CMS-10433 Prescription Drugs Template
Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations
B2 Prescription_Drugs_Template.xlsm
QHP Certification
OMB: 0938-1187
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1187 can be found here:
Document [xlsx]
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xlsx |
pdf| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |