Page 90 - Evaluation for 2018

12/23/2017 Your Medicare Health Plan Details
Pharmacy Network [?]
1 network pharmacies in your ZIP code
Preferred pharmacy network available [?]

Drug List

Add/Edit Drugs

MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY
Change dose Add
BENAZEPRIL 30 Every 1 Month Already Generic Remove
HCL/HYDROCHLOROTHIAZIDE TAB 20-
12.5 Retail
Pharmacy

Change dose Add
LISINOPRIL TAB 10MG 30 Every 1 Month Already Generic Remove
Retail
Pharmacy

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

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