Page 72 - Evaluation for 2018
P. 72

1/4/2018                                        Your Medicare Health Plan Details
              Add/Edit Drugs


            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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