ICR Documents

Supporting Statement A Document Date Uploaded CMS-10912.2025.05.08_MTF ICR_SupportingStatementA_clean.docx 05/09/2025 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Response to comment - 60day 2025.03.10_MTFICR_CommentResponseSummary_clean.docx Supplementary Document 03/20/2025 60 to 30-day Crosswalk 2025.03.10_IPAY 2026-27 60 to 30-day MTF ICR_Crosswalk_clean.docx Supplementary Document 03/20/2025 30-day to Final Crosswalk CMS-10912. 2025.05.08_IPAY 2026-27 30-day-to-Final_MTF ICR_Crosswalk.pdf Supplementary Document 05/09/2025 CMS-10912. MTFICR_60_and_30-day_CommentResponseSummary_clean CMS-10912. MTFICR_60_and_30-day_CommentResponseSummary_clean.docx Supplementary Document 05/09/2025 CMS-10912.MTF_ICR_ MFPEffectuationPlanForm_redline CMS-10912.MTF_ICR_ MFPEffectuationPlanForm_redline.pdf Supplementary Document 05/09/2025 CMS-10912.MTF_ICR_ManufacturerPaymentElementsForm_redline CMS-10912.MTF_ICR_ManufacturerPaymentElementsForm_redline.pdf Supplementary Document 05/09/2025 CMS-10912.MTF_ICR_DispensingEntityEnrollmentForm_redlined CMS-10912.MTF_ICR_DispensingEntityEnrollmentForm_redlined.pdf Supplementary Document 05/09/2025 CMS-10912.2025.05.08_MTF_ICR_Complaints&DisputesForm_redline CMS-10912.2025.05.08_MTF_ICR_Complaints&DisputesForm_redline.pdf Supplementary Document 05/09/2025 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received Calkins, Melody BIO Comments MTF ICR Round 2 __Final.pdf PC_202503-0938-001_043025_032225_1.pdf Other -- Reginfo.gov Simple 04/30/2025 04/30/2025 Anonymous PC_202503-0938-001_040325_062405_1.pdf Other -- Reginfo.gov Simple 04/03/2025 04/03/2025 Clements, Emilia PCMA Comments_ICR on MTF Proposed Forms for IPAY 2026 and 2027_CMS-10912_05012025.pdf PCMA Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Asay, Derek Second MTF ICR - Lilly Comment Letter.pdf PC_202503-0938-001_050125_024310_1.pdf Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Bernie, Kristen PhRMA -- Final MTF ICR Comments (2024.12.20).pdf PC_202503-0938-001_050125_032700_1.pdf PhRMA -- Final Second Round MTF ICR Comment Letter (2025.05.01).pdf Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Anonymous 60-Day Comments.pdf Email Multiple 12/20/2024 12/20/2024 Sullivan, Connie NHIA MTF Information Collection letter_05012025 final.pdf PC_202503-0938-001_050125_093434_1.pdf Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Whetzel, Corey May 2025 - CMS MTF Comments on Letterhead - Final.pdf PC_202503-0938-001_042525_032402_1.pdf Senior Manager, Regulatory Affairs American Pharmacists Association Other -- Reginfo.gov Simple 04/25/2025 04/25/2025 Rocchio, John PC_202503-0938-001_050125_032139_1.pdf CVS Health Response Medicare Transaction Facilitator for 2026 and 2027 under Sections 11001 and 11002 of the Inflation Reduction Act (IRA).pdf CVS Health CVS Health Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Parikh, Megha 2025-04-25 - CMS Letter - 340B MDN .pdf American Hospital Association Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Nicholson, Kevin PC_202503-0938-001_043025_093255_1.pdf NACDS Comments CMS MFP ICR April 2024 FINAL.pdf National Association of Chain Drug Stores Other -- Reginfo.gov Simple 04/30/2025 04/30/2025 Postal, Steve 05 01 2025 NCPA Comments to CMS manu MFP effect plan FINAL.pdf 05 01 2025 NCPA Comments to CMS MTF enrollment form FINAL.pdf 05 01 2025 NCPA Comments to CMS dispute intake form FINAL.pdf PC_202503-0938-001_050125_111407_1.pdf NCPA Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Hancock, Rebecca JJ Comments - CMS Revised ICR - MTF Forms 4-30-25.pdf PC_202503-0938-001_043025_031608_1.pdf Other -- Reginfo.gov Simple 04/30/2025 04/30/2025 Williams, Kristin BMS Comments - MTF ICR Final_5.1.25.pdf Bristol Myers Squibb Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Anonymous PC_202503-0938-001_042725_080643_1.pdf Other -- Reginfo.gov Simple 04/27/2025 04/27/2025 Eberle, Jay AZ_MTF ICR 30-day Comment Letter Final May 1, 2025.pdf Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Zulueta, Psalm PC_202503-0938-001_042925_104146_1.pdf Other -- Reginfo.gov Simple 04/29/2025 04/29/2025 Campbell, Samantha PC_202503-0938-001_050125_094833_1.pdf 5_1_25_NACHC ICR on MFP and MTF_FINAL.pdf NACHC Other -- Reginfo.gov Simple 05/01/2025 05/01/2025 Bieliauskas, Abram PFE_Second MTF ICR Comments_05012025.pdf PC_202503-0938-001_050125_055146_1.pdf Pfizer Other -- Reginfo.gov Simple 05/01/2025 05/01/2025