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2/24/2017 My Drug List

Medicare Plan Finder

My Drug List
This list shows the drugs, dosages, and
Your Name: ____________________
monthly quantities that were used to
Date: 2/24/2017 estimate your Rx drug costs.

Drug List ID: 7892434304
Password Date: 2/24/2017

Zip Code: 32783
Total Drugs in My Drug List: 3
My Drug List
Frequency &
Medicine Name Quantity Generic Options
Pharmacy
Amlodipine Besylate/Atorvastatin Calcium TAB 10­ 30 Every 1 Month Already Generic
20MG Retail Pharmacy
Already Generic
Every 1 Month
Bupropion Hcl TAB 300MG XL 30 (You originally entered Wellbutrin
Retail Pharmacy
XL)
Every 1 Month
Levothyroxine Sodium TAB 100MCG 30 Already Generic
Retail Pharmacy

https://plancompare.medicare.gov/pfdn/Modules/DRX.Modules.PlanCompare/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=168738c79f604688b5119b4568… 1/1