R-262 Section A-1

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

APPENDIX_C_PBP2020_Screenshots-SectionA-Upload-2018-12-12

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

OMB: 0938-0763

⚠️ Notice: This form may be outdated.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

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CY 2020 PBP Data Entry System Screens
Section A-1

Softrams

CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
Section A-2

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CY2020 PBP – Section A
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CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
Section A-3

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CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
Section A-4

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CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
Section A-5

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CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
Section A-6

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CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
Section A-7

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CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
PBP Plan Upload

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CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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CY 2020 PBP Data Entry System Screens
PBP Landing Screen

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CY2020 PBP – Section A
12/12/2018
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING

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File Type	application/pdf
File Title	CY 2020 PBP Data Entry System Screens
Author	Michelle Hsu
File Modified	2018-12-18
File Created	2018-12-18