Drugs and formularies

Part D plan cost-share (CMS SPUF)

drug_silver.fact_part_d_plan_cost_share·live·silver·Part D Plans & Formularies

Rows

4,939,689

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1Beneficiary cost-share fact from CMS SPUF — copay/coinsurance by coverage phase x tier x days_supply.
2The fact stores cost as cost_type_pref (CMS enum: 1=copay/dollar, 2=coinsurance/fraction) + cost_amt_pref plus min/max and preferred/non-preferred/mail-order variants (see FACT_PART_D_PLAN_COST_SHARE_SCHEMA). coverage_level int maps (per CMS SPUF Tech Notes) 0=pre_initial/deductible, 1=initial_coverage, 2=coverage_gap (donut hole), 3=catastrophic.
3Carries tier_specialty_yn, ded_applies_yn, and a methodology_era stamp.

Grain

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

Columns (41)

Column	Type	Meaning
`contract_id`	string
`plan_id`	string
`segment_id`	string
`coverage_level`	int
`tier`	int
`days_supply`	int
`report_quarter`	string
`cost_type_pref`	int
`cost_amt_pref`	double
`cost_min_amt_pref`	double
`cost_max_amt_pref`	double
`cost_type_nonpref`	int
`cost_amt_nonpref`	double
`cost_min_amt_nonpref`	double
`cost_max_amt_nonpref`	double
`cost_type_mail_pref`	int
`cost_amt_mail_pref`	double
`cost_min_amt_mail_pref`	double
`cost_max_amt_mail_pref`	double
`cost_type_mail_nonpref`	int
`cost_amt_mail_nonpref`	double
`cost_min_amt_mail_nonpref`	double
`cost_max_amt_mail_nonpref`	double
`tier_specialty_yn`	boolean
`ded_applies_yn`	boolean
`methodology_era`	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_plan_cost_share")     # the card, live
query_substrate(sql="SELECT * FROM drug_silver.fact_part_d_plan_cost_share WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`contract_id,plan_id,segment_id`
Join	`how_to_join(source_fqn="drug_silver.fact_part_d_plan_cost_share")`
Raw door	Tools: cost_share_lens, formulary_coverage_lookup; Athena: drug_silver.fact_part_d_plan_cost_share (filter is_current = true)
Note	SPUF cost-share fact; the cross-cut companion to formulary_coverage_lookup (single-(drug,plan)). Filter is_current = true.

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