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Appendix E: 2025 Prescription Drug Formulary Template
ICR 202604-0938-001 · OMB 0938-1187 · Object 167619600.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Appendix E: 2025 Prescription Drug Formulary Template |
| Subject | Appendix E: 2025 Prescription Drug Formulary Template |
| Keywords | Center for Consumer Information and Insurance Oversight; CCIIO; qualified health plan; QHP; plan management; issuer; Department |
| Author | Centers for Medicare & Medicaid Services (CMS) |
| File Modified | 2025-03-21 |
| File Created | 2022-02-02 |
| Conversion State | complete |