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Variable Description Label Community, Non-Low Income, Age≥65 Community, Non-Low Income, Age<65 Community, Low Income, Age≥65 Community, Low Income, Age<65 Institutional NonAged_RXHCC133 NonAged * Anxiety and Other Psychiatric Disorders - - - - 0.015 NonAged_RXHCC159 NonAged * Multiple Sclerosis - - - - 3.509 NonAged_RXHCC163 NonAged * Intractable Epilepsy - - - - 0.711 NOTE: The Part D Denominator used to calculate relative factors is $2,108.33. This Part D Denominator is based on the combined PDP and MA-PD populations. SOURCE: RTI Analysis of 100% 2018-2019 Medicare Enrollment Data, 2019 Prescription Drug Event (PDE) Data, 2018 Professional Claims (Carrier), 2018 Inpatient Claims, 2018 Outpatient Claims, and 2018 Medicare Advantage Encounter Data.

Table VIII-6. 2026 RxHCC Model Relative Factors for New Enrollees, Non-Low Income (2018/2019 Calibration; Specialty-based Filtering Logic; Reflects MFPs) Variable Not Concurrently ESRD, Not Originally Disabled Concurrently ESRD, Not Originally Disabled Not Concurrently ESRD, Originally Disabled Concurrently ESRD, Originally Disabled Female 0-34 Years 1.447 1.447 - - 35-44 Years 1.447 1.447 - - 45-54 Years 1.255 1.255 - - 55-59 Years 1.255 1.255 - - 60-64 Years 1.255 1.255 - - 65 Years 0.381 1.299 1.104 1.299 66 Years 0.409 1.299 1.255 1.299 67 Years 0.420 1.299 1.255 1.299 68 Years 0.441 1.299 1.023 1.299 69 Years 0.473 1.299 1.023 1.299 70-74 Years 0.496 1.299 1.023 1.299 75-79 Years 0.557 1.299 0.828 1.299 80-84 Years 0.521 1.299 0.521 1.299 85-89 Years 0.521 1.299 0.521 1.299 90-94 Years 0.396 1.299 0.396 1.299 95 Years or Over 0.396 1.299 0.396 1.299