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CMS 10874 Supporting Statement A (CMS-4205-P version 5)
CMS 10874 Supporting Statement A (CMS-4205-P version 5).docx
Part D Drug Management Program (CMS-10874)
OMB: 0938-1465
OMB.report
HHS/CMS
OMB 0938-1465
ICR 202312-0938-003
CMS 10874 Supporting Statement A (CMS-4205-P version 5)
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1465 can be found here:
2024-08-08 - New collection (Request for a new OMB Control Number)
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