The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

Appendix C - PBP_2008_screenshots_sec_b11

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

OMB: 0938-0763

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PBP 2008 Data Entry System Screens


Section B – 11a – DME – Base 1 Screen


Section B – 11a – DME – Base 2 Screen


Section B – 11b – Prosthetics and Medical Supplies – Base 1 Screen


Section B – 11b – Prosthetics and Medical Supplies – Base 2 Screen


Section B – 11b – Prosthetics and Medical Supplies – Base 3 Screen


Section B – 11c – Diabetes Monitoring Supplies – Base 1 Screen


Section B – 11c – Diabetes Monitoring Supplies – Base 2 Screen


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