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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_b12
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)
OMB: 0938-0763
OMB.report
HHS/CMS
OMB 0938-0763
ICR 200703-0938-005
IC 43667
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0763 can be found here:
2024-01-25 - Revision of a currently approved collection
2023-02-08 - Revision of a currently approved collection
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PBP 2008 Data Entry System Screens
Section B – 12 – Renal Dialysis – Base 1 Screen
Section B – 12 – Renal Dialysis – Base 2 Screen
Page
2
File Type
application/msword
File Modified
2006-12-20
File Created
2006-12-20
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