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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