CY2011 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

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

Appendix_C_PBP_2012_screenshots_section_a__2010_12_03

CY2011 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

OMB: 0938-0763

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PBP 2012 Data Entry System Screens

 
Section A‐ A‐1 Screen 

 
Fu Associates, Ltd.

 

CY 2012 PBP – Section A
12/6/2010
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 1 of 5

PBP 2012 Data Entry System Screens

 
Section A‐ A‐2 Screen 

 
Fu Associates, Ltd.

 

CY 2012 PBP – Section A
12/6/2010
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 2 of 5

PBP 2012 Data Entry System Screens

 
Section A‐ A‐3 Screen 

 

Fu Associates, Ltd.

 

CY 2012 PBP – Section A
12/6/2010
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 3 of 5

PBP 2012 Data Entry System Screens

 
Section A‐ A‐4 Screen 

 
Fu Associates, Ltd.

 

CY 2012 PBP – Section A
12/6/2010
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 4 of 5

PBP 2012 Data Entry System Screens

 
Section A‐ A‐5 Screen 

 
Fu Associates, Ltd.

 

CY 2012 PBP – Section A
12/6/2010
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

Page 5 of 5


File Typeapplication/pdf
File TitleSection A- A-1 Screen
Authormeyer
File Modified2010-12-06
File Created2010-12-06

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