CY2019 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) (CMS-R-262)

⚠️ Notice: This form may be outdated.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

Document [pdf]

Download: pdf | pdf

PA/ST Criteria Change Request Submission Link

PA/ST Criteria Change Request Submission Page

File Type	application/pdf
File Title	PAST Criteria Change Request Submission
Subject	PAST Criteria Change Request Submission
Author	CMS
File Modified	2018-12-07
File Created	2018-12-07