Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP)

Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) (CMS-10142)

OMB: 0938-0944

IC ID: 37926

Documents and Forms

Document Name Document Type
Form CMS-10142 Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) Form
CMS-10142 Worksheets: Medicare Advantage Bid Pricing Tool CMS-10142_Attachment_D-1_CY2025_MA_BPT.pdf Form
CMS-10142 Worksheets: Prescription Drug Bid Pricing Tool CMS-10142_Attachment_D-2_CY2025_PD_BPT.pdf Form
CMS-10142_Attachment_E-1_CY2025_MA_ BPT Instructions.pdf Instruction
CMS-10142_Attachment_E-2_CY2025_PD_BPT_Instructions.pdf Instruction