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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)
Appendix_C_FormularyProposed2019 Tier Model.txt
CY2019 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)
OMB: 0938-0763
OMB.report
HHS/CMS
OMB 0938-0763
ICR 201904-0938-014
IC 43667
CY2019 Plan Benefit Package (PBP) Software and Formulary Submission (CMS-R-262)
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0763 can be found here:
2024-01-25 - Revision of a currently approved collection
2023-02-08 - Revision of a currently approved collection
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