Projected value

Projected value of a Part D drug or drugs includes any costs the enrollee could incur based on the number of refills prescribed for the drug in dispute during the plan year. Projected value includes enrollee co-payments, all expenditures incurred after an enrollee's expenditures exceed the initial coverage limit, and expenditures paid by other entities.


42 CFR § 423.560

Scoping language

As used in this subpart, unless the context indicates otherwise -

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