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pdfPBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – PART D – GENERAL SCREEN I
CY 2010 PBP PRA Package – Section RX
Page 1 of 30
PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – PART D – GENERAL SCREEN II
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – DEFINED STANDARD – ICL AND OOP THRESHOLD SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – DEDUCTIBLE AND PRE-ICL SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – PRE-ICL TIER LABEL SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – PRE-ICL TIER LOCATION SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – PRE-ICL TIER COST SHARE SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – PRE-ICL TIER COINSURANCE SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – PRE-ICL TIER COPAYMENT SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – OOP THRESHOLD SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ACTUARIALLY EQUIVALENT – POST-OOP THRESHOLD TIER SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – DEDUCTIBLE SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – EXCLUDED DRUGS AND PRE-ICL SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – PRE-ICL LABEL SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – PRE-ICL LOCATIONS SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – PRE-ICL COST SHARE SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – PRE-ICL COINSURANCE SCREEN
CY 2010 PBP PRA Package – Section RX
Page 17 of 30
PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – PRE-ICL COPAYMENT SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – ICL SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – GAP COVERAGE SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – GAP TIER LABEL
SCREEN
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – GAP TIER COVERAGE SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – GAP TIER LOCATIONS SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – GAP TIER COST SHARE SCREEN
CY 2010 PBP PRA Package – Section RX
Page 24 of 30
PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – GAP TIER COINSURANCE SCREEN
CY 2010 PBP PRA Package – Section RX
Page 25 of 30
PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – GAP TIER COPAYMENT SCREEN
CY 2010 PBP PRA Package – Section RX
Page 26 of 30
PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – OOP THRESHOLD SCREEN
CY 2010 PBP PRA Package – Section RX
Page 27 of 30
PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – ALTERNATIVE – POST-OOP THRESHOLD TIER SCREEN
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – GENERAL LOCATION/SUPPLY
CY 2010 PBP PRA Package – Section RX
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PBP 2010 Data Entry System Screens
MEDICARE PRESCRIPTION DRUGS SECTION – NOTES SCREEN
CY 2010 PBP PRA Package – Section RX
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| File Type | application/pdf |
| File Modified | 2008-12-18 |
| File Created | 2008-12-18 |