initial coverage limit

(6) Initial coverage limit The term “initial coverage limit” means such limit as established under section 1395w–102(b)(3) of this title for a year before 2025, or, in the case of coverage that is not standard prescription drug coverage, the comparable limit (if any) established under the coverage for such year.

Source

42 USC § 1395w-151(a)(6)


Scoping language

For purposes of this part
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