Beneficiary-Level Program Data Submission:

The Medicare Advantage and Prescription Drug Programs: Part C and Part DMedicare Advantage Prescription Drug (MARx) System Updates for the Medicare Prescription Payment Plan Program (CMS-10887 - IRA

OMB: 0938-1468

IC ID: 266610

Documents and Forms

Document Name Document Type
Form CMS-10887 Beneficiary-Level Program Data Submission: Form and Instruction
CMS-10887 Medicare Prescription Payment Plan example data layout PRA_MARx_OMB 0938_Appendix A_04022024.pdf Form and Instruction