University of Michigan Hospitals and Health Centers

University of Michigan Hospitals and Health Centers.tif

Medicaid Payment for Prescription Drugs - Physicians and Hospital Outpatient Departments Collecting and Submitting Drug Identifying Information to State Medicaid Programs (CMS-10215)

University of Michigan Hospitals and Health Centers

OMB: 0938-1026

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1026 can be found here:

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