Page 36 - Cover Letter and Evaluation for Anne Parlin
P. 36
10/11/2017 Your Medicare Health Plan Details
MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY
Change dose Add
BUPROPION HCL TAB 300MG XL 30 Every 1 Month Already Generic Remove
Retail Pharmacy
Change dose Add
SERTRALINE HCL TAB 50MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy
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