Eligible for Reimbursement*
| *OTC drugs and medical care items are not covered under all plans. This list provides examples of drugs and
items; however, it is subject to change. For more information, consult your benefit plan or contact Customer Service.
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Product Type |
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Examples include, but are not limited to: |
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Acne Medications - pill, liquid, cream, ointment, medicated soaps and cleansing pads
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Clean & Clear, Clearasil, Loma Lux Acne, Nature's Cure
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Allergy Medicines - pill, liquid, nasal spray (see also Eye Drops)
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Benadryl, Chlor-Trimeton, Claritin, Drixoral, NasalCrom, Tavist Allergy |
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Antacids (anti-gas, lactose intolerance) - liquids, pills, tablets
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Alka-Seltzer, Beano, Gas-X, Lactaid, Maalox, Mylanta, Pepcid, Pepto-Bismol, Phazyme, Rolaids, Tums
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Antibiotic creams/ointments
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Bacitracin, Neosporin, Polysporin
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Antidiarrheal - liquids, pills
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Imodium, Kaopectate, Pepto-Bismol
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Anti-Fungal Creams & Powders
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Aftate, Cruex, Lamisil, Lotrimin, Micatin, Tinactin
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Anti-Itch Creams (allergy and poison ivy)
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Benadryl, Cortaid, Ivarest, Lanacort
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Baby Care Products
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Diaper rash cream/ointment, rehydration liquids (Pedialyte, PediaSure), teething gel
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Braces and supports
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Braces and supports for neck, wrist, ankle, elbow, knee, etc.; support stockings
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Canker and Cold Sore Remedies
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Abreva, Anbesol, Cankaid, Carmex, Kank-A
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Cold Medicines
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Cough & sore throat lozenges/drops, cough syrup, decongestants, homeopathic cold medicines, nasal
sprays, TheraFlu, Tylenol Cold, vapor rubs
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Contraceptives/Family Planning
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Condoms, contraceptive creams, pregnancy tests, ovulation predictor kits
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Diabetic Supplies/Equipment
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Alcohol swabs; blood glucose control solutions, monitors, strips and products; lancets and lancet
devices, urine testing products
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Ear Drops (ear wax removal)
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Auro Ear Drops, Debrox Ear Drops, Murine Ear Drops
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Eye Care Products
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Saline and cleaning solutions, eyeglasses, contact lenses
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Eye Drops/ Eye Wash Products
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Eye wash products to clean out eye or remove foreign objects, Murine, Visine
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Feminine Yeast Infection Medicine
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Gyne-Lotrimin, Monistat
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First Aid
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Bandages, dressings, first aid kits, peroxide, rubbing alcohol
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Hemorrhoidal Preparations
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Preparation H, Tucks
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Home Diagnostic Tests or Kits
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Cholesterol, colorectal, drug, HIV, ovulation predictor, pregnancy and urine tests; thermometers
(ear or standard)
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Hot/Cold Packs
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ThermaCare
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Laxatives (laxatives and fiber therapy)
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Citrucel, Dulcolax, Ex-Lax, FiberCon, Fleet, Metamucil, Milk of Magnesia, Peri-Colace
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Lice Treatments
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LiceFree, Nix, Pronto, Rid
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Motion Sickness Medicine
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Bonine, Dramamine, motion sickness wristbands
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Pain Relievers
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Acetaminophen, Advil, Aleve, Anbesol, Aspercreme, aspirin, Ben-Gay, homeopathic pain relievers,
ibuprofen, Icy Hot, Midol, Mineral Ice, Motrin, naproxen sodium, pain relieving gels, Tylenol
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Pain Relievers - Urinary Tract
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Cystex, Uristat
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Smoking Cessation Medicine (patches and gum)
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Nicoderm, Nicorette, Nicotrol, Novartis
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Wart or Corn Removers (liquid or pads)
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Compound W, Curad, Dr. Scholl's Corn Remover, Wart-Off
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Back to Top
|
Not Eligible for Reimbursement*
| *OTC drugs and medical care items are not covered under all plans. This list provides examples
of drugs and items; however, it is subject to change. For more information, consult your benefit plan or contact
Customer Service.
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Product Type |
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Examples include, but are not limited to: |
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Bath Products, Cleansers, Soap
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Aveeno, Dial, Dove, Softsoap
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Creams, Lip Balm, Lipstick, Lotions, Moisturizers
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Basis, Biore, Eucerin, L'Oreal, Neutrogena, Nivea, Noxzema, Oil of Olay, PHisoderm
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Dental - Miscellaneous
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Breath fresheners; dental floss, adhesives, cleansers, gel, gum, rinses; oral cleaning systems (Water Pik);
tongue scrapers; whitening products/systems; toothbrushes; toothpaste
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Deodorants/Anti-Perspirants
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Ban, Brut, Dry Idea, Speed Stick
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Feminine Hygiene
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Always, douches, feminine lubricants and pads, tampons
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Foot Care Products
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Arch and insole supports, Dr. Scholl's callus removers, Odor-Eaters, pedicure products, shoes, toenail clippers
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Hair Care Products
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Conditioner and shampoo (including those used for dandruff), hairspray, styling aids
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Hair Removal Products
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Hair-removal creams, razors, wax
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Medicine Dispensers
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Medicine droppers, pill organizers
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Powders
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Non-fungus fighting foot powders
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Shaving and Grooming Products
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Aftershave, razors, shaving cream
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Snoring Aids
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Nose drops and strips
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Stimulants (to stay awake)
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No Doz, Vivarin
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Sunscreen, Sunless Tanning, After Sun Products
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Coppertone, Hawaiian Tropic
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Back to Top
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Considered Eligible for Reimbursement When Directed in Writing By a Physician to Treat a Specific Medical
Condition*
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The physician's letter must cite the specific medical condition being treated and indicate
that the OTC drug or medication will treat or alleviate it.
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Product Type |
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Examples include, but are not limited to: |
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Herbs
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Black cohosh, echinacea, evening primrose oil, ginkgo biloba, Ginsana, ginseng, goldenseal root, nettle,
olive leaf extract, saw palmetto, St. John's wort
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Other Supplements
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Acidophilus, alpha lipoic acid, amino acids (L-Lysine, L-Arginine, L-Carnitine) chondroitin sulfate, cod
liver oil, DHA, DHEA, EFO, flax seed oil, glucosamine complex, glucosamine sulfate, kelp, melatonin,
omega-3, shark cartilage
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Sleep Induction Medicine
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Simply Sleep, Sleepinal, Sominex, Unisom
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Vitamins and Minerals
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Antioxidants, calcium, chromium, folic acid, iron, magnesium, multi-minerals, multi-vitamins, potassium,
selenium, vitamins
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Water Retention Products
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Aqua-Ban, Diurex
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Weight Loss Products
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Pills
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| *OTC drugs and medical items are not covered under all plans. This list provides examples
of available drugs and items; however, it is subject to change. For more information, consult your benefit plan or
contact Customer Service.
|
Back to Top
|
