Part D Medicare Payments

SAS Name

This variable is the dollar amount that the Part D plan covered for all covered drugs for a given year. The variable is calculated as the sum of the plan payments for covered PDEs (CVRD_D_PLAN_PD_AMT) and the low income cost sharing subsidy amount (LICS_AMT) during the year.


This variable does not include all costs to Medicare for the Part D benefit; it does not include non- covered drugs (PDE variable called NCVRD_PLAN_PD_AMT) also does not consider include any applicable rebate amounts or other discounts).

Plans may choose to provide enhanced benefits that pay for some non-covered drugs.

The value will be null if the beneficiary was not enrolled in Part D or did not use any Part D drugs during the year.

Source: CCW (derived)