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EXHIBIT B Model Part D Estimation of Benefits

ICR 202312-0938-004 · OMB 0938-1228 · Object 138094801.

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File Typeapplication/octet-stream
File TitleEXHIBIT B Model Part D Estimation of Benefits
SubjectEXHIBIT B Model Part D Estimation of Benefits, Examples that show different versions of Chart 1 (monthly covered prescriptions),
AuthorCenters for Medicare and Medicaid Services
File Modified2023-12-04
File Created2023-11-21
Conversion Statecomplete