Page 5 - Evaluation for John Shartle
P. 5
11/3/2017 My Drug List
Medicare Plan Finder
My Drug List
Your Name: ____________________
Date: 11/3/2017
This list was used
Drug List ID: 6538469152 to estimate your Rx
Password Date: 11/3/2017 drug costs in
Delaware.
Zip Code: 19970
Total Drugs in My Drug List: 4
My Drug List
Medicine Name Quantity Frequency & Pharmacy Generic Options
Every 2 Months
Anoro Ellipta AER 62.5-25 1 X 1 Blister Pack of 60 aerosols Generic Not Available
Retail Pharmacy
Every 1 Month
Atorvastatin Calcium TAB 10MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Eliquis TAB 5MG 60 Generic Not Available
Retail Pharmacy
Every 1 Month
Lisinopril/Hctz TAB 20-12.5 30 Already Generic
Retail Pharmacy
https://plancompare.medicare.gov/pfdn/Modules/DRX.Modules.PlanCompare/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=1ad1f82c19104f478e… 1/1
