Form CMS-10912 Drug Price Negotiation Program Complaint and Dispute Int

Medicare Transaction Facilitator for 2026 and 2027 under Sections 11001 and 11002 of the Inflation Reduction Act (IRA) (CMS-10912)

2025.03.07_MTF_ICR_Complaints&DisputesForm_clean

Primary Manufacturer and/or Dispensing Entity to Complete Drug Price Negotiation Program Complaint and Dispute Intake Form

OMB: