether the Part D plan provides coverage on this tier during the coverage gap phase.
Comments
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 plan sponsors to CMS’s Health Plan Management System (HPMS).
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 plan sponsors to CMS’s Health Plan Management System (HPMS).
Source: CMS (HPMS Files)