CMS-R-262 Section A - A-1 Screen

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

Appendix C - PBP_2008_screenshots_sec_a

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

OMB: 0938-0763

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0763 can be found here:

Document [doc]

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PBP 2008 Mock-up Data Entry System Screens

Section A – A-1 Screen

Section A – A-2 Screen

Section A – A-3 Screen

Page 3

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File Modified	2007-01-03
File Created	2006-11-21

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