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Appendix C-3 (EHB Prescription Drug Template)
ICR 201208-0938-009 · OMB 0938-1174 · Object 34306201.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Appendix C-3 (EHB Prescription Drug Template) |
| Subject | EHB, Prescription drugs, NDC, Formulary, Drug, Template, EHB prescription drugs, Essential Health Benefit, Submission, EHB presc |
| Author | Centers for Medicare and Medicaid Services |
| File Modified | 2012-07-29 |
| File Created | 2012-07-27 |
| Conversion State | complete |