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CMS-10110 Financial Data Template
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) - IRA
FinancialDataTemplate-FB.xlsx
OMB: 0938-0921
OMB.report
HHS/CMS
OMB 0938-0921
ICR 202405-0938-015
IC 8767
CMS-10110 Financial Data Template
( )
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