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Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)
ICR 202304-0938-029
OMB: 0938-0578
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-0578
ICR 202304-0938-029
( )
Forms and Documents
Document
Name
Status
Form CMS-376a DDR Quarterly Pricing Data (CMS-367a)
Form
Modified
Form CMS-367e CMS-367e – Quarterly VBP-MBP Data
Form
Unchanged
Form CMS-367d Supplemental Data Sheet (CMS-367d)
Form
Modified
CMS-367a-e - Supporting Statement A (2023 version 5).docx
Supporting Statement A
2023-05-03
IC Document Collections
IC ID
Document
Title
Status
8184
DDR Quarterly Pricing Data (CMS-367a)
Form
Modified
252237
CMS-367e – System Updates
Removed
252230
CMS-367e – Quarterly VBP-MBP Data
Form
Unchanged
222507
Supplemental Data Sheet (CMS-367d)
Form
Modified
222506
DDR Product Data (CMS-367c)
Instruction
Modified
222505
DDR Monthly Pricing Data (CMS-367b)
Instruction
Modified
ICR Details
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