Drugs and formularies

Part D insulin beneficiary cost sharing (CMS SPUF member), 2023-Q4 to 2026-Q2

drug_silver.fact_part_d_insulin_cost_share·live·silver

Rows

441,006

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1The quarterly SPUF's insulin beneficiary cost file: per Part D plan, tier and days-supply code, the insulin copay or coinsurance at preferred / standard retail and mail-order pharmacies, 2023-Q4 onward.
22026-Q2: 43,057 rows for 5,496 plans; the 30-day preferred-retail copay tops out at $35.

Grain

Key	Grain
N/A	1One row per (report_quarter, contract_id, plan_id, segment_id, tier, days_supply).

Columns (29)

Column	Type	Meaning
`contract_id`	string
`plan_id`	string
`segment_id`	string
`tier`	int
`days_supply`	int
`copay_amt_pref_insln`	double
`copay_amt_nonpref_insln`	double
`copay_amt_mail_pref_insln`	double
`copay_amt_mail_nonpref_insln`	double
`coin_amt_pref_insln`	double
`coin_amt_nonpref_insln`	double
`coin_amt_mail_pref_insln`	double
`coin_amt_mail_nonpref_insln`	double
`report_quarter`	string
`observed_period`	date
`asserted_at`	date
`effective_period_start`	date
`effective_period_end`	date
`cms_vintage_sequence`	int
`parse_revision`	int
`parser_artifact_hash`	string
`source_url`	string
`sha256_content_hash`	string
`source_id`	string
`is_current`	boolean
`bronze_object_key`	string
`s3_version_id`	string
`vintage_tag`	string
`drug_source_version_id`	string

Query it

describe_data_source(source_fqn="drug_silver.fact_part_d_insulin_cost_share")     # the card, live
query_substrate(sql="SELECT * FROM drug_silver.fact_part_d_insulin_cost_share WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`report_quarter,contract_id,plan_id,segment_id,tier,days_supply`
Join	`how_to_join(source_fqn="drug_silver.fact_part_d_insulin_cost_share")`
Raw door	Athena (read-only via query_substrate): drug_silver.fact_part_d_insulin_cost_share (filter is_current, pin report_quarter)
Note	Register source cms_part_d_spuf (w3, serve raw). RAW. Member of the quarterly SPUF release (one release, one source; RESULT-3). Loaded on the drug fleet 2026-09-30; verify_tracker_loads PASS 2026-10-01 (spec added in the round-2 registration PR, expected rows = the independent reader's count of every bronze member); cell reconciliation PASS on every quarter. Registered 2026-10-01.

This page as markdown: /docs-md/data/drug_silver_fact_part_d_insulin_cost_share.md · every page in one file: /llms-full.txt