Medicare Prescription Drug List Please use this form to add all of your medications, in addition to any required fields. Add each drug individually using the search tool below. Name* First Last Email* PhonePlease add each of your medications Drug Name Dosage Edit Delete There are no Drugs. Add Drug Maximum number of drugs reached. List any drugs you could not find.List preferred pharmacies.*Do you prefer mail order?*YesNoAgent CommentsThis field is for validation purposes and should be left unchanged.
