Page 89 - Cover Letter and Evaluation for John
P. 89
10/9/2018 Your Medicare Health Plan Details
MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY
Change dose
OMEGA-3-ACID ETHYL ESTERS CAP 1GM 120 Every 1 Month Already Generic Add Remove
Retail
Pharmacy
Change dose
POTASSIUM CHLORIDE CR 60 Every 1 Month Already Generic Add Remove
(MICROENCAPSULATED) TAB 10MEQ CR
Retail
Pharmacy
Change dose
PRAVASTATIN SODIUM TAB 10MG 30 Every 1 Month Already Generic Add Remove
Retail
Pharmacy
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