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Variable: GDC_ABV_OOPT_AMT

Gross Drug Cost Above Part D Out-of-Pocket Threshold (GDCA)

Description

This variable is the portion of the gross drug cost for the prescription drug fill that was covered by Part D’s catastrophic coverage. Under Part D, a beneficiary qualifies for catastrophic coverage when his/her true out-of-pocket (TrOOP) costs reach a specific dollar threshold (for example, the threshold was $4,550 in 2010). For prescriptions that were filled when a beneficiary was below the out-of-pocket threshold (OOPT), this field will contain a zero dollar amount. For prescriptions above the OOPT, this field will contain a positive dollar value. If a prescription crosses the threshold, then the portion of the gross drug cost that is above the threshold will appear in this field.

Comment

See the GDC_BLW_OOPT_AMT variable for the portion of the gross drug cost that was not covered by Part D’s catastrophic coverage.

Values

n/a

Other Info

Some additional information on this variable:

  • Short Name: GDCAOOPT
  • Long Name: GDC_ABV_OOPT_AMT
  • Type: NUM
  • Length: 10
  • Source: PDE
  • Value Format:

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