Document
Supporting Statement for the Notice of Denial of Prescription Drug Coverage
ICR 202002-0938-017 · OMB 0938-0976 · Object 99149302.
This document may belong to an older filing. More recent activity for OMB 0938-0976:
Document Viewer [docx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Supporting Statement for the Notice of Denial of Prescription Drug Coverage |
| Subject | Supporting Statement for Notice of Denial of Medicare Prescription Drug Coverage |
| Author | CMS/CPC/MEAG/DAP |
| File Modified | 0000-00-00 |
| File Created | 2021-01-14 |
| Conversion State | partial |