Page 57 - Appendices for Rick Leininger
P. 57
Selected drugs Package Quantity Frequency Brand/Generic
Every
Xarelto 20mg tablet 30 Brand
month
Edit/Remove drugs
PART B DRUGS
Chemotherapy drugs
Not covered
Other Part B drugs
Not covered
Star ratings
OVERALL STAR RATING
DRUG PLAN (PART D) STAR RATING
Contact information
CONTACT INFORMATION
View plan website
Enrollment Processing Center
P.O. Box 659404
San Antonio, TX 78265
