Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost

Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data.

Part of the CMS Data Feeds Dataset › Medicare

Dataplex delivers this CMS feed as the analysis-ready table DWV.QUARTERLY_PRESCRIPTION_DRUG_PLAN_FORMULARY_PHARMACY_NETWORK_AND_PRICING_INFORMATION__BENEFICIARY_COST on Snowflake and Databricks — four snapshot releases spanning 2025–2026, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

Key facts

Snowflake	DWV.QUARTERLY_PRESCRIPTION_DRUG_PLAN_FORMULARY_PHARMACY_NETWORK_AND_PRICING_INFORMATION__BENEFICIARY_COST
Databricks	cms_dwv.quarterly_prescription_drug_plan_formulary_pharmacy_network_and_pricing_information__beneficiary_cost
Update pattern	Full-refresh — each file replaces the prior snapshot
CMS published	2026-04-01
Loaded	2026-04-23
Columns	24 data + 6 lineage
File versions	4
License	CMS public data — U.S. Government work
Platforms	Snowflake Marketplace · Databricks Delta Sharing

Included in the CMS Data Feeds Dataset — start a free trial on Snowflake Marketplace.

Current — CMS last published this feed on 2026-04-01. Coverage runs through 2026-04-01.

Full-refresh feed — each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions.

Sample queries

Snowflake

-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM DWV.QUARTERLY_PRESCRIPTION_DRUG_PLAN_FORMULARY_PHARMACY_NETWORK_AND_PRICING_INFORMATION__BENEFICIARY_COST
WHERE FILE_ID IN (
  SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1
)
LIMIT 100;

Databricks

About this feed

Quarterly Medicare Part D and Medicare Advantage plan formulary, pharmacy network, and pricing data. Use the October release for annual enrollment.

— Source: CMS feed metadata

Keywords: Medicare, Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost Theme: Medicare

Coverage timeline

2025 🟩 · 2026 🟩

2 of 2 years with snapshot releases — no gaps.

Release history

Reporting period	CMS published	Loaded	Latest file
Snapshot as of 2026-04-01	2026-04-01	2026-04-23	✓
Snapshot as of 2026-01-01	2026-01-01	2026-01-28
Snapshot as of 2025-10-01	2025-10-01	2025-11-07
Snapshot as of 2025-08-01	2025-08-01	2025-08-15

Data dictionary

📋 24 data columns + 6 lineage columns

Column-level definitions are maintained by CMS in the official Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost data dictionary.

Data columns

Column	Type
CONTRACT_ID	TEXT
PLAN_ID	NUMBER
SEGMENT_ID	NUMBER
COVERAGE_LEVEL	NUMBER
TIER	NUMBER
DAYS_SUPPLY	NUMBER
COST_TYPE_PREF	NUMBER
COST_AMT_PREF	NUMBER
COST_MIN_AMT_PREF	NUMBER
COST_MAX_AMT_PREF	NUMBER
COST_TYPE_NONPREF	NUMBER
COST_AMT_NONPREF	NUMBER
COST_MIN_AMT_NONPREF	NUMBER
COST_MAX_AMT_NONPREF	NUMBER
COST_TYPE_MAIL_PREF	NUMBER
COST_AMT_MAIL_PREF	NUMBER
COST_MIN_AMT_MAIL_PREF	NUMBER
COST_MAX_AMT_MAIL_PREF	NUMBER
COST_TYPE_MAIL_NONPREF	NUMBER
COST_AMT_MAIL_NONPREF	NUMBER
COST_MIN_AMT_MAIL_NONPREF	NUMBER
COST_MAX_AMT_MAIL_NONPREF	NUMBER
TIER_SPECIALTY_YN	BOOLEAN
DED_APPLIES_YN	BOOLEAN

Lineage columns (present on every feed table)

Column	Type	Description
ROW_ID	TEXT	Unique row ID for this table (PK)
FILE_ID	TEXT	Source file — joins to FEEDS_FILES.ID (FK)
FILE_FEED_ID	TEXT	Parent feed — joins to FEEDS.ID (FK)
FILE_NAME	TEXT	Source file name as published by CMS
ROWNUM	NUMBER	Row number within the source file
CREATED_AT	TIMESTAMP_NTZ	Timestamp when the record was loaded

Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The FILE_ID column joins to the FEEDS_FILES catalog table, and FILE_FEED_ID joins to the FEEDS master table:

Trace any row back to its source file and reporting period:

SELECT d.CONTRACT_ID, d.PLAN_ID, d.SEGMENT_ID,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.QUARTERLY_PRESCRIPTION_DRUG_PLAN_FORMULARY_PHARMACY_NETWORK_AND_PRICING_INFORMATION__BENEFICIARY_COST d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;

Source & provenance

Published by the Centers for Medicare & Medicaid Services.

• Official CMS documentation

Frequently asked questions

How often is Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost updated?

CMS last published this feed on 2026-04-01. New releases are added automatically when CMS publishes them.

What years does Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost cover?

2025 through 2026.

How many records are in Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost?

Count the current snapshot yourself once the share is mounted:

SELECT COUNT(*)
FROM DWV.QUARTERLY_PRESCRIPTION_DRUG_PLAN_FORMULARY_PHARMACY_NETWORK_AND_PRICING_INFORMATION__BENEFICIARY_COST d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID
WHERE ff.IS_LATEST = 1;

How do I get Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information - beneficiary_cost data?

It's included in the CMS Data Feeds Dataset on the Snowflake Marketplace (free trial available) and via Databricks Delta Sharing. Once mounted, query DWV.QUARTERLY_PRESCRIPTION_DRUG_PLAN_FORMULARY_PHARMACY_NETWORK_AND_PRICING_INFORMATION__BENEFICIARY_COST directly — no pipeline setup required.

Related feeds

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Get this feed

1. Start a free trial on Snowflake Marketplace or purchase via Databricks

2. Mount the share — the database and DWV schema appear in your account immediately

3. Run the sample query above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at [e-mail].

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