Form CMS-R-144 Medicaid Drug Rebate Invoice

Medicaid Drug Rebate Program (MDRP): Quarterly State Invoice (CMS-R-144) and State Agency Contact Form (CMS-368)

CMS-R-144 State Invoice_10.2021_Final

Quarterly Utilization Report (CMS-R-144)

OMB: 0938-0582

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