42 C.F.R. § 428.100

Definitions.

Last amended: 2025Year: 2026Length: 87 wordsOfficial source

Cite as 42 C.F.R. § 428.100 (2026)

As used in this subpart, the following definitions apply: Individual who uses such a drug or biological means a unique Medicare Part D beneficiary who was dispensed the Part D drug or biological that was covered by their Part D plan sponsor during the applicable period, identified using Prescription Drug Event (PDE) data with dates of service during the applicable period and with gross covered prescription drug costs greater than zero. Gross covered prescription drug costs has the meaning set forth in § 423.308 of this chapter.
Cross-references to the CFR
423.308
42 C.F.R. § 428.100: Definitions. | Justis AI