Page 6 - Cover Letter and Evaluation for Gary Janke

10/8/2018 Medicare Plan Finder

Medicare Plan Finder

My Drug List
This is the drug list that was used
Your Name: ____________________
to find the lowest-cost plans for
Date: 10/8/2018 your drugs for 2019. The refill
schedule is shown as monthly,
Drug List Id: 2912465408
but you can choose mail order
Password Date: 10/8/2018 when you enroll in the plan that
you choose.
Zip Code: 37024
Total Drugs in My Drug List: 8
My Drug List
Frequency & Generic
Medicine Name Quantity
Pharmacy Options
Every 1 Month
Amlodipine Besylate TAB Already
5MG 30 Retail Generic
Pharmacy
Every 1 Month
Budesonide Suspension SUS 1 X 2ML Plastic Container (sold in a package Already
0.5MG/2 of 30 plastic containers) Retail Generic
Pharmacy
Every 1 Month
Omeprazole CAP 40MG 60 Retail Already
Generic
Pharmacy
Every 1 Month
Potassium Chloride CAP 30 Retail Already
10MEQ CR Generic
Pharmacy
Every 1 Month Already
Ranitidine Hcl TAB 300MG 60 Retail Generic
Pharmacy
Every 1 Month Generic Not
Symbicort AER 160-4.5 1 X 10.2GM Inhaler Retail Available
Pharmacy
Every 1 Month
Valsartan/Hydrochlorothiazide Already
TAB 160-12.5 60 Retail Generic
Pharmacy
Every 12
Months Generic Not
Ventolin HFA AER 1 X 18GM Inhaler
Retail Available
Pharmacy

https://plancompare.medicare.gov/pfdn/PopUp/PrintDrugList?PlanFinderDRxIntegrationId=8e3bce282dd74e38bd0beeedc59d8daa907863741073&Ap… 1/1