OMB control number
Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan (CMS-10834)
OMB 0938-1455 · HHS/CMS.
OMB 0938-1455
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10834 EPCS Waiver Application | Form and Instruction |
| public comment.pdf | Public Comments |
| CMS-2025-0964-0003.html.pdf | Public Comments |
| Attachment A_CMS-10834 Response to 60 Day Public Comments_CLEANv1.0_508.pdf | Supplementary Document |
 CMS-10834 Supporting Statement A 12-15-25.docx | Supporting Statement A |
 Requirement for Electronic Prescribing for Controlled Substances (EPCS) for a Covered Part D Drug Under a Prescription Drug Plan or an MA–PD Plan |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202512-0938-016 | Reinstatement with change of a previously approved collection | 2025-12-17 | ||
| 202305-0938-021 | New collection (Request for a new OMB Control Number) | 2023-05-31 | Approved without change |