Information Collection Request

[Medicaid] Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)

ICR 202606-0938-019 · OMB 0938-0578 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-376a Quarterly Pricing Data Form Modified Available
Form CMS-367e Quarterly VBP-MBP Data Form Modified Available
Form CMS-367d Contact Information Sheet Form Modified Available
Form CMS-367c MDP Product Data Form and Instruction Modified Available
Form CMS-367b Monthly Pricing Data Form Modified Available
Cover Page - mlv-stfh-69c3.pdf Public Comments Uploaded 2026-02-20 Available
Comment - mlv-stfh-69c3.pdf Public Comments Uploaded 2026-02-20 Available
Cover Page - mlv-suft-s2li.pdf Public Comments Uploaded 2026-02-20 Available
Comment - mlv-suft-s2li.pdf Public Comments Uploaded 2026-02-20 Available
Cover Page - mlv-swy8-5qhd.pdf Public Comments Uploaded 2026-02-20 Available
Comment - mlv-swy8-5qhd.pdf Public Comments Uploaded 2026-02-20 Available
Cover Page - mlv-syq8-dvuk.pdf Public Comments Uploaded 2026-02-20 Available
Comment - mlv-syq8-dvuk.pdf Public Comments Uploaded 2026-02-20 Available
Cover Page - mlv-t0kc-9hj2.pdf Public Comments Uploaded 2026-02-20 Available
Comment - mlv-t0kc-9hj2.pdf Public Comments Uploaded 2026-02-20 Available
CMS-367a-e - Supporting Statement A (2026 version 4).docx Supporting Statement A Uploaded 2026-06-26 Available
Response to Public Comments (2026 version 2).docx Supplementary Document Uploaded 2026-06-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
8184 DDR Quarterly Pricing Data (CMS-367a) Form ModifiedQuarterly Pricing Data
8184 DDR Quarterly Pricing Data (CMS-367a) Instruction Modified
252230 Quarterly VBP-MBP Data (CMS-367e) Form ModifiedQuarterly VBP-MBP Data
252230 Quarterly VBP-MBP Data (CMS-367e) Instruction Modified
222507 Supplemental Data Sheet (CMS-367d) Form ModifiedContact Information Sheet
222506 DDR Product Data (CMS-367c) Form and Instruction ModifiedMDP Product Data
222505 DDR Monthly Pricing Data (CMS-367b) Form ModifiedMonthly Pricing Data
222505 DDR Monthly Pricing Data (CMS-367b) Instruction Modified
ICR Details
0938-0578 202606-0938-019
Received in OIRA 202304-0938-029
HHS/CMS CMCS
[Medicaid] Medicaid Drug Rebate Program - Manufacturers and Supporting Regulation at 42 CFR 447.534 (CMS-367)
Revision of a currently approved collection   No
Regular 06/29/2026
  Requested Previously Approved
36 Months From Approved 07/31/2026
16,160 15,742
606,932 591,042
0 0

Section 1927 of the Social Security Act (the Act) requires drug labelers to enter into and have in effect a rebate agreement with the Federal government for States to receive funding for drugs dispensed to Medicaid recipients. In order for payment to be made under Medicaid, the drug labeler must complete and sign a drug rebate agreement and fill in the information on the related documents. The drug manufacturer must also supply information within 30 days after the end of each calendar quarter and month on the average manufacturer price of the drugs. Under the Medicaid program, states may provide coverage of prescribed drugs as an optional service under section 1905(a)(12) of the Social Security Act (the Act). Section 1903(a) of the Act provides for federal financial participation (FFP) in state expenditures for these drugs. Section 1927 of the Act governs the Medicaid Drug Rebate (MDR) Program and payment for covered outpatient drugs (CODs), which are defined in section 1927(k)(2) of the Act. In general, for payment to be made available under section 1903(a) of the Act for CODs, manufacturers must enter into a National rebate agreement (agreement) as set forth in section 1927(a) of the Act. Section 1927 of the Act provides specific requirements for rebate agreements, drug pricing submission and confidentiality requirements, the formulas for calculating rebate payments, and requirements for states for CODs.

Statute at Large: 19 Stat. 1927
  
PL: Pub.L. 111 - 148 2503 Name of Law: Patient Protection and Affordable Care Act
PL: Pub.L. 111 - 226 202 Name of Law: Education Jobs and Medicaid Assistance Act

Not associated with rulemaking

  90 FR 59835 12/22/2025
91 FR 38715 06/26/2026
Yes

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 16,160 15,742 0 418 0 0
Annual Time Burden (Hours) 606,932 591,042 0 15,890 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
In this 202526 iteration we are proposing to revise CMS-367c (Product Data). Using current data, we also have revised the number of respondents reporting drug information to CMS from 818 to 840; an increase of 22 participating labelers in the MDRP. Given that there are more respondents, the change has increased our total time and cost estimates. Our cost estimates have also increased by using more up to date wage figures. We are not proposing changes to any of our per response time estimates or to the frequency of reporting. Overall, we estimate an increase of 418 responses and 15,890 hours.

$2,000,000
No
    No
    No
Yes
No
No
No
Mitch Bryman 410 786-5258 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/29/2026