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_b16

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 – 16a – Preventive Dental – Base 1 Screen


Section B – 16a – Preventive Dental – Base 2 Screen


Section B – 16a – Preventive Dental – Base 3 Screen


Section B – 16a – Preventive Dental – Base 4 Screen


Section B – 16a – Preventive Dental – Base 5 Screen


Section B – 16a – Preventive Dental – Base 6 Screen


Section B – 16a – Preventive Dental – Base 7 Screen


Section B – 16b – Comprehensive Dental – Base 1 Screen


Section B – 16b – Comprehensive Dental – Base 2 Screen


Section B – 16b – Comprehensive Dental – Base 3 Screen


Section B – 16b – Comprehensive Dental – Base 4 Screen


Section B – 16b – Comprehensive Dental – Base 5 Screen


Section B – 16b – Comprehensive Dental – Base 6 Screen


Section B – 16b – Comprehensive Dental – Base 7 Screen


Section B – 16b – Comprehensive Dental – Base 8


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