Page 6 - Rx Drug Plan review for John

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Carvedilol 25mg tablet Quantity Frequency
generic 60 Every month

Diltiazem hydrochloride 240mg cardizem Quantity Frequency
capsule extended release 24 30 Every month
hour
generic

uloric
Febuxostat 40mg tablet Quantity Frequency
generic 30 Every month

hydrodiuril
Hydrochlorothiazide 50mg Quantity Frequency
tablet 30 Every 2 months
generic

Metformin hydrochloride Quantity Frequency
1000mg tablet 60 Every month
generic

Multaq 400mg tablet Quantity Frequency
60 Every month

Olmesartan medoxomil 40mg benicar Quantity Frequency
tablet 30 Every month
generic

Omega-3 acid ethyl esters (usp) Quantity Frequency
1gm capsule lovaza 120 Every month
generic see following page for
note about dosage

Potassium chloride 10meq Quantity Frequency
capsule extended release 60 Every month
generic

Pravastatin sodium 10mg pravachol Quantity Frequency
tablet 30 Every month
generic