Page 44 - APPENDICES for Carl Zambon
P. 44

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                                                                    These are the Rx drugs, dosages, and
                                                                    monthly quantities that were used to find
                                                                    the lowest-cost stand-alone plans for 2021,
                                                                    shown on the following pages.

                                                                    Cerefolin is not covered by Part D, and so
                                                                    it isn't shown here.

                               This is the generic
                               version of Wellbutrin
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