Document
Spanish Notice of Denial of Medicare Prescription Drug Coverage
ICR 201805-0938-001 · OMB 0938-0976 · Object 82764201.
This document may belong to an older filing. More recent activity for OMB 0938-0976:
Document Viewer [docx]
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Spanish Notice of Denial of Medicare Prescription Drug Coverage |
| Subject | Drug Denial Notice |
| Keywords | Prescription, Drug, Denial, appeal, denial, notice, Part, D |
| Author | CMS/CPC/MEAG/DAP |
| Last Modified By | Writer |
| File Modified | 2018-05-02 |
| File Created | 2026-08-16 |
| Conversion State | complete |