Page 98 - Cover letter and evaluation for Jack Hosier

11/14/2017 Your Medicare Health Plan Details
Pharmacy Network [?]
5 network pharmacies in your ZIP code
Preferred pharmacy network available [?]

Drug List

Add/Edit Drugs

MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY
Change dose Add
ALLOPURINOL TAB 300MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add
AMLODIPINE BESYLATE/VALSARTAN 30 Every 1 Month Already Generic Remove
TAB 10-320MG Retail Pharmacy

Change dose Add
ATORVASTATIN CALCIUM TAB 20MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

Change dose Add
OMEPRAZOLE CAP 20MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

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