Page 68 - Cover Letter and Evaluation for Debbie Workman

12/13/2017 Your Medicare Health Plan Details

Pharmacy & Mail Order Information

Mail Order is available.
Pharmacy Network [?]
5 network pharmacies in your ZIP code
Preferred pharmacy network available [?]

Drug List

Add/Edit Drugs

MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY

Change dose Add
ATORVASTATIN CALCIUM TAB 10MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add
CLONAZEPAM TAB 2MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add
LEVOTHYROXINE SODIUM TAB 75MCG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add
PANTOPRAZOLE SODIUM TAB 40MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

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