Page 92 - Cover Letter and Evaluation for Debbie Workman
P. 92

12/13/2017                                       Your Medicare Health Plan Details
            Pharmacy Network [?]
            6 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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