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EHB Benchmark Plan Formulary Drug
Essential Health Benefits Benchmark Plans (CMS-10448)
OMB: 0938-1174
IC ID: 241291
OMB.report
HHS/CMS
OMB 0938-1174
ICR 202408-0938-009
IC 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
Information Collection (IC) Details
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