2018 Over-the-Counter Health Products

Transcription

1 2018 Over-the-Counter Health Products The products listed in this catalog are available through your over-the-counter benefit. The products and brands are current as of 1/1/2018. The products may change. Y0114_18_33703_U CMS Accepted CMOTC18

2 To order or for more information, call Customer Service: TTY: 711 Hours: 8 a.m. to 8 p.m., 7 days a week (except Thanksgiving and Christmas), October 1 through February 14, and from 8 a.m. to 8 p.m., Monday through Friday (except holidays), February 15 through September 30.

3 You have coverage for over-the-counter (OTC) health products through your CareMore health plan. This benefit allows you to get OTC items and supplies by mail. Use this catalog to find the items that you can order for mail delivery through your OTC benefit. How to place an order First, review the benefit limit in your Summary of Benefits or Evidence of Coverage. Then, place your order. 1. Order online: Log in to our member website on 2. Order by phone: Call CareMore Health Customer Service and ask to place an OTC order. 3. Order by mail: Fill out the order form found at the back of this book. Follow the instructions on the form. Your shipping address must be the same as the address in your member record. We cannot fill your order if your address is not the same. Fold the form and place it in the provided envelope. Place a first-class postage stamp on the address side of the envelope and mail it. 4. Order by fax: Fax the completed form to

4 How to use the OTC Health Products Catalog The OTC products we offer in this catalog are listed in alphabetical order under specific categories. To order, provide the name, item number and price, as well as the quantity for each product in the order form. Please note: You cannot return items ordered from this catalog and quantities may be limited. Frequently asked questions and answers about your OTC benefit? How do I get more order forms? When you receive your order, you will also receive a replacement order form inside your package to use with your next order. CareMore Health pays your shipping charge and applicable sales tax. Or you can call Customer Service.? Can I use my benefit for other people? No, you may only order items for your use, not for family members or friends.? What happens if I do not use all of the benefit? Your plan credits your OTC benefit when you first enroll and again at the beginning of each calendar quarter during a calendar year. Unused amounts carry over from one three-month period to the next. Any unused amounts expire at the end of 12/31/2018.? How often may I place an order? You may place one order every month, but the total of your orders cannot be more than your quarterly OTC benefit amount. If you order more than your benefit limit, your order will be filled with items up to your benefit limit.? Can I use my OTC benefit for items not in the catalog? You may use your OTC benefit only for items listed in this catalog.? Do I use the OTC order form for prescription drugs? No, you cannot use the OTC order form for your prescription drugs. You can order prescription drugs by mail. Call Customer Service for more information.

5 ? How do I return items? Due to the personal nature of these items, we do not accept returns. If you have any questions about any item in the catalog, please call Customer Service.? Whom do I contact with questions? For any questions you may have, please call Customer Service. NOTE: Product details used in this catalog came from the makers of the products. CareMore Health does not endorse any of the products. Please ask your doctor for advice about your own health needs. Your doctor may choose to have you use items not listed in this catalog. Items in the catalog may change based on availability and current regulation.

6 Over-the-Counter Health Products ACNE TREATMENT BENZOYL PEROXIDE GEL 10* 45GM Generic for Clean & Clear Persa-Gel $3.61 CLEAN & CLEAR ADVANTAGE ACNE SPOT TREATMENT.75OZ $9.65 NEUTROGENA ACNE WASH OIL-FREE 6OZ $8.87 NEUTROGENA CLEAR PORE OIL-ELIMINATING ASTRINGENT 8OZ $6.94 ANTI-FUNGAL ATHLETES ANTIFUNGAL FOOT CREAM 0.5OZ Generic for Lamisil $12.11 CLOTRIMAZOLE 1* CREAM 0.5OZ Generic for Lotrimin $5.67 1

7 ANTI-FUNGAL COMPOUND W FAST-ACTING LIQUID 0.31OZ $10.90 COMPOUND W GEL 0.25OZ $10.90 DR SCHOLL CLEAR AWAY ONE STEP WART REMOVER $10.43 FUNGI NAIL TINCTURE 30ML $19.50 LAMISIL AT ATHLETES FOOT CREAM 12GM $12.36 Item shipped may appear different than item pictured. 2

8 Over-the-Counter Health Products ANTI-FUNGAL LOTRIMIN AF CREAM 24GM $15.45 MICONAZOLE 3 DAY WITH APPLICATOR 3CT Generic for Monistat 3 MICONAZOLE 7 VAGINAL SUPPOSITORIES 7CT Generic for Monistat 7 Suppositories $16.65 $6.18 MONISTAT-3 CREAM PREFILLED APPLICATOR 3CT $19.89 MYCOCIDE NS ANTIMICROBIAL SOL 1OZ $22.15 TOLNAFTATE 1* CREAM 0.5OZ Generic for Tinactin $4.12 3

9 ANTI-INFECTIVES BACITRACIN OINTMENT 1OZ Generic for Baciguent $6.18 BACTINE LIQUID 4OZ $5.67 NEOSPORIN ORIGINAL ANTIBIOTIC OINTMENT 1OZ $10.55 NEOSPORIN PLUS OINTMENT MAX/STR 1OZ $12.65 TRIPLE ANTIBIOTIC OINTMENT 1OZ Generic for Neosporin $7.73 TRIPLE ANTIBIOTIC PLUS OINTMENT 1OZ Generic for Neosporin Plus $6.08 Item shipped may appear different than item pictured. 4

10 Over-the-Counter Health Products ANTI-ITCH BENADRYL EXTRA STRENGTH ITCH STOPPING 2* CREAM 1OZ $6.43 BENADRYL REGULAR STRENGTH ITCH RELIEF 1* CREAM 1OZ $6.02 CALAMINE LOTION 6OZ Generic for Caladryl $4.12 CORTAID ANTI-ITCH MAXIMUM STRENGTH CREAM 1* 1OZ $7.21 CORTIZONE 10 CREME 1OZ $6.70 CORTIZONE-10 INTENSIVE HEALING FORMULA ANTI-ITCH CREME 1OZ $6.98 5

11 ANTI-ITCH DIPHENHYDRAMINE CREAM 2* 1OZ Generic for Benadryl 2% $5.00 GOLD BOND MEDICATED BODY POWDER 10OZ $8.84 HYDROCORTISONE 1* ANTI-ITCH CREAM 1OZ Generic for Cortaid $5.15 HYDROCORTISONE 1* OINTMENT 1OZ Generic for Cortizone Ointment $5.67 BATH SAFETY Adjustable Transfer Bench $98.99 Bath Mat 28in x 16in White $15.95 Item shipped may appear different than item pictured. 6

12 Over-the-Counter Health Products BATH SAFETY Bath Seat $50.00 Bath Seat with Back $49.00 Bath Seat with Back $39.00 Bathroom Safety Shower Tub Bench Chair $32.00 Bathtub Grab Bar Safety Rail $

13 BATH SAFETY Raised Toilet Seat 5" $16.99 Raised Toilet Seat with Arms and Lock 5inches $33.99 Safety Treads $5.00 Shower Safety Benches $62.05 Suction Cup Grab Bar with 180 Swivel Action $39.99 Suction Tub and Shower Bar 16inch $17.95 Item shipped may appear different than item pictured. 8

14 Over-the-Counter Health Products BATH SAFETY Toilet Safety Rails $35.00 Toilet Seat Raised Lock 500lb $52.99 COUGH & COLD AFRIN NASAL SPRAY ORIGINAL 0.5OZ $8.13 ALKA-SELTZER PLUS COLD FORMULA EFFERVESCENT TABLETS ORIGINAL 36CT $10.64 ALL NIGHT COLD ORIGINAL LIQUID 8OZ $5.67 9

15 COUGH & COLD ALLEGRA OTC 180MG TABLETS 24 HOUR 15CT $20.73 ALLEGRA OTC 60MG TABLETS 12 HOUR 12CT $14.80 BREATHE RIGHT NASAL STRIPS CLEAR LARGE 30CT $16.48 BREATHE RIGHT NASAL STRIPS TAN SMALL/MEDIUM 30CT $17.78 CHLORASEPTIC SORE THROAT SPRAY CHERRY 6OZ $7.30 CLARITIN ALLERGY 24 HOUR 10MG 30CT $33.75 Item shipped may appear different than item pictured. 10

16 Over-the-Counter Health Products COUGH & COLD COUGH DROPS HONEY LEMON 30CT Generic for Halls Honey Lemon $2.06 DAYTIME MULTI-SYMTPOM COLD/FLU RELIEF 16CT Generic for Vicks Dayquil Capsules DIPHENHYDRAMINE 25MG CAPSULES 100CT Generic for Benadryl Capsules EFFERVESCENT COLD RELIEF TABLETS 20CT Generic for Alka-Seltzer Plus FEXOFENADINE ALLERGY TABLETS 12 HOUR 12CT Generic for Allegra OTC 60mg $4.53 $4.64 $7.28 $11.72 HALLS COUGH DROP HONEY LEMON 30CT $3.09 HALLS DEFENSE STRAWBERRY 30CT $

17 COUGH & COLD HALLS DEFENSE VITAMIN C DROPS SUGAR FREE ASSORTED CITRUS 25CT $3.29 LORATADINE 10MG TABLET 30CT Generic for Claritin $4.12 MEDICATED CHEST RUB 3.53OZ Generic for Vicks Vaporub $4.12 MUCINEX EXTENDED RELEASE TABLETS 20CT $15.31 NASAL SPRAY 1OZ Generic for Afrin $6.70 OCEAN NASAL SPRAY 1.5OZ $5.15 Item shipped may appear different than item pictured. 12

18 Over-the-Counter Health Products COUGH & COLD ROBITUSSIN DM SUGAR FREE PEAK COLD COUGH/CONGESTION 4OZ $7.97 SALINE NASAL SPRAY 1.5OZ Generic for Ocean Nasal Spray $3.61 SORE THROAT SPRAY CHERRY 6OZ Generic for Chloraseptic Spray Cherry $4.49 SUCRETS REGULAR LOZENGES WILD CHERRY 18CT $4.12 SUDOGEST PE TAB 10MG 36CT Generic for Sudafed PE $6.18 VICKS DAYQUIL LIQUID CAPSULES 24CT $

19 COUGH & COLD VICKS NYQUIL LIQUID 8OZ $11.08 VICKS VAPORUB 6OZ $17.24 DENTAL ACT TOTAL CARE ANTICAVITY FLUORIDE RINSE FRESH MINT 18OZ $6.85 AIM ANTI-TARTAR GEL TOOTHPASTE 5.5OZ $1.61 COLGATE CAVITY PROTECTION TOOTHPASTE 1OZ $1.54 Item shipped may appear different than item pictured. 14

20 Over-the-Counter Health Products DENTAL COLGATE PLUS ADULT TOOTHBRUSH SOFT $3.09 DENTAL FLOSS 100YD Generic for Reach Dental Floss $3.07 DENTAL FLOSS MINT WAXED 100YD $3.07 DENTURE BRUSH 1CT Generic for Oral B Denture Brush $2.52 DENTURE CLEANER TABLET 90CT Generic for Efferdent $7.79 DENTURE TABLETS MINT 40CT Generic for Polident $3.95 EFFERDENT DENTURE CLEANSER TABLETS 44CT $

21 DENTAL EFFERDENT PLUS MINT TABLET 90CT $7.79 FIXODENT CONTROL DENTURE ADHESIVE CREAM 2OZ $7.66 FIXODENT FRESH 2 1/2 OZ $7.66 G-U-M EEZ-THRU MINT DENTAL FLOSSERS 40CT $1.89 ORAJEL MAXIMUM STRENGTH GEL 0.42OZ $8.35 ORAL DENTURE BRUSH $4.00 Item shipped may appear different than item pictured. 16

22 Over-the-Counter Health Products DENTAL ORAL PAIN RELIEF GEL 0.5OZ $5.79 POLIDENT 3 MINUTE TABLETS 120CT $11.02 SEA BOND DENTURE BATH $2.06 SEA-BOND DENTURE ADHESIVE LOWERS ORIGINAL 15EA $4.50 SEA-BOND DENTURE ADHESIVE UPPERS ORIGINAL 15EA $4.50 SENSODYNE TOOTHPASTE ORIGINAL FLAVOR 4OZ $

23 DENTAL SUPER POLIGRIP DENTURE ADHESIVE CREAM ZINC FREE FORMULA 2.4OZ $8.24 TOLNAFTATE 1* POWDER 1.5OZ $4.64 TOOTHBRUSH FULL HEAD SOFT $1.54 TOOTHPASTE CREST LARGE 4.6OZ $3.61 DEVICES OPTICHAMBER DIAMOND VALVED HOLDING CHAMBER $18.85 DIABETES CARE DEX4 GLUCOSE TABLETS RASPBERRY 50CT $8.38 Item shipped may appear different than item pictured. 18

24 Over-the-Counter Health Products DIABETES CARE DIABETIDERM FOOT REJUVENATING CREAM 4OZ $14.08 GLUCOSE TABLETS 4GM 10CT Generic for Dex $3.95 GOLD BOND ULTIMATE DIABETIC DRY SKIN RELIEF FOOT CREAM 3.4 OZ $8.46 DUAL PURPOSE - DIAGNOSTICS BLOOD PRESSURE MONITOR DIGITAL, TALKING $55.55 CARA HEATING PAD ECONO DRY 11.5 X $

25 DUAL PURPOSE - DIAGNOSTICS CARA HEATING PAD MOIST/DRY WITH SELECT TEMP $34.65 DELUXE HEATING PAD MOIST/DRY Generic for Cara with Select Temp $24.95 HOMEDICS BLOOD PRESSURE MONITOR AUTOMATIC $64.19 OMRON BLOOD PRESSURE CUFF LARGE - CUFF ONLY $22.95 OMRON BLOOD PRESSURE MONITOR MANUAL $38.38 Item shipped may appear different than item pictured. 20

26 Over-the-Counter Health Products DUAL PURPOSE - HORMONE REPLACEMENT ESTRO SUPPORT 60CT Generic for Estroven Reg Strength $10.51 ESTRO SUPPORT MAXIMUM STRENGTH 60CT Generic for Estroven Max Strength $10.51 ESTROVEN MAXIMUM STRENGTH CAPLET 28CT $26.01 ESTROVEN REGULAR STRENGTH CAPLETS 30CT $17.37 DUAL PURPOSE - MINERALS FISH OIL 1000MG SOFTGELS 100CT $7.73 VIACTIV CALCIUM CHEW CARMEL + D 60CT $

27 DUAL PURPOSE - MINERALS VIACTIV CALCIUM CHEW MILK CHOCOLATE + D 60CT $10.72 DUAL PURPOSE - VITAMINS CALCIUM CARBONATE 600MG + D TABLET 60CT Generic for Caltrate CENTRUM SILVER 50+ MENS 100CT $6.18 $16.73 CENTRUM SILVER 50+ WOMENS 100CT $16.73 CEROVITE SENIOR TABLET 60CT $5.67 OYST-CAL + D 500MG 60CT Generic for Oscal + D $3.61 Item shipped may appear different than item pictured. 22

28 Over-the-Counter Health Products DUAL PURPOSE - VITAMINS VITAMIN B MCG TABLETS 100CT Generic for Centrum $5.67 VITAMIN C 500MG TABLETS 100CT $6.70 VITAMIN D TAB 400IU 100CT $5.15 VITAMIN D3 1000IU 100CT $7.73 VITAMIN D3 2000IU SOFTGELS 100CT $6.70 VITAMIN E 400IU SOFTGEL 100CT $13.31 WINDMILL VITAMIN A 10000IU SOFTGEL 100CT $

29 DUAL PURPOSE - VITAMINS WINDMILL VITAMIN B COMPLEX WITH VITAMIN C + IRON 100CT $9.14 WINDMILL CALCIUM CHEWABLE 500MG TAB 60CT $7.12 WINDMILL FOLIC ACID 400 MCG TABS 180CT $6.70 EAR CARE EAR WAX DROP 0.5OZ Generic for Debrox $4.95 EAR WAX DROP REMOVAL KIT 0.5OZ $5.15 Item shipped may appear different than item pictured. 24

30 Over-the-Counter Health Products EYE CARE CONTACT LENS SOLUTION 12OZ $9.79 MULTI-PURPOSE NO RUB SOLUTION 12OZ $5.87 FIBER SUPPLEMENTS FIBER LAXATIVE CAPLETS 100CT Generic for Citrucel $10.82 FIRST AID SUPPLIES ACE BANDAGE VELCRO 2 INCH $5.44 ACE BANDAGE VELCRO 3 INCH $

31 FIRST AID SUPPLIES ACE COLD COMPRESS REUSABLE $7.48 ACE ELASTIC BANDAGE 3 INCH $8.24 ACE SELF-ADHERING BANDAGE 2 INCH $5.15 ADHESIVE BANDAGE PLASTIC 3/4IN 60CT Generic for Bandaid Plastic ADHESIVE WATERPROOF TAPE 1/2 X 10YD Generic for Johnson & Johnson Tape ALCOHOL PREP PADS 100CT $2.50 $3.09 $3.09 Item shipped may appear different than item pictured. 26

32 Over-the-Counter Health Products FIRST AID SUPPLIES BANDAID COMFORT-FLEX PLASTIC ALL ONE SIZE 60CT $2.87 BASIC THERMOMETER DIGITAL $5.15 BD ALCOHOL SWABS 100CT $3.61 BD HOME SHARPS CONTAINER $4.12 ELASTIC BANDAGE 2IN $3.79 ELASTIC BANDAGE 3IN $

33 FIRST AID SUPPLIES EPSOM SALT 16OZ $4.64 HAND SANITIZER 8OZ Generic for Purell $4.02 HOT COLD COMPRESS GEL REUSABLE 1CT $4.29 HYDROGEN PEROXIDE 3* 8OZ $3.50 ICE COMPRESS 1CT $4.29 ICE COMPRESS - 1 TIME USE $3.95 JOHNSON & JOHNSON FIRST AID KIT MINI $2.59 Item shipped may appear different than item pictured. 28

34 Over-the-Counter Health Products FIRST AID SUPPLIES JOHNSON & JOHNSON FIRST AID KIT 140 PIECES $20.08 JOHNSON & JOHNSON TAPE WATERPROOF 1/2 X 10YD $5.22 NEW-SKIN LIQUID BANDAGE 1OZ $7.21 PURELL HAND SANITIZER 8OZ $5.06 RUBBING ALCOHOL 70* 16OZ $4.50 THERMOMETER FOREHEAD STRIPS $

35 FIRST AID SUPPLIES VICKS COMFORTFLEX THERMOMETER $17.53 FOOT CARE DR SCHOLLS CORN CUSHION REGULAR 9CT $3.61 GASTROINTESTINALS ALKA-SELTZER ORIGINAL 24CT $6.05 ANTACID ASSORTED TABLET 150CT Generic for Tums $4.34 ANTACID CHEWABLE EXTRA STRENGTH 96CT Generic for Tums Extra Strength $3.61 Item shipped may appear different than item pictured. 30

36 Over-the-Counter Health Products GASTROINTESTINALS ANTACID LIQUID DS 12OZ Generic for Mylanta DS $4.64 ANTI-DIARRHEAL CAPLET 2MG 12CT Generic for Imodium $3.61 ANTISEPTIC CLEANSING PADS 100CT Generic for Tucks $6.18 BISACODYL 5MG TABLET 25CT Generic for Dulcolax $4.16 BISACODYL 5MG TABLET 100CT Generic for Dulcolax $7.21 BISCOLAX 10MG SUPPOSITORIES 12CT Generic for Dulcolax Suppositories $1.60 CLEARLAX POWDER 4.1 OZ Generic for Miralax $

37 GASTROINTESTINALS DULCOLAX 10MG RECTAL SUPPOSITORIES 4CT $7.23 DULCOLAX TABLETS 5MG 100CT $27.48 DULCOLAX TABLETS 5MG 25CT $9.18 EFFERVESCENT PAIN RELIEF TABLETS 36CT Generic for Alka-Seltzer Original $6.47 EX-LAX TABLETS REGULAR STRENGTH 30CT $7.73 FAMOTIDINE TABLET 10MG 30CT Generic for Pepcid $6.18 Item shipped may appear different than item pictured. 32

38 Over-the-Counter Health Products GASTROINTESTINALS FERROUS SULFATE TABLETS 325MG 100CT $6.18 FIBER LAXATIVE CAPSULES PHYLLIUM 160CT Generic for Metamucil FLEET GLYCERIN SUPPOSITORY 24CT $10.79 $4.12 GAS RELIEF CHEWABLE 125MG TABLETS 60CT Generic for Gas-X Chewables GAS RELIEF SOFTGEL EXTRA STRENGTH 30CT Generic for Gas-X Softgels $5.67 $6.18 GAS-X EXTRA STRENGTH SOFTGELS 10CT $5.67 HEMORRHOID CARE COMBO $

39 GASTROINTESTINALS HEMORRHOIDAL CREAM 1.8OZ Generic for Preparation H Cream $5.87 HEMORRHOIDAL SUPPOSITORIES 12CT Generic for Preparation H Suppositories $5.15 KAOPECTATE LIQUID REGULAR FLAVOR 8OZ $6.63 LACTAID FAST ACT CAPLETS 32CT $12.09 METAMUCIL CAPSULES 100CT $21.17 MILK OF MAGNESIA SUSPENSION 16OZ Generic for Phillips' Milk of Magnesia $5.67 Item shipped may appear different than item pictured. 34

40 Over-the-Counter Health Products GASTROINTESTINALS MIRALAX PWD 7 DOSES 4.1OZ $9.67 OMEPRAZOLE 20MG TABLETS 42CT Generic for Prilosec $29.07 PEPCID AC TABLETS ORIGINAL STRENGTH 30CT $14.58 PEPTO-BISMOL CAPLETS ORIGINAL 40CT $9.96 PEPTO-BISMOL LIQUID ORIGINAL 8OZ $5.85 PINK BISMUTH LIQUID 8OZ Generic for Pepto Bismol $

41 GASTROINTESTINALS PINK BISMUTH TABLET - CHEWABLE 30CT Generic for Pepto Bismol Chew Tabs $3.94 PREPARATION H CREAM MAXIMUM STRENGTH 0.9OZ $9.79 PREPARATION H OINTMENT 2OZ $19.10 PREPARATION H SUPPOSITORIES 24CT $20.91 PRILOSEC OTC TABLETS 42CT $39.58 RANITIDINE 75MG TABLET 30CT Generic for Zantac $5.15 SENNA TABLET 100CT Generic for Senokot $6.70 Item shipped may appear different than item pictured. 36

42 Over-the-Counter Health Products GASTROINTESTINALS SENOKOT-S TABLET 30CT $22.79 STOOL SOFTENER SOFTGELS 100CT Generic for Docusate $5.00 TUCKS MEDICATED PADS 40CT $6.60 TUMS EXTRA STRENGTH SMOOTHIES TAB ASSORTED FRUIT 60CT $7.30 TUMS EXTRA STRENGTH TABLETS ASSORTED 96CT $

43 INCONTINENCE A & D OINTMENT 4OZ $6.31 ATTENDS BRIEF *DIAPERS* MEDIUM 24CT $23.63 BALMEX CLEAR PROTECTION OINTMENT 3.5OZ $6.45 BALMEX DIAPER RASH CREAM WITH ZINC OXIDE 4OZ $6.23 DESITIN ORIGINAL OINTMENT 4OZ $8.69 DIAPER RASH PASTE 4OZ Generic for Desitin $5.79 Item shipped may appear different than item pictured. 38

44 Over-the-Counter Health Products INCONTINENCE FITTED BRIEF LARGE 18CT $15.45 FITTED BRIEFS EXTRA LARGE 15CT DIAPERS $15.45 FITTED BRIEFS MEDIUM 16CT DIAPERS $15.45 PERFIT PROTECTIVE UNDERWEAR 14CT EXTRA LARGE $15.45 PERFIT PROTECTIVE UNDERWEAR 18CT LARGE $15.45 PERFIT PROTECTIVE UNDERWEAR 20CT MEDIUM $

45 INCONTINENCE PERINEUM WASH 8OZ $7.21 PREVAIL BLADDER CONTROL PADS, MODERATE 20CT $15.00 PREVAIL UNDERPAD 30X36 10CT $10.30 PROCARE BRIEFS LARGE 18CT $12.50 PROCARE BRIEFS MEDIUM 16CT $12.50 PROCARE BRIEFS XLARGE 15CT $12.50 Item shipped may appear different than item pictured. 40

46 Over-the-Counter Health Products OPTICS ARTIFICIAL TEARS 0.5OZ $8.24 BAUSCH & LOMB RENU MULTI PURPOSE SOLUTION 12OZ $13.79 BAUSCH & LOMB SOOTHE HYDRATION LUBRICANT EYE DROPS 15ML $13.43 CLEAR EYES ITCHY EYE RELIEF DROPS 0.5OZ $5.35 CLEAR EYES MAXIMUM REDNESS RELIEF DROPS 0.5OZ $

47 OPTICS DEBROX DROPS EARWAX REMOVAL AID 0.5OZ $8.10 EYE DROPS 0.5OZ $3.09 EYE DROPS AC 0.5OZ $3.39 EYE DROPS MOISTURE 0.5OZ $2.95 MURINE EAR WAX REMOVAL SYSTEM 0.5OZ $8.47 OPTI-FREE NO-RUB EXPRESS SOLUTION 4OZ $7.30 Item shipped may appear different than item pictured. 42

48 Over-the-Counter Health Products OPTICS OPTI-FREE REPLENISH MULTI-PURPOSE SOLUTION 10OZ $15.00 SYSTANE LUBRICANT EYE DROPS 15ML $16.19 VISINE AC EYE DROPS 0.5OZ $6.18 PAIN RELIEVERS ACETAMINOPHEN 325MG TABLET 100CT Generic for Tylenol Regular Strength $4.64 ACETAMINOPHEN 500MG CAPLETS 100CT Generic for Tylenol Extra Strength ACETAMINOPHEN EXTRA STRENGTH 500MG TABLET 100CT Generic for Tylenol Extra Strength $5.15 $

49 PAIN RELIEVERS ADVIL 200MG CAPLET 100CT $16.08 ADVIL 200MG LIQUI-GEL 80CT $16.86 ADVIL 200MG MIGRAINE LIQUI-GEL 40CT $10.71 ADVIL CHILD SUSPENSION FRUIT 4OZ $7.93 ADVIL PM CAPLET 40CT $11.46 ALEVE 220MG ARTHRITIS GELCAPS 40CT EASY OPEN $10.75 ALEVE 220MG ARTHRITIS LIQUIGELS 80CT EASY OPEN $22.04 Item shipped may appear different than item pictured. 44

50 Over-the-Counter Health Products PAIN RELIEVERS ALEVE 220MG CAPLET 100CT $18.02 ARTHRITIS HOT DEEP PENETRATING PAIN RELIEF CREAM 3OZ $4.64 ASPIRIN 325MG TABLET 100CT Generic for Bayer 325mg $3.61 ASPIRIN ADULT ENTERIC COATED 81MG 120CT Generic for Bayer 81mg $4.49 ASPIRIN CHILD CHEW 81MG 36CT Generic for Bayer Child Chewable $2.06 BAYER 325 TABLETS 100CT $11.02 BAYER ADULT 81MG ENTERIC COATED LOW DOSE ASPIRIN 120CT $

51 PAIN RELIEVERS HEADACHE RELIEF ADDED STRENGTH TABLET 100CT $5.67 IBUPROFEN 200MG CAPLET 100CT Generic for Advil $6.18 IBUPROFEN 200MG SOFTGELS 80CT Generic for Advil Liquigel $10.30 IBUPROFEN CHILD SUSP BERRY 4OZ Generic for Advil Child Suspension $5.57 IBUPROFEN PM CAPLETS 40CT Generic for Advil PM $8.58 MIDOL MAXIMUM STRENGTH MENSTRUAL FORM CAPLET 24CT $7.70 MIGRAINE FORMULA CAPLET 24CT Generic for Excedrin $4.12 Item shipped may appear different than item pictured. 46

52 Over-the-Counter Health Products PAIN RELIEVERS NAPROXEN SODIUM 220MG CAPLET 100CT Generic for Aleve PAIN RELIEVER PM EXTRA STRENGTH CAPLET 50CT Generic for Tylenol PM $9.86 $4.12 PAMPRIN MULTI-SYMPTOM CAPLETS 20CT $5.38 ST JOSEPH ADULT ASPIRIN 81MG CHEW TAB 36CT $3.61 SMOKING CESSATION NICOTINE GUM 2MG 50CT Generic for Nicorette $26.01 NICOTINE GUM 4MG 50CT Generic for Nicorette $

53 SMOKING CESSATION NICOTINE PATCH STEP 1 21MG 14CT $40.25 NICOTINE PATCH STEP 2 14MG 14CT $41.03 NICOTINE PATCH STEP 3 7MG 14CT $34.24 SUPPORT PRODUCTS ANKLE SUPPORT ELASTIC BLACK LARGE $8.59 ANKLE SUPPORT ELASTIC BLACK MEDIUM $8.59 ANKLE SUPPORT ELASTIC BLACK SMALL $8.59 Item shipped may appear different than item pictured. 48

54 Over-the-Counter Health Products SUPPORT PRODUCTS ANKLE SUPPORT ELASTIC BLACK XLARGE $8.59 FUTURO ANKLE SUPPORT WRAP AROUND MEDIUM $11.71 FUTURO ANKLE SUPPORT WRAP AROUND LARGE $11.71 FUTURO KNEE SUPPORT STABILIZING LARGE $17.11 FUTURO KNEE SUPPORT STABILIZING MEDIUM $

55 SUPPORT PRODUCTS FUTURO WRIST STABILIZER DELUXE LEFT LARGE/X-LARGE $29.15 FUTURO WRIST STABILIZER DELUXE LEFT SMALL/MEDIUM $29.15 FUTURO WRIST STABILIZER DELUXE RIGHT LARGE/X-LARGE $29.15 FUTURO WRIST STABILIZER DELUXE RIGHT SMALL/MEDIUM $29.15 JOBST MENS DRESS KNEE HIGH 8-15MMHG BROWN LARGE 2CT $17.56 Item shipped may appear different than item pictured. 50

56 Over-the-Counter Health Products SUPPORT PRODUCTS JOBST MENS DRESS KNEE HIGH 8-15MMHG BROWN MEDIUM 2CT $17.56 JOBST WOMENS SHEER KNEE HIGH 8-15MMHG LARGE SILKY BEIGE $14.29 JOBST WOMENS SHEER KNEE HIGH 8-15MMHG MEDIUM SILKY BEIGE $14.62 TOPICAL ABREVA COLD SORE CREAM 2GM $26.20 ADVANCED HEALING LOTION 10OZ $

57 TOPICAL AFTERBURN GEL TUBE 2OZ $7.21 ARTHRITIS CREAM 3OZ Generic for Aspercreme $5.44 ASPERCREME HEAT PAIN RELIEVING GEL 2.5OZ $7.23 ASPERCREME PAIN RELIEVING RUB 3OZ $7.61 ASPERCREME PATCH WITH LIDOCAINE 5CT $11.38 AVEENO SOOTHING OATMEAL BATH TREATMENT 8PK $8.73 Item shipped may appear different than item pictured. 52

58 Over-the-Counter Health Products TOPICAL BENGAY PAIN RELIEVING CREAM ULTRA STRENGTH 4OZ $11.04 BENGAY ULTRA STRENGTH PAIN RELIEVING PATCH REG SIZE 5CT $10.16 BLISTEX LIP OINTMENT MEDICATED 0.21OZ $2.58 CAPSAICIAN NO FUSS APPLICATOR 1OZ Generic for Capzasin $8.01 CAPZASIN TOPICAL ANALGESIC LIQUID NO-MESS APPLICATOR 1OZ $10.99 CARMEX JAR 0.25 OZ $

59 TOPICAL CARMEX EASY-ON APPLICATOR 0.35OZ $2.06 COLD HOT MEDICATED PATCH 5CT generic $5.99 COLD/HOT MEDICATED PATCH LARGE 5CT Generic for Icy Hot Patches $5.99 HERPECIN L LIP PROTECTANT SPF OZ $6.18 ICY HOT CREAM 1.25OZ $5.15 ICY HOT CREAM WITH LIDOCAINE 2.7OZ $10.63 Item shipped may appear different than item pictured. 54

60 Over-the-Counter Health Products TOPICAL ICY HOT MEDICATED PATCHES EXTRA STRENGTH LARGE BACK 5CT $9.27 ICY HOT SLEEVE LARGE KNEE ANKLE ELBOW 3CT $8.47 ICY HOT WITH LIDOCAINE PATCH 5CT $12.32 MEDERMA GEL 50GM $40.76 NEUTROGENA SUNBLOCK SPF30 3OZ $

61 TOPICAL NEUTROGENA ULTRA STICK SPF70 1.5OZ $14.98 STOPAIN MSM EXTRA STRENGTH PAIN RELIEF SPRAY 4OZ $13.39 SUNSCREEN LOTION / GENERIC SPF 30 8OZ $8.73 SUNSCREEN LOTION / GENERIC SPF 50 8OZ $8.73 THERMACARE HEATWRAPS 8HR LOWER BACK & HIP 2CT $9.79 THERMACARE HEATWRAPS 8HR NECK SHOULDER WRIST 3CT $9.79 Item shipped may appear different than item pictured. 56

62 Over-the-Counter Health Products TOPICAL THERMACARE HEATWRAPS MENSTRUAL 3CT $9.79 TIGER BALM EXTRA STRENGTH OINTMENT 0.63OZ $

63 This information is not a complete description of benefits. Contact the plan for more information. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. Limitations, copayments and restriction may apply. CareMore Health is a HMO/HMO SNP plan with a Medicare contract. Enrollment in CareMore Health depends on contract renewal.