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Conducting CMRs with the standardized format and Fulfillment burden
Medication Therapy Management Program – Standardized Format (CMS-10396)
OMB: 0938-1154
IC ID: 199672
OMB.report
HHS/CMS
OMB 0938-1154
ICR 202301-0938-010
IC 199672
( )
Documents and Forms
Document Name
Document Type
MTM Program Standardized Format (English Spanish)(v10.18.2021).pdf
Instruction
Information Collection (IC) Details
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