Page 105 - Appendices for Eric Hartman
P. 105
MY DRUG LIST
Package Quantity Frequency Brand/Generic
Every 2
Atorvastatin 10mg tablet 30 Generic
months
Every
Finasteride 5mg tablet 30 Generic
month
Levothyroxine sodium Every
25mcg tablet 30 month Generic
Every
Terazosin 2mg capsule 60 Generic
month
PART B DRUGS
These are drugs you usually get at a doctor's o ce or hospital outpatient setting, like the u shot,
chemotherapy, or other shots.
Chemotherapy drugs Not covered
Other Part B drugs Not covered
Star Ratings
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Overall star rating
Overall rating is based on the categories below.
