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)

ICR 202305-0938-021

OMB: 0938-1455

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10834 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	New
CMS-10834_EPCS_ Supporting_Statement_ A.docx Supporting Statement A	2023-05-30

IC Document Collections

IC ID	Document Title	Status
260452	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	New