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Quick Reference Guide
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 reimbursable, such as vitamins without a Letter of Medical Necessity (LMN). Please check with your health care provider for more details.
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| 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 |
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| Skin
Care |
Sunburn relief, Aloe
Vera |
| Sleeping Aids |
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| 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 |
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