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

PBP 2008 Data Entry System Screens

Section B – 17a – Eye Exams – Base 1 Screen

Section B – 17a – Eye Exams – Base 2 Screen

Section B – 17a – Eye Exams – Base 3 Screen

Section B – 17b – Eye Wear – Base 1 Screen

Section B – 17b – Eye Wear – Base 2 Screen

Section B – 17b – Eye Wear – Base 3 Screen

Section B – 17b – Eye Wear – Base 4 Screen

Section B – 17b – Eye Wear – Base 5 Screen

Section B – 17b – Eye Wear – Base 6 Screen

Page 9