CMS-10141 Exhibit C: Example of Section 2 (Drug Payment Stages)
Comprehensive Addiction and Recovery Act of 2016 (CARA) / Medicare Prescription Drug Benefit Program (CMS-10141)
Attachment 8d - CY 2020 EOB Exhibit C (version 2)
Medicare Prescription Drug Benefit Program (Plans)
OMB: 0938-0964
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