Page 5 - Cover Letter and Evaluation for John

10/9/2018 Medicare Plan Finder

Medicare Plan Finder

My Drug List

Your Name: ____________________
Date: 10/9/2018

Drug List Id: 3199691584

Password Date: 10/9/2018

Zip Code: 92586
Total Drugs in My Drug List: 8
My Drug List
Frequency &
Medicine Name Quantity Generic Options
Pharmacy
Every 1 Month
Carvedilol TAB 25MG 120 Already Generic
Retail Pharmacy
Already Generic
Every 1 Month
Diltiazem Hcl Sr CAP 240MG/24 30 (You originally entered
Retail Pharmacy
Cardizem CD)
Every 1 Month
Metformin Hcl TAB 1000MG 60 Already Generic
Retail Pharmacy
Every 1 Month
Multaq TAB 400MG 60 Generic Not Available
Retail Pharmacy
Already Generic
Olmesartan Medoxomil/Hydrochlorothiazide 30 Every 1 Month (You originally entered
TAB 40-12.5 Retail Pharmacy
Benicar HCT)
Every 1 Month
Omega-3-Acid Ethyl Esters CAP 1GM 120 Already Generic
Retail Pharmacy
Potassium Chloride Cr (Microencapsulated) 60 Every 1 Month Already Generic
TAB 10MEQ CR Retail Pharmacy

Every 1 Month
Pravastatin Sodium TAB 10MG 30 Already Generic
Retail Pharmacy

There are other
versions of
potassium chloride --
see the next page

https://plancompare.medicare.gov/pfdn/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=73d879da74b04a5e958ef4fd0bac6a01907964132082&ApplicationTyp… 1/1