Form CMS-10912 Drug Price Negotiation Program Complaint Information Col

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

non MTF User Form Complaints_v2

Non-MTF User to Complete Drug Price Negotiation Program MTF DM Complaint Intake Form

OMB: