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SAS Name
DED_COSTSHARE_TIERS
This variable identifies which formulary tiers require beneficiary cost sharing during the deductible phase. The value contains a string of binary digits; each digit of the value indicates which tiers are on the formulary.
| Code | Code value |
|---|---|
| 1 in 2 | Tier 1 |
| 1 in 3 | Tier 2 |
| 1 in 4 | Tier 3 |
| 1 in 5 | Tier 4 |
| 1 in 6 | Tier 5 |
| 1 in 7 | Tier 6 |
| 1 in 8 | Tier 7 |
| 1 in 9 | Tier 8 |
| 1 in 10 | Tier 9 |
| 1 in 1 | Tier 10 |
This variable was new in 2010; it changed from 10 characters to 6 in 2011. The CCW constructs the Plan Characteristics File from information submitted by Part D 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.