Page 5 - Cover Letter and evaluation for Katherine Kensky
P. 5
11/6/2017 My Drug List
Medicare Plan Finder
My Drug List
Your Name: ____________________
Date: 11/6/2017
Drug List ID: 1571806240
Password Date: 11/6/2017
Zip Code: 31411
Total Drugs in My Drug List: 5
My Drug List
Medicine Name Quantity Frequency & Pharmacy Generic Options
Every 1 Month
Alprazolam TAB 0.5MG 20 Already Generic
Retail Pharmacy
Every 1 Month
Duloxetine Hcl CAP 30MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Estradiol DIS 0.0375MG (Twice Weekly Patch) 1 X 1 Box of 8 patches Already Generic
Retail Pharmacy
Every 2 Months
Progesterone Micronized CAP 100MG 60 Already Generic
Retail Pharmacy
Every 1 Month
Zolpidem Tartrate TAB 5MG 20 Already Generic
Retail Pharmacy
I assumed 20 tablets a month for these
two Rx drugs, which you take on an as-
needed basis. Because they are low-
priced generics, changes in their
monthly quantities should not have
much effect on your costs.
https://plancompare.medicare.gov/pfdn/Modules/DRX.Modules.PlanCompare/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=a6ce9bbd534d40ed9… 1/1