Page 6 - Cover Letter and Evaluation for Mike Peaseley
P. 6
11/17/2017 My Drug List
Medicare Plan Finder
These are the drugs, dosages, and
My Drug List
quantities that were used to find the lowest-
Your Name: ____________________ cost plans
Date: 11/17/2017
Drug List ID: 6951340928
Password Date: 11/16/2017 As needed
Zip Code: 98499
Total Drugs in My Drug List: 7
My Drug List
Medicine Name Quantity Frequency & Pharmacy Generic Options
Every 1 Month
Atorvastatin Calcium TAB 40MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Brilinta TAB 90MG 60 Generic Not Available
Retail Pharmacy
Every 1 Month
Lisinopril TAB 2.5MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Metoprolol Tartrate TAB 25MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Nitroglycerin SUB 0.4MG 20 Already Generic
Retail Pharmacy
Every 1 Month
Omeprazole CAP 20MG 30 Already Generic
Retail Pharmacy
Every 2 Months
Sertraline Hcl TAB 100MG 30 Already Generic
Retail Pharmacy
https://plancompare.medicare.gov/pfdn/Modules/DRX.Modules.PlanCompare/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=4d1650424cee42b3b… 1/1
