Page 49 - Cover letter and evaluation for Peter Smith

11/27/2017 Your Medicare Health Plan Details
Pharmacy
MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY

Change dose Add
PROAIR HFA AER 1 X 8.5GM Every 2 Months Generic Not Available Remove
Inhaler Retail
Pharmacy

Change dose Add
TAMSULOSIN HCL CAP 0.4MG 30 Every 1 Month Already Generic Remove
Retail
Pharmacy

Change dose Add
TRAZODONE HCL TAB 50MG 30 Every 1 Month Already Generic Remove
Retail
Pharmacy

Change dose Add
TRUVADA TAB 30 Every 1 Month Generic Not Available Remove
Retail
Pharmacy

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