Your 2014 Over-the-Counter (OTC) Items Benefit
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1 Your 2014 Over-the-Counter (OTC) Items Benefit
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3 Your health, as well as your family s, is important to us here at WellCare of Kentucky. One way you can help to be your healthiest is by using your OTC benefit. With this benefit, you can choose from over 150 health and wellness items. Things like: Medicines to help with allergies, fever and heartburn Cough and cold medicine Toothbrushes, toothpaste and floss First aid items Sunblock Vitamins On top of a long list of items, we make it easy for you to get them. Look over the list of supplies on the next few pages. When you ve made your choices, we have a couple of ways for you to place your order: 1. Call us toll-free. Customer Service: TTY/TDD: We re here to help Monday Friday, 7 a.m. to 7 p.m. Option 1: You can use our automated phone service to place your order. Simply follow the instructions. Be sure to have your item number(s) ready. Option 2: You can talk with someone on our team. Again, follow the phone instructions and have your item number(s) handy. Remember to use your OTC benefit every month. If you don t use it one month, it doesn t roll over to the next. kentucky.wellcare.com 1
4 2. If you have a computer or smart phone, log on to our website. Go to kentucky.wellcare.com. (If you already have a username and password, use them to log in. If you don t, it s easy to sign up. Just follow the instructions.) After you ve logged in, click on the Over-the-Counter (OTC) Items link to get started. You ll be able to order items until they add up to your monthly $10 allowance. Once your order is placed, we ll ship it right to your home. It s that easy! To get the most out of your OTC benefit: Make sure to order your items each month. If you don t, you ll lose your $10 allowance for that month. It will not carry over to the next month. Use your monthly order to stock up on different items. Important reminders: Your OTC allowance is for each family, not each family member who s on our plan. Items, quantities, sizes and values may change depending on availability. The brand names of the OTC items listed are trademarks of their respective owners. kentucky.wellcare.com 2
5 HELPS WITH ALLERGIES 1 Cetirizine 10mg Zyrtec 30 $8 2 Loratadine 10mg Claritin 30 $7 3 4 Acetaminophen 325mg Acetaminophen 500mg HELPS WITH FEVER AND PAIN Tylenol Regular Strength Tylenol Extra Strength 100 $3 100 $4 5 Aspirin 325mg Bayer Aspirin (Full Dose) 100 $3 6 Aspirin 81mg Chewable Bayer Chewable (Low Dose) 36 $3 7 Aspirin Enteric Coated 81mg Bayer EC Aspirin (Low Dose) 120 $ Aspirin Enteric Coated 325mg Ecotrin 100 $4 HELPS WITH HEARTBURN AND INDIGESTION Acid Reducer (Famotidine) 10mg Acid Reducer (Omeprazole) 20mg Acid Reducer (Ranitidine) 75mg Pepcid 30 $6 Prilosec 14 $10 Zantac 30 $7 12 Antacid Tums 150 $4 13 Effervescent Alka-Seltzer 36 $4 14 Gas Relief Extra- Strength Gas-X Extra Strength 30 $4 HELPS WITH UPSET STOMACH, DIARRHEA AND CONSTIPATION 16 Adult Glycerin Suppositories Fleet Adult Suppositories 50 $4 kentucky.wellcare.com 3
6 HELPS WITH UPSET STOMACH, DIARRHEA AND CONSTIPATION CONTINUED 17 Anti-Diarrheal Caplets Imodium Caplets 12 $4 18 Anti-Nausea Liquid Emetrol 4 oz. $6 19 Bisacodyl 5mg Dulcolax 25 $4 20 Bisacodyl 10mg Suppositories Dulcolax Suppositories 12 $5 21 Stomach Relief Flavored Pepto-Bismol 30 $3 22 Stool Softener Capsules Colace Softgels 100 $4 23 HELPS WITH PAIN (FROM INJURY AND OTHER CAUSES OF PAIN) Ibuprofen 200mg Liquid Gel Capsules Advil Liqui-Gels 20 $5 24 Ibuprofen 200mg Advil 50 $5 25 Naproxen Sodium 220mg Caplets 26 Arthritis Pain Relief Aleve Caplets 50 $8 HELPS WITH ARTHRITIS Tylenol Arthritis Pain 24 $5 27 Hot/Cold Patches Icy Hot Patches 5 $ Acetaminophen 80mg Chewable Acetaminophen Infants Drops* Acetaminophen Jr. Strength Chewable 160mg* CARE ITEMS FOR CHILDREN Tylenol Chewable 30 $5 Tylenol Infant Drops 0.5 oz. $5 Tylenol Jr. Strength 24 $5 31 Children s Glycerin Suppositories 12 $3 32 Children s Chewable Multi- Vitamins * These items are dye free Flintstones Multi-Vitamins 100 $7 kentucky.wellcare.com 4
7 Children s Ibuprofen Suspension 100mg* Children s Acetaminophen Liquid Children s Cold and Allergy Liquid CARE ITEMS FOR CHILDREN CONTINUED Motrin Suspension for Children 4 oz. $10 Tylenol Children s Elixir 4 oz. $5 Dimetapp Cold and Allergy Elixir 4 oz. $5 36 Children s Toothbrush Oral B Toothbrush 1 $2 37 Diaper Rash Ointment 1 oz. $3 38 Diphenhydramine Liquid* Benadryl Elixir 4 oz. $4 39 Duofilm 1 $7 40 Gas Relief Drops* Mylicon Drops 1 oz. $10 41 Ibuprofen Infants Drops Motrin Infant Drops 0.5 oz. $7 42 Jr. Strength Ibuprofen Chewable 100mg Motrin Jr. Strength 24 $6 43 Teething Relief Gel Orajel Baby 0.33 oz. $6 44 Poly Vitamin Drops Poli-Vi-Sol Drops 1 $7 45 Premium (Preemie to 6 lbs.) Diapers Pampers Diapers 28 $10 46 Premium (8-16 lbs.) Diapers Pampers Diapers 24 $10 47 Premium (16-28 lbs.) Diapers Pampers Diapers 20 $10 48 Premium (22-37 lbs.) Diapers Pampers Diapers 18 $10 49 Premium (27+ lbs.) Diapers Pampers Diapers 16 $10 50 Premium (35+ lbs.) Diapers Pampers Diapers 14 $10 51 Premium Baby Wipes Pampers Baby Wipes 80 $4 52 Tooth and Gum Cleanser 1 $6 * These items are dye free kentucky.wellcare.com 5
8 HELPS WITH COUGHING, COLDS AND THE FLU 53 APAP Sinus Congestion Tylenol Sinus Congestion 24 $4 54 Cough/Throat Drops Halls Cough Drops 30 $ Daytime Cold/Flu Relief Caplets Daytime Cold/Flu Relief Liquid DayQuil Caplets 16 $5 DayQuil Liquid 4 oz. $5 57 Mucus Relief DM Mucinex-DM 30 $9 58 Mucus Relief Mucinex 30 $8 59 Nasal Decongestion Spray Afrin Nasal Spray 1 oz. $ Nasal Decongestion PE Nite-Time Cold/Flu Relief Caplets Nite-Time Cold/Flu Relief Liquid Sudafed PE 36 $4 NyQuil Caplets 16 $5 NyQuil Liquid 4 oz. $5 63 Saline Nasal Spray Ocean Nasal Spray 1.5 oz. $3 64 Sore Throat Spray Chloraseptic Sore Throat Spray 6 oz. $4 65 Tussin DM Syrup SF Robitussin DM Syrup 4 oz. $4 66 Tussin Syrup Robitussin Syrup 4 oz. $4 67 Vapor Rub Vicks VapoRub 3.53 oz. $5 DENTAL AND DENTURE CARE 68 Dental Travel Kit 1 $5 69 Denture Adhesive Cream Fixodent 2.4 oz. $4 70 Denture Cleaner Efferdent 24 $3 71 Fluoride Toothpaste Colgate 6 oz. $2 kentucky.wellcare.com 6
9 DENTAL AND DENTURE CARE CONTINUED 72 Premium Adult Toothbrush Aim Toothbrush 1 $2 73 Premium Dental Floss Aim Dental Floss 1 $2 74 Premium Mouthwash Listerine 1 $3 75 Sensitive Teeth Toothpaste Sensodyne 4 oz. $3 76 Toothache Relief Liquid/Gel Anbesol Liquid/Gel 0.33 oz. $4 EAR CARE 77 Ear Syringe 1 $3 78 Ear Wax Drops Debrox Ear Wax Drops 0.5 oz. $6 EYE CARE AND HEALTH 79 Artificial Tears Visine Tears 0.5 oz. $4 80 Eyeglass Repair Kit 1 $5 81 Reading Glass Diopter $9 82 Reading Glass Diopter $9 83 Reading Glass Diopter $9 84 Reading Glass Diopter $9 85 Reading Glass Diopter $9 86 Reading Glass Diopter $9 87 Reading Glass Diopter $9 88 Reading Glass Diopter $9 89 Reading Glass Diopter $9 90 Reading Glass Diopter $9 91 Reading Glass Diopter $9 kentucky.wellcare.com 7
10 EYE CARE AND HEALTH CONTINUED 92 Reading Glass Diopter $9 93 Red Eye Relief Drops Visine Drops 0.5 oz. $3 94 Fiber Gummies HELPS WITH GETTING MORE FIBER IN YOUR DIET Vitafusion Fiber Well Gummies 90 $9 95 Fibertab FiberCon 90 $9 FIRST AID AND OTHER CARE ITEMS 96 Adhesive First-Aid Tape 1 $2 97 Alcohol Pads 100 $3 98 Athletic Bandage 1 $2 99 Bandages (Assorted) Band-Aids 100 $3 100 Butterfly Closures 10 $2 101 Corn and Callus Remover Dr. Scholl s Corn and Callus Remover 0.5 oz. $4 102 Cotton Balls 100 $2 103 Cotton Swabs Q-Tips Cotton Swabs 150 $3 105 Flexible Tip Thermometer 1 $ Ice Bag 1 $4 107 Liquid Wart Remover Compound W Wart Remover 0.5 oz. $6 108 Oral Digital Thermometer (60-Second) 1 $5 109 Stretch Gauze Bandage 1 $2 124 Thermometer Probe Covers 30 $3 kentucky.wellcare.com 8
11 HELPS WITH HEADACHES/MIGRAINES 110 Headache Relief Excedrin Migraine 24 $4 HELPS WITH HEMMORRHOIDS 111 Hemorrhoid Ointment Preparation H Ointment 60gm $7 112 Hemorrhoid Pads Tucks Medicated Pads 100 $8 113 Hemorrhoid Relief Suppositories Preparation-H Suppositories 12 $5 HELPS WITH DIGESTING MILK AND OTHER DAIRY ITEMS 114 Lactase Enzyme Lactaid 30 $8 HELPS WITH MOTION SICKNESS 115 Motion Sickness Dramamine Motion Sickness 12 $3 117 Anti-Bacterial Liquid Hand Soap (Pump) OTHER PERSONAL CARE ITEMS Dial Antibacterial Liquid Soap (Pump) 1 $5 118 Anti-Bacterial Wet Wipes 24 $4 119 Calamine Lotion 4 oz. $ Disposable Douche (Twin Pack) Dry Skin Therapy Moisturizing Cream Summer s Eve Disposable Douche 2 $5 Lubriderm 1 $8 122 Feminine Hygiene Wipes Always Hygiene Wipes 40 $5 123 Fever Strip Thermometer 1 $3 104 First Aid Kit (75 pieces) 1 $8 125 Hand Sanitizer Spray Pen (Twin Pack) 2 $3 126 Lip Balm ChapStick 1 $1 kentucky.wellcare.com 9
12 OTHER PERSONAL CARE ITEMS CONTINUED 127 Male Condoms Trojan Condoms 3 $2 128 Medicine Spoon 1 $1 130 Pill Box 1 $2 131 Pill Splitter 1 $3 132 Pocket Facial Tissue Kleenex Facial Tissue 1 $2 133 Pregnancy Test e.p.t. Pregnancy Test 1 $8 134 Premium Tampons Stayfree Tampons 8 $2 171 SPF 45 Sunblock Coppertone 45 Sunblock 4 oz. $6 135 Super Medicine Dropper 1 $2 HELPS TREAT HEAD LICE 136 Lice Comb 1 $3 HELPS WITH GETTING TO SLEEP Night Time Sleep (Diphenhydramine) Sleep Aid (Doxylamine) Sominex 24 $4 Unisom 16 $5 OINTMENTS AND CREAMS YOU APPLY TO YOUR SKIN 140 Anti-Itch Cream Benadryl Cream 1 oz. $3 141 Clotrimazole 1% Cream Lotrimin AF 1 oz. $5 142 Cold Sore Treatment 1 $8 143 Hydrocortisone 1% Cream Cortaid 1 oz. $3 kentucky.wellcare.com 10
13 OINTMENTS AND CREAMS YOU APPLY TO YOUR SKIN CONTINUED 144 Muscle Rub Cream Bengay 1.25 oz. $3 145 Petroleum Jelly Vaseline Jelly 2.5 oz. $2 146 Tolnaftate 1% Cream Tinactin Cream 1.25 oz. $5 147 Triple Antibiotic Ointment Neosporin Ointment 1 oz. $4 VITAMINS AND MINERALS 148 Adult Multi-Vitamins 100 $8 149 Calcium Vitamin D Caltrate 600+D 60 $6 150 Calcium Caltrate $5 151 Ferrous Sulfate (Iron) 325mg Feosol 100 $6 152 Folic Acid 400mcg 100 $4 153 Magnesium 250mg 100 $3 154 Prenatal Vitamins Stuart Prenatal Vitamins 100 $ Vitamin A 10,000 IU Caplets 100 $4 156 Vitamin B $5 157 Vitamin B-Complex 100 $5 158 Vitamin B-Complex (Chewable/Gummy) 100 $8 159 Vitamin C 500mg 100 $4 160 Vitamin E 400 IU Caplets 100 $7 161 Zinc 50mg 100 $5 kentucky.wellcare.com 11
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16 Para solicitar este documento en español o para escuchar la traducción, llame al Servicio al Cliente al (TTY/TDD ). KY024439_CAD_OTC_ENG_ State Approved WellCare 2013 KY_09_13 KYCADOTC55976E 55976
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