Pharmacy service type code
The type of pharmacy used. This variable indicates the type of pharmacy that dispensed the prescription, as recorded on the PDE.
CMS requires Part D plans to maintain pharmacy networks that are sufficient to ensure access to Medicare beneficiaries – including retail, home infusion, and long-term care pharmacies. Plan sponsors have contracts with pharmacies to provide "in-network" services.
This variable was new in 2013 and required for all PDEs beginning on February 28, 2013.
This variable is coded, and will contain one of the following values.
| Value | Description |
|---|---|
01 |
Community/retail pharmacy |
02 |
Compounding pharmacy |
03 |
Home infusion therapy provider |
04 |
Institutional pharmacy |
05 |
Long-term care pharmacy |
06 |
Mail order pharmacy |
07 |
Managed care organization (MCO) pharmacy |
08 |
Specialty care pharmacy |
99 |
Other |
Null |
Pharmacy is not in any other category above |
Some additional information on this variable: