Page 61 - Cover letter and evaluation for Peter Smith
P. 61

11/27/2017                                       Your Medicare Health Plan Details
            OMEPRAZOLE CAP 40MG
                                                                                             Change dose
                                                          FREQUENCY &
                                             QUANTITY
            MEDICINE NAME                    30           Every 1 Month   Already Generic   ACTION        Add
                                                                         GENERIC OPTIONS
                                                          PHARMACY
                                                          Retail                             Remove
                                                          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






          Return to previous page










































      https://www.medicare.gov/find-a-plan/results/planresults/plan-details.aspx?cntrctid=H2931&plnid=002&sgmntid=0#plan_drug_cost  4/4
   56   57   58   59   60   61   62   63   64   65   66