Page 30 - Rx Drug Plan review for John
P. 30

Omega-3 acid ethyl
       esters (usp) 1gm               $266.92         $266.92             $266.92              $266.92           $266.92

       capsule




       Potassium chloride
       10meq capsule                  $57.17          $57.17              $57.17               $57.17            $57.17

       extended release




       Pravastatin sodium
       10mg tablet                    $94.52          $94.52              $94.52               $94.52            $94.52





       Monthly totals                 $2,141.16       $2,141.18           $2,141.18            $2,141.18         $2,141.18
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