Pricing Exception Code

SAS Name
PRCNG_EXCPTN_CD

This variable indicates if the PDE was processed by the Part D plan using pricing rules that differ from the plan's negotiated price. Most PDEs have missing values, indicating that they were obtained from in-network pharmacies.

Comments

Source: PDE

Code Code value
M Medicare is a secondary payer (MSP)
O Out of network pharmacy
Blank In-network pharmacy