Page 60 - Evaluation for 2018

1/3/2018 Your Medicare Health Plan Details
MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY

Change dose Add
BENAZEPRIL 30 Every 1 Month Already Generic Remove
HCL/HYDROCHLOROTHIAZIDE TAB 20-
12.5 Retail
Pharmacy
Change dose Add

LISINOPRIL TAB 10MG 30 Every 1 Month Already Generic Remove
Retail
Pharmacy

Change dose Add

SIMVASTATIN TAB 20MG 30 Every 1 Month Already Generic Remove
Retail
Pharmacy

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