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Denver Pharmacy

Community Pharmacy

Pharm

500 Main St, Denver, CO 80202

(303) 555-1111

Enhanced Provider Data
Part D Prescription Drug
Provider Type: Pharmacy
Service Date
Jan 23, 2026
Claim ID
EOB-2024-001156
Provider NPI
5555666677
Status
Approved

Financial Breakdown

Coverage Details

Covered Service
Part D
Deductible Information Not Available

Your plan processed this medication. Medicare doesn't provide deductible details in prescription claims. If you paid out-of-pocket for this medication, some or all of it may have counted toward your plan's deductible. Patient Responsibility of $29.44 applies.

Cost Breakdown

Provider Charged:$127.89
Drug Plan Paid:$98.45
Patient Responsibility:$29.44
Your Responsibility:$29.44

Coverage Insights

Processing Details:
  • Part D prescription filled at network pharmacy
  • Standard copay/coinsurance applied for Tier 1 generic medication

💡 These insights are derived from Medicare's adjudication data to help explain your coverage details.

AI Summary

Prescription filled for Lisinopril 10mg (30 day supply). Covered by Part D plan with standard copay/coinsurance.

AI analysis is for informational purposes only and should not replace professional medical or financial advice.

Risk Flags

Overcharges
No issues detected
Billing Errors
No issues detected
Fraud Indicators
No issues detected
Duplicate Services
No issues detected
Appeal Opportunities
No issues detected
Non Covered Services
No issues detected

Insights

Claim Complexity
low
Coverage Gaps Identified
Billing Accuracy Assessment
accurate
Potential Savings Opportunities
  • Switching to 90-day supply could save ~$15 per fill
I10(ICD_10)AI Enhanced
Primary

Essential (primary) hypertension

Essential (primary) hypertension. High blood pressure that doesn't have a known secondary cause. It's the most common type of high blood pressure.

Specialty
Cardiology
Category
Cardiovascular
Clinical Notes
Chronic condition requiring ongoing medication management. Regular monitoring of blood pressure is recommended.
Typical follow-up Care
Regular blood pressure checks
Annual cardiology review

Present on admission: No

68180-514(NDC)× 30AI Enhanced

Lisinopril 10mg Tablet

$98.45
Drug Plan Paid

Lisinopril 10mg Tablet

Lisinopril 10mg oral tablet. An Angiotensin-Converting Enzyme (ACE) inhibitor used to treat high blood pressure and heart failure by relaxing blood vessels.

Specialty
Cardiology
Category
Medication
Service: Jan 23, 2026
Provider charged
$127.89
Plan Discount
$127.89
Drug Plan Paid
$98.45
Your responsibility
$29.44

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