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_c_CSR

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

OMB: 0938-0763

Document [doc]
Download: doc | pdf

PBP 2008 Data Entry System Screens

Section C – Cost Share Reduction – General – Base 1 Screen

Section C – Cost Share Reduction – General –Notes Screen

Section C – Cost Share Reduction – Inpatient – Base 1 Screen

Section C – Cost Share Reduction – Inpatient – Base 2 Screen

Section C – Cost Share Reduction – Inpatient – Base 3 Screen

Section C – Cost Share Reduction – Inpatient – Base 4 Screen

Section C – Cost Share Reduction – Groups – Group Screen

Section C – Cost Share Reduction – Groups – Base 1 Screen

Section C – Cost Share Reduction – Groups – Base 2 Screen


Page 9

File Typeapplication/msword
File Modified2007-01-08
File Created2007-01-08

© 2024 OMB.report | Privacy Policy