Page 7 - Cover Letter and Evaluation for John
P. 7
10/9/2018 Step 2 of 4: Enter Your Drugs
MEDICINE NAME DRUG TYPE ADD DRUG
Potassium Iodide(Potassium Iodide) OTC
Potassium/Magnesium Aspartate(Magnesium OTC
Aspartate-Potassium Aspartate)
My Drug List (Maximum 25 Drugs)
Total Drugs in My Drug List: 4 Print My Drug List
MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY
Change dose
Add
Diltiazem Hcl Sr CAP 240MG/24 30 Every 1 Month Already Remove
Retail Generic
Pharmacy (You originally
entered
Cardizem CD)
Switch Back
Change dose
Add
Metformin Hcl TAB 1000MG 60 Every 1 Month Already Remove
Retail Generic
Pharmacy
Change dose
Add
Olmesartan 30 Every 1 Month Already Remove
Medoxomil/Hydrochlorothiazide Retail Generic
TAB 40-12.5 Pharmacy (You originally
entered
Benicar HCT)
Switch Back
Change dose
Add
Omega-3-Acid Ethyl Esters CAP 120 Every 1 Month Already Remove
1GM Retail Generic
Pharmacy
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