Page 45 - Memo to Michael Boucher
P. 45

Selected drugs                      Package                  Quantity        Frequency         Brand/Generic



      Flecainide acetate 50mg                                                      Every
                                                                   60                                Generic
      tablet                                                                       month



      Praluent 75mg/ml solution           1ml pen (sold in                         Every
                                                                   1                                 Brand
      auto injector                       pack of 2)                               month




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      PART B DRUGS



      Chemotherapy drugs
      Not covered




      Other Part B drugs
      Not covered








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         DRUG PLAN (PART D) STAR RATING







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      CONTACT INFORMATION


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