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pdfVBID – General
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 1 of 31
VBID Part D Rewards and Incentives #1
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 2 of 31
VBID Part D Rewards and Incentives #2
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 3 of 31
VBID Part D Rewards and Incentives #3
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 4 of 31
VBID – DS Reduced Cost Sharing – Base 1
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 5 of 31
VBID – DS Reduced Cost Sharing – Base 2
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 6 of 31
VBID – Package Setup
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 7 of 31
VBID – Package Tiers – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 8 of 31
VBID – Tier Coverage – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 9 of 31
VBID – Tier Locations – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 10 of 31
VBID – Retail Copayment – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 11 of 31
VBID – Retail Coinsurance – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 12 of 31
VBID – Mail Order Copayment – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 13 of 31
VBID – Mail Order Coinsurance – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 14 of 31
CY 2023 PBP Data Entry System Screens
VBID – Out-of-Network and LTC Cost Sharing – Pre-ICL
Softrams
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 15 of 31
CY 2023 PBP Data Entry System Screens
VBID – Daily Retail and Mail Order Copay – Pre-ICL
Softrams
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 16 of 31
VBID – Daily LTC Copay – Pre-ICL
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 17 of 31
VBID – Package Tiers – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 18 of 31
VBID – Tier Coverage – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 19 of 31
VBID – Tier Locations – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 20 of 31
VBID – Retail Copayment – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 21 of 31
VBID – Retail Coinsurance – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 22 of 31
VBID – Mail Order Copayment – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 23 of 31
VBID – Mail Order Coinsurance – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 24 of 31
CY 2023 PBP Data Entry System Screens
VBID – Out-of-Network and LTC Cost Sharing – Gap
Softrams
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 25 of 31
CY 2023 PBP Data Entry System Screens
VBID – Daily Retail and Mail Order Copay – Gap
Softrams
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 26 of 31
VBID – Daily LTC Copay – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 27 of 31
VBID – Daily LTC Copay – Gap
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 28 of 31
VBID – Tier Coverage – OOP Threshold
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 29 of 31
VBID – Post OOP Threshold Cost Sharing
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 30 of 31
VBID – Package notes
Softrams
CY 2023 PBP Data Entry System Screens
CY2023 PBP – Section Rx VBID
09/13/2021
CMS SENSITIVE INFORMATION - REQUIRES SPECIAL HANDLING
Page 31 of 31
| File Type | application/pdf |
| File Title | CY 2023 PBP Data Entry System Screens |
| Author | CMS |
| File Modified | 2021-09-08 |
| File Created | 2021-09-07 |