Over-the-Counter (OTC) Items. Benefit

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1 Over-the-Counter (OTC) Items Benefit

2 Get up to $180 in FREE over the counter (OTC) items each year! That s $15 each month! Para solicitar este documento en español o para escuchar la traducción, llame al Servicio al Cliente al (TTY/TDD ). It s EASY to get your items. Just follow these steps: 1 Choose what you and your family need. 2 Call Customer Service with your order. The toll free phone number is (TTY/TDD ). 3 Or visit our website at log into the member portal and place your order. That s it! Your order will be mailed to your home at NO CHARGE to you! For more information, call (TTY/TDD ).

3 ALLERGY PREVENTION AND TREATMENT 1 Loratadine 10mg Tablets Claritin 10 $ Cetirizine 10mg Tablets Zyrtec 14 $ Diphenhydramine 25mg Capsules Benadryl 24 $ Chlorpheniramine 4mg Tablets Chlor Trimeton Tablets 24 $3.00 ANALGESICS/ANTIPYRETICS 5 Aspirin 325mg Tablets Bayer Aspirin 325mg 100 $ Aspirin Enteric Coated 81mg Tablets Bayer EC Aspirin 81mg (Adult Regimen) 120 $ Aspirin Enteric Coated 325mg Tablets Ecotrin Tablets 100 $ Acetaminophen 325mg Tablets Tylenol 325mg Regular Strength Tablets 100 $ Acetaminophen 500mg Tablets Tylenol 500mg Extra Strength Tablets 50 $ Pre Menstrual Relief Tablets Midol 24 $ Pain Relief PM Tylenol PM 24 $4.00 ANTACIDS AND ACID REDUCERS 12 Gas Relief 80mg Tablets Gas X Tablets 100 $ Omeprazole 20mg Prilosec 14 $ Antacid Tablets Tums Tablets 150 $ Ranitidine 75mg Tablets Zantac Tablets 30 $ Famotidine 10mg Tablets Pepcid 30 $ Heartburn Relief (Cimetidine) Tagamet Tablets 30 $ Gas Relief Tablets Extra Strength Gas X Extra Strength 30 $5.00 ARTHRITIS MEDICINE 19 Arthritis Pain Relief Tablets Tylenol Arthritis Pain Tablets 24 $ Glucosamine/Chondroitin Tablets Glucosamine/Chondroitin Tablets 60 $9.00 OTC allowance is for each head of household, not each family member. If you do not use your $15 in a month, it does not carry over to the next month. Items, quantities/sizes and values may change depending on availability. Brand-name Brand name items may be sent in place of generic items. The brand names of the OTC items listed are trademarks of their respective owners. OTC Items Benefit 1 OTC Items Benefit 2

4 ANTICANDIALS (YEAST) 21 Clotrimazole Vaginal Cream Gyne Lotrimin 1 $ Miconazole Vaginal Cream Monistat 3 1 $12.00 ANTIDIARRHEALS AND LAXATIVES 23 Stool Softener Capsules Colace Softgels 60 $ Adult Glycerin Suppositories Fleet Adult Suppositories 50 $ Bisacodyl 10mg Suppositories Dulcolax Suppositories 12 $ Bisacodyl 5mg Tablets Dulcolax Tablets 25 $ Anti Diarrheal Caplets Imodium Caplets 12 $ Anti Nausea Liquid Emetrol 4oz $ Peptic Relief Tablets Pepto Bismol Tablets 30 $ Senna Laxative Tablets Senokot Tablets 100 $7.00 MOTION SICKNESS MEDICATION 31 Motion Sickness Tablets Dramamine Motion Sickness 12 $4.00 TOPICAL OINTMENTS AND CREAMS 32 Anti Itch Cream Benadryl Cream 1oz $ Muscle Rub Cream Bengay 1.25oz $ Triple Antibiotic Ointment Neosporin Ointment 0.5oz $ Clotrimazole 1% Cream Lotrimin AF 0.5oz $ Tolnaftate 1% Cream Tinactin Cream 0.5oz $ Cold Sore Treatment Cold Sore Treatment 1 $ Hydrocortisone 1% Cream Cortizone Cream 0.5oz $ Capsaicin Cream Zostrix Cream 1 $ Petroleum Jelly Vaseline Jelly 2.5oz $ Benzoyl Peroxide Cream Clearasil 1 $6.00 COLD, COUGH, FLU REMEDIES 42 Nasal Decongestion Spray Afrin Nasal Spray 1oz $ Saline Nasal Spray Ocean Nasal Spray 1.5oz $ Cough/Throat Drops Halls Cough Drops 30 $ Tussin Syrup Robitussin Syrup 4oz $ Tussin DM Syrup Sugar Free Robitussin DM Syrup 4oz $5.00 OTC Items Benefit 3 OTC Items Benefit 4

5 COLD, COUGH, FLU REMEDIES 47 Vapor Rub Vicks Vaporub 3.53oz $ Daytime Cold/Flu Relief Caplets DayQuil Caplets 16 $ Nite Time Cold/Flu Relief Caplets NyQuil Caplets 12 $ Effervescent Tablets Alka Seltzer 20 $ Mucus Relief Tablets Mucus Relief Tablets 30 $ Mucus Relief DM Tablets Mucus Relief DM Tablets 30 $ Nasal Decongestion PE Tablets Sudafed PE 18 $ APAP Sinus Congestion Tylenol Sinus Congestion 24 $5.00 DENTAL AND DENTURE CARE 55 Toothache Relief Liquid/Gel Anbesol Liquid/Gel 0.33oz $ Denture Adhesive Cream Fixodent 2.4oz $ Premium Adult Toothbrush Premium Adult Toothbrush 1 $ Fluoride Toothpaste Colgate 6oz $ Premium Dental Floss Premium Dental Floss 1 $2.00 EAR CARE 60 Ear Syringe Ear Syringe 1 $ Ear Wax Drops Debrox Ear Wax Drops 0.5oz $7.00 EYE CARE 62 Artificial Tears Murine Tears 0.5oz $ Red Eye Relief Drops Visine Drops 0.5oz $4.00 FIBER SUPPLEMENTS 64 Fibertab Tablets FiberCon 90 $9.00 FIRST AID AND MEDICAL SUPPLIES 65 Athletic Bandage Ace Bandage 1 $ Adhesive First Aid Tape Adhesive First Aid Tape 1 $ Alcohol Pads Alcohol Pads 100 $ Bandages Band Aids 30 $ Butterfly Closures Butterfly Closures 10 $2.00 OTC Items Benefit 5 OTC Items Benefit 6

6 FIRST AID AND MEDICAL SUPPLIES 70 Cotton Balls Cotton Balls 100 $ Cotton Swabs Q Tips Cotton Swabs 150 $ Ice Bag Ice Bag 1 $ Stretch Gauze Bandage Johnson & Johnson Gauze 1 $ Oral Thermometer Oral Thermometer 1 $ Flexible Tip Thermometer Flexible Tip Thermometer 1 $ Thermometer Probe Covers Thermometer Probe Cover 30 $ Hot/Cold Patches Icy Hot Patches 5 $ Corn and Callus Remover Dr. Scholl s Corn and Callus Remover 1 $ Liquid Wart Remover Compound W Wart Remover 1 $7.00 HEMORRHOIDAL PREPARATIONS 80 Hemorrhoid Relief Suppositories Preparation H Suppositories 12 $ Hemorrhoidal Ointment Preparation H Ointment 2oz $ Witch Hazel 50% Pads Tucks Medicated Pads 100 $8.00 LACTOSE INTOLERANCE 83 Lactase Enzyme Lactaid Tablets 30 $8.00 HEADACHE RELIEF 84 Headache Relief Tablets Excedrin Migraine 24 $ Headache Relief PM Tablets Excedrin PM Tablets 50 $ Tension Headache Relief Excedrin Tension Relief 24 $4.00 ANTI INFLAMMATORY 87 Ibuprofen 200mg Tablets Advil Tablets 50 $ Naproxen Sodium 220mg Caplets Aleve Caplets 24 $ Ibuprofen 200mg Liquid Gel Caps Advil Liquid Gel Caps 20 $5.00 PEDICULICIDES (HEAD LICE TREATMENTS) 90 Lice Treatment Shampoo Rid Lice Shampoo 4oz $ Lice Comb Lice Comb 1 $5.00 SLEEPING AIDS 92 Sleep Aid Tablets (Doxylamine) Unisom Tablets 16 $ Night Time Sleep Tablets (Diphenhydramine) Sominex Tablets 24 $4.00 OTC Items Benefit 7 OTC Items Benefit 8

7 VITAMINS AND MINERALS 94 B Complex/B 12 Vitamins B Complex/B 12 Vitamins 100 $ Adult Multi Vitamins Adult Multi Vitamins 100 $ Prenatal Vitamins Stuart Prenatal Vitamins 100 $ Vitamin C 500mg Tablets Vitamin C 500mg Tablets 100 $ Vitamin E 400 IU Caplets Vitamin E 400 IU Caplets 100 $ Vitamin A 10,000 IU Caplets Vitamin A 10,000 IU Caplets 100 $ Elemental Iron 65mg Tablets Feosol 100 $ Folic Acid 400mcg Tablets Folic Acid 400mcg Tablets 100 $ Magnesium 250mg Tablets Magnesium 250mg Tablets 100 $ Zinc 50mg Tablets Zinc 50mg Tablets 100 $ Vitamin B 1 100mg Tablets Vitamin B 1 100mg Tablets 100 $ Vitamin B mcg Tablets Vitamin B mcg Tablets 100 $ Vitamin B 6 100mg Tablets Vitamin B 6 100mg Tablets 100 $ Calcium Vitamin D Tablets Caltrate D Tablets 60 $ Calcium Tablets Caltrate 600 Tablets 60 $5.00 CHILDREN S PRODUCTS 109 Orajel Baby Orajel Baby 0.33oz $ Tooth and Gum Cleanser Tooth and Gum Cleanser 1 $ Diaper Rash Ointment Diaper Rash Ointment 1oz $ Duofilm Duofilm 1 $ Gas Relief Drops Mylicon Drops 1oz $ Poly Vitamin Drops Poli Vi Sol Drops 1 $ Children s Chewable Multi Vitamins Flintstones Multi Vitamins 100 $ Children s Ibuprofen Suspension 100mg Motrin Suspension for Children 4oz $ Jr. Strength Ibuprofen Chew Tabs 100mg Motrin Jr. Strength Tablets 24 $ Acetaminophen Jr. Strength Chew Tabs 160mg Tylenol Jr. Strength Tablets 24 $ Children's Acetaminophen Liquid Tylenol Children's Elixir 4oz $ Acetaminophen 80mg Chew Tabs Tylenol 80mg Chewable Tablets 30 $ Children's Cold and Allergy Liquid Dimetapp Cold and Allergy Elixir 4oz $ Ibuprofen Infants Drops Motrin Infant Drops 0.5oz $7.00 OTC Items Benefit 9 OTC Items Benefit 10

8 CHILDREN S PRODUCTS 123 Acetaminophen Infants Drops Tylenol Infant Drops 1oz $ Children's Glycerin Suppositories Children's Glycerin Suppositories 12 $ Diphenhydramine Liquid Benadryl Elixir 4oz $ Premium Medium Baby Diapers Premium Medium Baby Diapers 18 $ Premium Large Baby Diapers Premium Large Baby Diapers 16 $ Premium Extra Large Baby Diapers Premium Extra Large Baby Diapers 14 $ Premium Baby Wipes Pampers Baby Wipes 60 $3.00 OTHER ITEMS 130 Male Condoms Male Condoms 3 $ Female Condoms Female Condoms 3 $ Feminine Hygiene Wipes Feminine Hygiene Wipes 16 $ Pregnancy Test Pregnancy Test 1 $ Disposable Douche Disposable Douche 1 $ Premium Tampons Premium Tampons 8 $ Pill Box Pill Box 1 $ First Aid Kit First Aid Kit 1 $ Sore Throat Lozenges Chloraseptic Lozenges 18 $ Hand Sanitizer Wipes Hand Sanitizer Wipes 24 $ SPF 30 Sunblock SPF 30 Sunblock 4oz $ Pocket Facial Tissue Pocket Facial Tissue 1 $ Calamine Lotion Calamine Lotion 4oz $ Sensitive Teeth Toothpaste Sensodyne 2oz $ Premium Mouthwash Listerine 1 $ Fever Strip Thermometer Fever Strip Thermometer 1 $ Premium Antibacterial Hand Soap Softsoap Antibacterial Soap 1 $ Dry Skin Therapy Moisturizing Cream Dry Skin Therapy Cream 1 $ Temple Thermometer (Digital) Temple Thermometer (Digital) 1 $13.00 OTC Items Benefit 11 OTC Items Benefit 12

9 P.O. Box Tampa, FL FL019759_CAD_OTC_ENG State Approved MMDDYYYY WellCare 2012 FL_07_12_WHK

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