NAME TYPE LENGTH --------------------------------------------------------------------------- GROSS DRUG COST ABOVE OUT-OF-POCKET THRESHOLD (GDCA) NUM 10 This field represents the gross drug cost paid to the pharmacy above the out-of-pocket threshold for a given PDE for a covered drug. For claims received prior to a beneficiary reaching the attachment point, this field will contain a zero dollar amount. For claims above the attachment point, this field will contain a positive dollar value. For a claim on which the attachment point is reached, there is likely to be a positive dollar amount in this field and there will be a positive dollar amount in field 30 (GDCB). When CATASTROPHIC COVERAGE CODE = C, this field equals INGREDIENT COST PAID + DISPENSING FEE PAID + TOTAL AMOUNT ATTRIBUTED TO SALES TAX above the OOP threshold. When CATASTROPHIC COVERAGE CODE = A this field equals the portion of INGREDIENT COST PAID + DISPENSING FEE PAID + TOTAL AMOUNT ATTRIBUTED TO SALES TAX falling above the OOP threshold. The remaining portion is reported in GDCB. SHORT NAME: GDCAOOPT LONG NAME: GDC_ABV_OOPT_AMT SOURCE: CCW