Amount paid by Part D plan for the PDE (drug is not covered by Part D)
This is the net amount paid by the Part D plan for benefits beyond the standard Part D benefit.
Medicare requires Part D plans to cover certain drugs, but some plans may offer benefits that are more generous than the standard benefit by covering drugs that Part D does not cover. This field is populated when the Drug Coverage Code (variable called DRUG_CVRG_STUS_CD) does not equal "C". This variable is the net amount the plan has paid for all over-the-counter drugs, enhanced alternative drugs, and enhanced alternative cost-sharing amounts.
This variable comes directly from the original PDE.
Some additional information on this variable: