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This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network non-preferred preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network non-preferred preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using an in-network non-preferred preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 1 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 2 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-insurance percentage for a 3 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
Pre-initial coverage limit: long term care pharmacy copay amount for 1 month supply.
Pre-initial coverage limit: mail order non-preferred pharmacy copay amount for other supply.
Pre-initial coverage limit: out-of-network pharmacy copay amount for 1 month supply.
Pre-initial coverage limit: out-of-network pharmacy copay amount for other supply.
This variable identifies the beneficiary co-payment amount for a one day supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a referred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary co-payment amount for a 1 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 2 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 3 month supply of the drugs on this tier, using an in-network preferred pharmacy (INPP; also known as a preferred pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a one day supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 1 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 2 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 3 month supply of the drugs on this tier, using mail order preferred pharmacy (MOPP; also known as a preferred mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a one day supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 1 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 2 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 3 month supply of the drugs on this tier, using mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a one day supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 1 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 2 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 3 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a one day supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 1 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 2 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 3 month supply of the drugs on this tier, using a standard mail order pharmacy during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a one day supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 1 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 2 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
This variable identifies the beneficiary copay amount for a 3 month supply of the drugs on this tier, using an in-network pharmacy (INP; also known as a standard retail pharmacy) during the pre-initial coverage limit (ICL) phase of the Part D benefit.
Indicates the type of cost sharing that drugs on the tier are subject to in the during the pre-initial coverage limit (ICL) phase, which may include copayment, co-insurance, or the greater/lesser of the two.
This variable identifies what types of drugs, if any, are covered on each formulary tier during the pre-initial coverage limit (ICL) phase. A tier may include multiple drug types.
Each digit indicates the type of drug (e.g., "Generic", "Brand", etc.) included on the Part D formulary tier 1 through Tier 7 for the pre-initial coverage phase. A tier may include multiple drug types.
This variable identifies the number of days in a one month supply of a drug on this tier, when using an in-network non-preferred pharmacy (INNPP) during the pre-initial coverage limit (ICL) phase of the Part D benefit.