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

PBP 2008 Data Entry System Screens

Section D – Step-Up – 7b – Chiropractic Services – Base 1 Screen

Section D – Step-Up – 7b – Chiropractic Services – Base 2 Screen

Section D – Step-Up – 7b – Chiropractic Services – Base 3 Screen

Section D – Step-Up – 7b – Chiropractic Services – Base 4 Screen

Section D – Step-Up – 7f – Podiatry Services – Base 1 Screen

Section D – Step-Up – 7f – Podiatry Services – Base 2 Screen

Section D – Step-Up – 7f – Podiatry Services – Base 3 Screen

Section D – Step-Up – 10b – Transportation – Base 1 Screen

Section D – Step-Up – 10b – Transportation – Base 2 Screen

Section D – Step-Up – 10b – Transportation – Base 3 Screen

Section D – Step-Up – 16a – Preventive Dental – Base 1 Screen

Section D – Step-Up – 16a – Preventive Dental – Base 2 Screen

Section D – Step-Up – 16a – Preventive Dental – Base 3 Screen

Section D – Step-Up – 16a – Preventive Dental – Base 4 Screen

Section D – Step-Up – 16a – Preventive Dental – Base 5 Screen

Section D – Step-Up – 16a – Preventive Dental – Base 6 Screen

Section D – Step-Up – 16a – Preventive Dental – Base 7 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 1 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 2 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 3 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 4 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 5 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 6 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 7 Screen

Section D – Step-Up – 16b – Comprehensive Dental – Base 8 Screen

Section D – Step-Up – 17a – Eye Exams – Base 1 Screen

Section D – Step-Up – 17a – Eye Exams – Base 2 Screen

Section D – Step-Up – 17a – Eye Exams – Base 3 Screen

Section D – Step-Up – 17b – Eye Wear – Base 1 Screen

Section D – Step-Up – 17b – Eye Wear – Base 2 Screen

Section D – Step-Up – 17b – Eye Wear – Base 3 Screen

Section D – Step-Up – 17b – Eye Wear – Base 4 Screen

Section D – Step-Up – 17b – Eye Wear – Base 5 Screen

Section D – Step-Up – 17b – Eye Wear – Base 6 Screen

Section D – Step-Up – 18a – Hearing Exams – Base 1 Screen

Section D – Step-Up – 18a – Hearing Exams – Base 2 Screen

Section D – Step-Up – 18a – Hearing Exams – Base 3 Screen

Section D – Step-Up – 18a – Hearing Exams – Base 4 Screen

Section D – Step-Up – 18a – Hearing Exams – Base 5 Screen

Section D – Step-Up – 18b – Hearing Aids – Base 1 Screen

Section D – Step-Up – 18b – Hearing Aids – Base 2 Screen

Section D – Step-Up – 18b – Hearing Aids – Base 3 Screen

Section D – Step-Up – 18b – Hearing Aids – Base 4 Screen

Section D – Step-Up – 18b – Hearing Aids – Base 5 Screen

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