Part D Drug Management Program (CMS-10874)

ICR 202508-0938-023

OMB: 0938-1465

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10874 Part D Drug Management Program Form	Modified
CMS-10874_Non-substantive change memo.docx Justification for No Material/Nonsubstantive Change	2025-08-29
CMS-10874 - Supporting Statement A (CMS-4205-F version 8).docx Supporting Statement A	2024-08-08

IC Document Collections

IC ID	Document Title	Status
264405	Part D Drug Management Program Form	Modified