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Supporting Statement for the Notice of Denial of Prescription Drug Coverage

ICR 201805-0938-001 · OMB 0938-0976 · Object 82762801.

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File Typeapplication/octet-stream
File TitleSupporting Statement for the Notice of Denial of Prescription Drug Coverage
SubjectSupporting Statement for Notice of Denial of Medicare Prescription Drug Coverage
KeywordsPRA, supporting statement, Notice of Denial of prescription drug coverage, appeal
AuthorCMS/CPC/MEAG/DAP
Last Modified ByWriter
File Modified2017-02-02
File Created2026-05-08
Conversion Statecomplete