CMS-10858 Appendix C and D Likely to be in Shortage forms
Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA
508_Final clean 30 day notice Appendix C and D_Likely to be in Shortage forms
Rebate Reduction Request Form
OMB: 0938-1474
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1474 can be found here:
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