Page 6 - Evaluation with Cover Letter for Henry Rose
P. 6
9/16/2017 Medicare Plan Finder
Medicare Plan Finder
My Drug List
Your Name: ____________________
Please verify that these are the correct
Date: 9/16/2017
Rx drugs, dosages, and monthly
Drug List ID: 9912552448
quantities.
Password Date: 9/16/2017
Zip Code: 22202
Total Drugs in My Drug List: 3
My Drug List
Medicine Name Quantity Frequency & Pharmacy Generic Options
Every 1 Month
Finasteride (5Mg) TAB 5MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Pravastatin Sodium TAB 40MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Tamsulosin Hcl CAP 0.4MG 30 Already Generic
Retail Pharmacy
https://plancompare.medicare.gov/pfdn/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=6a9af265fde647b3aac9cec9a76bce35874440629861&Cont… 1/1

