{"data":{"id":"us/42-cfr-423.258","jurisdiction":"us","citation":"42 CFR 423.258","heading":"Definitions.","body":"For the purposes of this subpart, the following definitions apply:\nFull risk plan means a prescription drug plan that is not a limited risk plan or a fallback prescription drug plan.\nLimited risk plan means a prescription drug plan that provides basic prescription drug coverage and for which the PDP sponsor includes a modification of risk level described in § 423.265(d) in its bid submitted for the plan. This term does not include a fallback prescription drug plan.\nStandardized bid amount means, for a prescription drug plan that provides basic prescription drug coverage, the PDP approved bid; for a prescription drug plan that provides supplemental prescription drug coverage, the portion of the PDP approved bid that is attributable to basic prescription drug coverage; for a MA-PD plan, the portion of the accepted bid amount that is attributable to basic prescription drug coverage.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT","Subpart F—Submission of Bids and Monthly Beneficiary Premiums; Plan Approval"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"566375abc49866c457de06ace4fb8e10189803546c1f225c0ab82e4a2a948378","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-423.251","next":"us/42-cfr-423.265"},"notice":"GroundRules: Original legal text. Not legal advice."}