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Variable: PRCNG_EXCPTN_CD

Pricing Exception Code

Description

This variable indicates if the PDE was processed by the Part D plan using pricing rules that differ from the plan's negotiated price. Most PDEs have missing values, indicating that they were obtained from in-network pharmacies.

Comment

n/a

Values

This variable is coded, and will contain one of the following values.

Values for
Value Description
M Medicare is a secondary payer (MSP)
O Out of network pharmacy
Blank In-network pharmacy

Other Info

Some additional information on this variable:

  • Short Name: PRCGEXCD
  • Long Name: PRCNG_EXCPTN_CD
  • Type: CHAR
  • Length: 1
  • Source: PDE
  • Value Format:

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