Form CMS-367 Medicaid Drug Program Monthly and Quarterly Drug Reporti

Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0578 can be found here:

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Online Product Data Entry Screen

File Transfer Product Layout

Online Quarterly Pricing Data Entry Screen

File Transfer Quarterly Pricing Layout

Online Monthly Pricing Data Entry Screen

File Transfer Monthly Pricing Layout

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Samone Angel
File Modified	0000-00-00
File Created	2021-01-27