Form CMS-10008 Softram Drug Pass-through Screens

Drug and Biological
Pass-through
Application Screens
Sharadwanth Pusala

Welcome page

Application Guidance modal window – Screen 1

Application Process and Timeline – Screen 1

How the online application works

Primary Contact – Screen 1

Primary Contact – Screen 2

Secondary Contact – Screen 1

Secondary Contact – Screen 2

Previous applications – Screen 1

Previous applications – Screen 2

Drug Info – Screen 1

Drug Info – Screen 2

Drug Info – Screen 3

Drug Info – Screen 4

Drug Info – Screen 5

Drug Info – Screen 6

Drug Info – Screen 7

Drug Info – Screen 8

Device Info – Screen 9

Drug Info – Screen 10

FDA Info – Screen 1

FDA Info – Attachments Screen 1

Cost Info – Screen 1

Cost Info – Screen 2

Cost Info – Screen 3

Cost Info – Attachments Screen 1

Cost Info – Attachments Screen 2

Volume and Utilization – Screen 1

Attachments – Screen 1

Attachments – Screen 2

Attachments – Screen 3

Summary page – Screen 1

Summary page – Screen 2

Summary page – Screen 3

Summary page – Screen 4

Summary page – Screen 5

Summary page – Screen 6

Confirmation page – Screen 1