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_b15

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 – 15 – Medicare Part B Prescription Drugs – Base 1 Screen


Section B – 15 – Medicare Part B Prescription Drugs – Base 2 Screen

Section B – 15 – Medicare Part B Prescription Drugs – Base 3 Screen

Section B – 15 – Medicare Part B Prescription Drugs – Notes (Optional)


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