Part D Plan Initial Coverage Limit (ICL) Amount

SAS Name

This variable is the dollar amount of Part D Initial Coverage Limit (ICL) applied by the Part D plan. If no ICL is applied this field is blank.


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).

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.

Source: CMS (HPMS Files)