Page 6 - Evaluation for Norm Ross
P. 6
10/19/2017 My Drug List
Medicare Plan Finder
My Drug List
Your Name: ____________________
Date: 10/19/2017
Drug List ID: 9362543616
Password Date: 10/19/2017
Zip Code: 21702
Total Drugs in My Drug List: 6
My Drug List
Medicine Name Quantity Frequency & Pharmacy Generic Options
Every 1 Month Already Generic
Amlodipine Besylate/Benazepril Hydrochloride CAP 10-20MG 30
Retail Pharmacy (You originally entered Lotrel)
Every 1 Month Already Generic
Citalopram Hydrobromide TAB 10MG 30
Retail Pharmacy (You originally entered Celexa)
Every 1 Month Already Generic
Gabapentin CAP 300MG 30
Retail Pharmacy (You originally entered Neurontin)
Every 1 Month
Metformin Hcl TAB 500MG 60 Already Generic
Retail Pharmacy
Every 1 Month
Nasonex SPR 50MCG/AC 1 X 17GM Inhaler Generic Not Available
Retail Pharmacy
Every 1 Month
Trazodone Hcl TAB 100MG 30 Already Generic
Retail Pharmacy
https://plancompare.medicare.gov/pfdn/Modules/DRX.Modules.PlanCompare/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=52ac0bc4ff52400191… 1/1
