Page 82 - Cover Letter and Evaluation for Kirk Schmidt

10/31/2017 Your Medicare Health Plan Details

Drug List

Add/Edit Drugs

MEDICINE NAME QUANTITY FREQUENCY & GENERIC OPTIONS ACTION
PHARMACY
Change dose Add
ADVAIR DISKUS AER 250/50 1 X 1 Blister Every 2 Months Generic Not Available Remove
Pack of 60 Retail Pharmacy
aerosols

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

Change dose Add
VALSARTAN TAB 320MG 30 Every 1 Month Already Generic Remove
Retail Pharmacy

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