Redline Appendix A and B
508_Final redline 30 day notice Appendix A and B_Severe Supply Chain Disruption forms (compared to 60-day).docx
Rebate Reduction Requests underSections 11101 and 11102 of the Inflation Reduction Act (CMS-10858) - IRA
Redline Appendix A and B
OMB: 0938-1474
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1474 can be found here: