Document
Supporting Statement for the Notice of Denial of Prescription Drug Coverage
ICR 202303-0938-002 · OMB 0938-0976 · Object 129653601.
This document may belong to an older filing. More recent activity for OMB 0938-0976:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-05-10 22:37:39)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Supporting Statement for the Notice of Denial of Prescription Drug Coverage |
| Subject | Supporting Statement for Notice of Denial of Medicare Prescription Drug Coverage |
| Author | CMS/CPC/MEAG/DAP |
| File Created | 2023-08-20 |
| Conversion State | partial |