House of Representatives Letter
10-05-16 Letter from Reps R Scott and Cummings Regarding Compounded Drugs OMB ICR Reference No 201606-1240-0.pdf
Authorization Request Forms/Certification/Letter of Medical Necessity
House of Representatives Letter
OMB: 1240-0055
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0055 can be found here:
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| File Type | application/pdf |
| File Modified | 2016-10-20 |
| File Created | 2016-10-05 |