Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174) - IRA

OMB 0938-0982

CMS requires contracted Part D providers to submit prescription drug event (PDE) records as required by the Medicare Prescription Drug Improvement, and Modernization Act of 2003.

The latest form for Collection of Prescription Drug Data from MA-PD, PDP and Fallout Plans/Sponsors for Medicare Part D Payments (CMS-10174) - IRA expires 2021-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10174 - Supporting Statement A_.docx Supporting Statement A
Crosswalk CMS-10174_11-2023 (003).pdf Supplementary Document
Collection of Drug Event Data from Contracted Part D Providers For Payments Instruction
Expansion of the PDE File Layout and Addition of New PDE Fields (New) Instruction

All Historical Document Collections

202403-0938-002 Approved without change	Revision of a currently approved collection	2024-03-05
202306-0938-007 Approved without change	Revision of a currently approved collection	2023-07-18
202205-0938-017 Comment filed on proposed rule and continue	Revision of a currently approved collection	2022-05-18
202108-0938-009 Approved without change	Extension without change of a currently approved collection	2021-09-07
201801-0938-007 Approved with change	Reinstatement with change of a previously approved collection	2018-01-25
201309-0938-034 Approved without change	Reinstatement with change of a previously approved collection	2013-09-30
200909-0938-002 Approved with change	Revision of a currently approved collection	2009-09-10
200605-0938-001 Approved without change	Extension without change of a currently approved collection	2006-05-05
200601-0938-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2006-01-20
200511-0938-006 Approved without change	New collection (Request for a new OMB Control Number)	2005-11-10