Ernst J. Meyer, M.D.
                                 174 School Street
                           Belmont, Massachusetts 02478

                                   617-484-8109
                             ernstmeyer@earthlink.net


           April 25, 2011


           re: Perry, Evelyn C.
               161 Walnut Street
               Somerville MA 02145
               Date of Birth: 11/05/1930
               Patient ID: 026121202D
               reference no: 000001969528274

           CVS Caremark
           Fax: 1-866-884-9475

           For the above captioned patient, please provide
           pilocarpine ophthalmic solution 2%, 15 ml
           instill 1 gtt OU q.i.d.

           This medication is required to control the patient's
           open angle glaucoma, from which she may become blind,
           if it is not successfully treated.




           Ernst J. Meyer, MD