EHB Benchmark Plan Formulary Drug

Essential Health Benefits Benchmark Plans (CMS-10448)

OMB: 0938-1174

IC ID: 241291

Documents and Forms

Document Name Document Type
Form CMS-10448 EHB Benchmark Plan Formulary Drug Form and Instruction
CMS-10448 EHB Benchmark Rx Plan CMS-10448_Appendix_D_EHB_Benchmark_Plan_Rx_508.pdf Form and Instruction