Indicates Whether Part D Plan Offers Reduced Pre-ICL Cost-sharing

SAS Name

This variable indicates whether the plan offers reduced cost sharing applies to the pre-Initial Coverage Limit (ICL) phase of the Part D benefit.


This variable applies ONLY to the Enhanced Alternative Plans that offer reduced costsharing (i.e., where variable called REDUCED_COST_SHARE='Y').

The Initial Coverage Limit (ICL) phase of the Part D benefit is also referred to as the coverage gap.

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)

Code Code value
Y Yes
N No
9 Not Applicable