Page 66 - Cover Letter and Evaluation for Bob Workman

10/25/2017 Your Medicare Health Plan Details

Pharmacy & Mail Order Information

Mail Order is available.
Pharmacy Network [?]
6 network pharmacies in your ZIP code
Preferred pharmacy network available [?]

Drug List

Add/Edit Drugs

MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY

Change dose Add
LOSARTAN POTASSIUM TAB 50MG 45 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add
METOPROLOL SUCCINATE ER TAB 30 Every 1 Month Already Generic Remove
100MG ER
Retail Pharmacy

Change dose Add
MONTELUKAST SODIUM TAB 10MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add
VENTOLIN HFA AER 1 X 8GM Every 2 Months Generic Not Available Remove
Inhaler Retail Pharmacy

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