CMS-10141 3h - Exhibit G: Example of a Part D EOB (All Sections In

Medicare Prescription Drug Benefit Program - IRASA (CMS-10141)

Attachment 3h - Exhibit G - Example of a PartD-EOB- (all sections included) 30 day comment version

Medicare Prescription Drug Benefit Program (Plans)

OMB: 0938-0964

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2024-12-04 - Revision of a currently approved collection

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