CMS-R-262 Cost Share Groups
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262) - IRA
Appendix_C_PBP2024 Cost Share Groups
CY2023 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⚠️ Notice: This form may be outdated.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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