CMS-R-262 Medication Therapy Management Program (MTMP)

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)

Appendix_C_MTMP_508Screenshots_09072017

CY2019 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)

OMB: 0938-0763

Document [pdf]
Download: pdf | pdf
CY 2019 MTMP Screenshot for PRA
1. Updates the annual cost threshold amount/ percentage and increases the characters limit from 50 to 500 characters the
“Formula” and “Other” fields on the Incurred Cost for Covered Part D Drugs page.
2. Updates the annual cost threshold amount/ percentage on the Incurred Cost for Covered Part D Drugs page.

3. Changes the text at the top on the attestation page to read Your data will not be submitted until you click the “Attest”
button located at the bottom of this page. Note: Currently the text reads “Your data has not been submitted” in red.


File Typeapplication/pdf
File TitleMTMP system changes document and screen prints
AuthorFelix Yow
File Modified2017-09-07
File Created2017-09-07

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