Page 82 - Evaluation for Dirk Huybrechts
P. 82

9/12/2017                                       Your Medicare Health Plan Details
            MEDICINE NAME                 QUANTITY     FREQUENCY &     GENERIC OPTIONS     ACTION
                                                       PHARMACY

                                                                                            Change dose  Add
            PRAVASTATIN SODIUM TAB 20MG   30           Every 1 Month   Already Generic      Remove
                                                       Retail Pharmacy

                                                                                            Change dose  Add
            ZOLPIDEM TARTRATE TAB 10MG    10           Every 1 Month   Already Generic      Remove
                                                       Retail Pharmacy







          Return to previous page




































































      https://www.medicare.gov/find-a-plan/results/planresults/plan-details.aspx?cntrctid=S5884&plnid=178&sgmntid=0  3/3
   77   78   79   80   81   82   83   84   85   86   87