Page 6 - Cover Letter and Evaluation for Chris Parlin

10/10/2017 My Drug List

Medicare Plan Finder

My Drug List
These are the Rx drugs, doages, and monthly
Your Name: ____________________
quantities that were entered in the Medicare web
Date: 10/10/2017 site to calculate your Rx costs.

Drug List ID: 6226487552
Password Date: 10/10/2017
Zip Code: 05403
Total Drugs in My Drug List: 6
My Drug List
Medicine Name Quantity Frequency & Pharmacy Generic Options
Every 1 Month
Allopurinol TAB 300MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Amlodipine Besylate TAB 5MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Atorvastatin Calcium TAB 20MG 30 Already Generic
Retail Pharmacy
Every 1 Month
Januvia TAB 100MG 30 Generic Not Available
Retail Pharmacy
Every 1 Month
Metformin Hcl TAB 500MG ER 30 Already Generic
Retail Pharmacy
Every 1 Month
Valsartan/Hydrochlorothiazide TAB 320-25MG 30 Already Generic
Retail Pharmacy

3
https://plancompare.medicare.gov/pfdn/Modules/DRX.Modules.PlanCompare/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=e34fd3ad90da4c6a83… 1/1