Search Data Variables

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 coverage gap 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 coverage gap 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 coverage gap 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 coverage gap 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 coverage gap 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 long term care pharmacy (LTCP) during the coverage gap phase of the Part D benefit.

Coverage gap: long term care pharmacy copay amount for 1 month supply.  Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.

Coverage gap: mail order pharmacy copay amount for 3 month supply.  Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.

Coverage gap: out-of-network pharmacy copay amount for 1 month supply.  Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.

Coverage gap: out-of-network pharmacy copay amount for other supply.  Note, this field can only be populated if the plan has an enhanced benefit design with extra coverage in the gap.

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 preferred pharmacy within a split network) during the coverage gap 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 coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a one day supply of the drugs on this tier, using a mail order preferred pharmacy (MOPP) during the coverage gap 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 a mail order preferred pharmacy (MOPP) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 2 month supply of the drugs on this tier, using a mail order preferred pharmacy (MOPP) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 3 month supply of the drugs on this tier, using a mail order preferred pharmacy (MOPP) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a one day supply of the drugs on this tier, using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the coverage gap 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 a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 2 month supply of the drugs on this tier, using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 3 month supply of the drugs on this tier, using a mail order non-preferred pharmacy (MONPP; also known as a standard mail order pharmacy within a split network) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap 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 non-preferred pharmacy (INNPP; also known as a standard retail pharmacy within a split network) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a one day supply of the drugs on this tier, using a standard mail order pharmacy during the coverage gap 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 a standard mail order pharmacy during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 2 month supply of the drugs on this tier, using a standard mail order pharmacy during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 3 month supply of the drugs on this tier, using a standard mail order pharmacy during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap 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 pharmacy (INP; also known as a standard retail pharmacy) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment 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 coverage gap phase of the Part D benefit.

This variable indicates the type of cost sharing drugs on the tier are subject to in the coverage gap phase, which may include copayment, co-insurance, or the greater/lesser of the two.

Indicates whether of not the Part D plan offers some cost sharing in the gap for this tier.

This variable indicates the amount of the discount provided by the drug’s manufacturer under the Medicare Coverage Gap Discount Program, as calculated by CMS based on data reported in the PDE.

This variable identifies what types of drugs, if any, are covered on each formulary tier during the coverage gap phase. A tier may include multiple drug types.

Indicates the type of drug (e.g., "Generic", "Brand", etc.) included on the Part D formulary tier 1 through tier 7 for the coverage gap 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 coverage gap phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using an in-network non-preferred pharmacy (INNPP) during the coverage gap phase of the Part D benefit.

This variable identifies the number of days in an "other" days supply of the drugs (other than 1 or 3 months) on this tier, when using an in-network non-preferred pharmacy (INNPP) during the coverage gap 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 non-preferred pharmacy (INNPP) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a 3 month supply of the drugs on this tier, using an in-network non-preferred pharmacy (INNPP) during the coverage gap phase of the Part D benefit.

This variable identifies the beneficiary co-payment amount for a days supply of the drugs (other than 1 or 3 months) on this tier, using an in-network non-preferred pharmacy (INNPP) during the coverage gap phase of the Part D benefit.

This variable identifies the number of days in a one month supply of a drug on this tier, when using an in-network pharmacy (INP) during the coverage gap phase of the Part D benefit.

This variable identifies the number of days in a 3 month supply of a drug on this tier, when using an in-network pharmacy (INP) during the coverage gap phase of the Part D benefit.

This variable identifies the number of days in an "other" days supply of the drugs (other than 1 or 3 months) on this tier, when using an in-network pharmacy (INP) during the coverage gap phase of the Part D benefit.