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Medicare Prescription Plan

Over-the-Counter Medicines & Products

Over-the-counter (OTC) medicines and products are reimbursable when the OTC product is used for medical purposes.

Eligible items include medicines or products that alleviate or treat injuries or illness for you and your dependents. These drugs and products are not cosmetic in nature, or merely beneficial to your general health.

OTC products that are not medicines or that merely benefit your general health may NOT be reimbursable, such as vitamins without a Letter of Medical Necessity (LMN). Please check with your health care provider for more details.

Eligible OTC Expenses

Type/Class of Drug or Product	Examples
Allergy Prevention and Treatment	Actifed, Allerest, Benadryl, Chlor-Trimeton, Claritin, Contac, NasalCrom, Sudafed
Analgesics/Antipyretics	Aspirin, Advil, Aleve, Ibuprofen, Naprosyn, Tylenol, Midol, Pamprin, Premysyn PMS
Antacids and Acid Reducers	AXID AR, Gas-X, Maalox, Mylanta, Tums, Pepcid AC, Prilosec OTC, Tagamet HB, Zantac 75
Anti-arthritics	Glucosamine, Chondroitin
Antibiotics (topical)	Bacitracin, Neosporin, Triple antibiotic ointment
Anticandial (yeast)	Femstat 3, Gynelotrimin, Mycelex-7, Monistat 3, Vagistat-1
Antidiarrheal and Laxatives	Ex-Lax, Immodium AD, Kaopectate, Pepto-Bismol
Antifungal	Lamisil AT, Lotramin AF, Micatin
Antihistamines	Actifed, Allerest, Benadryl, Claritin, Chlor-Trimeton, Contac, Drixoral, Sudafed, Tavist, Triaminic
Anti-itch Lotions and Creams	Bactine, Benadryl, Caldecort, Caladryl, Calamine, Cortaid, Hydrocortisone, Lanacort, Lamisil AT, Lotramin AF
Asthma Medicines	Bronitin Mist, Bronkaid, Bronkolixer, Primatene
Cold Sore/Fever Blister	Abreva Cream, Herpecin
Cold, Flu, Decongestant and Sinus Remedies	Actifed, Advil Cold and Sinus, Afrin, Alka Seltzer Cold and Flu, Afrinol, Aleve Cold and Sinus, Children's Advil Cold, Contac, Dayquil, Dimetane, Dristan Long-Lasting, Drixoral, Neo-Synephrine 12-Hour, Nyquil, Otrivin, Pediacare, Sudafed, Tavist-D, Thera-flu, Triaminic, Tylenol Cold and Flu, Cough Drops, Nasal Sprays, Throat Lozenges
Contact Lens Supplies	Cleaning and soaking solutions, Lens storage cases
Contraceptive / Family Planning	Ovulation predictor kits, Pregnancy tests, Spermicides, Condoms
Cough Suppressants or Expectorants	Robitussin, Vicks 44, Chloraseptic, Mucinex, Cough drops,Throat lozenges
Dehydration	Pedialyte
Dental/Denture Care	Orajel, Anbesol,Poligrip
Diaper Rash	Aquaphor, Balmax, Desitin
Ear Care	Ear drops, Ear wax removal
Eye Care	Eye drops, Reading glasses, Eye patches
First Aid / Medical Supplies	Antiseptics, Witch Hazel, Peroxide, Bandages, First aid kits, Cold/hot packs for injuries, Joint supports (ankle, elbow, knee, wrist), Rubbing alcohol, Ace wraps, Splints, Thermometers, Liquid adhesives
Foot Care	Arch and insole supports, Callous removers, Athlete's Foot products (see anti-fungal), Bunion, blister and corn treatments
Hemorrhoidal Preparations	Preparation H, Hemorrhoid, Tronolane
Home Diagnostic Tests or Kits	Blood pressure (monitor and related equipment), Cholesterol,Diabetic equipment and supplies, Colorectal screenings, HIV test, Pregnancy tests
Lactose Intolerance	DairyCare, Dairy Relief, Lactaid, Lacteeze, Lactrase
Menstrual Cycle	Midol, Pamprin, Premysyn PMS
Migraine Relief	Advil Migraine, Motrin Migraine, Excedrin
Motion Sickness	Dramamine, Marizine
NSAIDS	Advil, Aleve, Ibuprofen, Motrin, Naprosyn, Naproxen
Pediculicide	Nix, Rid
Pre-natal Vitamins
Skin Care	Sunburn relief, Aloe Vera
Sleeping Aids
Smoking Cessation	Commit, Nicoderm CQ, Nicorette, Nicotrol
Sunscreen/Sunblock	Note: Lotions and cosmetics that contain ingredients to protect you from the sun and/or list a SPF are not eligible
Teething/Toothaches	Orajel, Anbesol
Topical Steroids	Hydrocortisone
Wart Removal	Compound W, Dr. Scholl's Clear Away, Wart-Off