Part D Drug Management Program (CMS-10874)

ICR 202312-0938-003

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1465 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10874 Part D Drug Management Program Form	New
CMS 10874 Supporting Statement A (CMS-4205-P version 5).docx Supporting Statement A	2024-01-12

IC Document Collections

IC ID	Document Title	Status
264405	Part D Drug Management Program Form	New

ICR Details