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CMS-10110 Addendum B
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110)
CMS-10110. ASP_Addendum B 032520
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110)
OMB: 0938-0921
OMB.report
HHS/CMS
OMB 0938-0921
ICR 202304-0938-010
IC 8767
CMS-10110 Addendum B
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0921 can be found here:
2024-05-17 - Revision of a currently approved collection
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