Over-the-Counter (OTC) Items Benefit
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 1-866-698-5437 (TTY/TDD 1-877-247-6272). 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 1-866-698-5437 (TTY/TDD 1-877-247-6272). 3 Or visit our website at www.florida.wellcare.com, 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 1-866-698-5437 (TTY/TDD 1-877-247-6272).
ALLERGY PREVENTION AND TREATMENT 1 Loratadine 10mg Tablets Claritin 10 $6.00 2 Cetirizine 10mg Tablets Zyrtec 14 $7.00 3 Diphenhydramine 25mg Capsules Benadryl 24 $4.00 4 Chlorpheniramine 4mg Tablets Chlor Trimeton Tablets 24 $3.00 ANALGESICS/ANTIPYRETICS 5 Aspirin 325mg Tablets Bayer Aspirin 325mg 100 $3.00 6 Aspirin Enteric Coated 81mg Tablets Bayer EC Aspirin 81mg (Adult Regimen) 120 $5.00 7 Aspirin Enteric Coated 325mg Tablets Ecotrin Tablets 100 $4.00 8 Acetaminophen 325mg Tablets Tylenol 325mg Regular Strength Tablets 100 $6.00 9 Acetaminophen 500mg Tablets Tylenol 500mg Extra Strength Tablets 50 $5.00 10 Pre Menstrual Relief Tablets Midol 24 $7.00 11 Pain Relief PM Tylenol PM 24 $4.00 ANTACIDS AND ACID REDUCERS 12 Gas Relief 80mg Tablets Gas X Tablets 100 $7.00 13 Omeprazole 20mg Prilosec 14 $10.00 14 Antacid Tablets Tums Tablets 150 $4.00 15 Ranitidine 75mg Tablets Zantac Tablets 30 $8.00 16 Famotidine 10mg Tablets Pepcid 30 $6.00 17 Heartburn Relief (Cimetidine) Tagamet Tablets 30 $7.00 18 Gas Relief Tablets Extra Strength Gas X Extra Strength 30 $5.00 ARTHRITIS MEDICINE 19 Arthritis Pain Relief Tablets Tylenol Arthritis Pain Tablets 24 $5.00 20 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
ANTICANDIALS (YEAST) 21 Clotrimazole Vaginal Cream Gyne Lotrimin 1 $8.00 22 Miconazole Vaginal Cream Monistat 3 1 $12.00 ANTIDIARRHEALS AND LAXATIVES 23 Stool Softener Capsules Colace Softgels 60 $8.00 24 Adult Glycerin Suppositories Fleet Adult Suppositories 50 $4.00 25 Bisacodyl 10mg Suppositories Dulcolax Suppositories 12 $6.00 26 Bisacodyl 5mg Tablets Dulcolax Tablets 25 $5.00 27 Anti Diarrheal Caplets Imodium Caplets 12 $5.00 28 Anti Nausea Liquid Emetrol 4oz $7.00 29 Peptic Relief Tablets Pepto Bismol Tablets 30 $4.00 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 $4.00 33 Muscle Rub Cream Bengay 1.25oz $4.00 34 Triple Antibiotic Ointment Neosporin Ointment 0.5oz $5.00 35 Clotrimazole 1% Cream Lotrimin AF 0.5oz $6.00 36 Tolnaftate 1% Cream Tinactin Cream 0.5oz $6.00 37 Cold Sore Treatment Cold Sore Treatment 1 $10.00 38 Hydrocortisone 1% Cream Cortizone Cream 0.5oz $4.00 39 Capsaicin Cream Zostrix Cream 1 $6.00 40 Petroleum Jelly Vaseline Jelly 2.5oz $2.00 41 Benzoyl Peroxide Cream Clearasil 1 $6.00 COLD, COUGH, FLU REMEDIES 42 Nasal Decongestion Spray Afrin Nasal Spray 1oz $5.00 43 Saline Nasal Spray Ocean Nasal Spray 1.5oz $3.00 44 Cough/Throat Drops Halls Cough Drops 30 $2.00 45 Tussin Syrup Robitussin Syrup 4oz $5.00 46 Tussin DM Syrup Sugar Free Robitussin DM Syrup 4oz $5.00 OTC Items Benefit 3 OTC Items Benefit 4
COLD, COUGH, FLU REMEDIES 47 Vapor Rub Vicks Vaporub 3.53oz $6.00 48 Daytime Cold/Flu Relief Caplets DayQuil Caplets 16 $6.00 49 Nite Time Cold/Flu Relief Caplets NyQuil Caplets 12 $4.00 50 Effervescent Tablets Alka Seltzer 20 $5.00 51 Mucus Relief Tablets Mucus Relief Tablets 30 $9.00 52 Mucus Relief DM Tablets Mucus Relief DM Tablets 30 $10.00 53 Nasal Decongestion PE Tablets Sudafed PE 18 $4.00 54 APAP Sinus Congestion Tylenol Sinus Congestion 24 $5.00 DENTAL AND DENTURE CARE 55 Toothache Relief Liquid/Gel Anbesol Liquid/Gel 0.33oz $5.00 56 Denture Adhesive Cream Fixodent 2.4oz $4.00 57 Premium Adult Toothbrush Premium Adult Toothbrush 1 $2.00 58 Fluoride Toothpaste Colgate 6oz $3.00 59 Premium Dental Floss Premium Dental Floss 1 $2.00 EAR CARE 60 Ear Syringe Ear Syringe 1 $4.00 61 Ear Wax Drops Debrox Ear Wax Drops 0.5oz $7.00 EYE CARE 62 Artificial Tears Murine Tears 0.5oz $5.00 63 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 $3.00 66 Adhesive First Aid Tape Adhesive First Aid Tape 1 $2.00 67 Alcohol Pads Alcohol Pads 100 $3.00 68 Bandages Band Aids 30 $2.00 69 Butterfly Closures Butterfly Closures 10 $2.00 OTC Items Benefit 5 OTC Items Benefit 6
FIRST AID AND MEDICAL SUPPLIES 70 Cotton Balls Cotton Balls 100 $2.00 71 Cotton Swabs Q Tips Cotton Swabs 150 $3.00 72 Ice Bag Ice Bag 1 $5.00 73 Stretch Gauze Bandage Johnson & Johnson Gauze 1 $2.00 74 Oral Thermometer Oral Thermometer 1 $6.00 75 Flexible Tip Thermometer Flexible Tip Thermometer 1 $10.00 76 Thermometer Probe Covers Thermometer Probe Cover 30 $3.00 77 Hot/Cold Patches Icy Hot Patches 5 $6.00 78 Corn and Callus Remover Dr. Scholl s Corn and Callus Remover 1 $5.00 79 Liquid Wart Remover Compound W Wart Remover 1 $7.00 HEMORRHOIDAL PREPARATIONS 80 Hemorrhoid Relief Suppositories Preparation H Suppositories 12 $5.00 81 Hemorrhoidal Ointment Preparation H Ointment 2oz $8.00 82 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 $4.00 85 Headache Relief PM Tablets Excedrin PM Tablets 50 $6.00 86 Tension Headache Relief Excedrin Tension Relief 24 $4.00 ANTI INFLAMMATORY 87 Ibuprofen 200mg Tablets Advil Tablets 50 $5.00 88 Naproxen Sodium 220mg Caplets Aleve Caplets 24 $5.00 89 Ibuprofen 200mg Liquid Gel Caps Advil Liquid Gel Caps 20 $5.00 PEDICULICIDES (HEAD LICE TREATMENTS) 90 Lice Treatment Shampoo Rid Lice Shampoo 4oz $10.00 91 Lice Comb Lice Comb 1 $5.00 SLEEPING AIDS 92 Sleep Aid Tablets (Doxylamine) Unisom Tablets 16 $5.00 93 Night Time Sleep Tablets (Diphenhydramine) Sominex Tablets 24 $4.00 OTC Items Benefit 7 OTC Items Benefit 8
VITAMINS AND MINERALS 94 B Complex/B 12 Vitamins B Complex/B 12 Vitamins 100 $6.00 95 Adult Multi Vitamins Adult Multi Vitamins 100 $9.00 96 Prenatal Vitamins Stuart Prenatal Vitamins 100 $10.00 97 Vitamin C 500mg Tablets Vitamin C 500mg Tablets 100 $4.00 98 Vitamin E 400 IU Caplets Vitamin E 400 IU Caplets 100 $7.00 99 Vitamin A 10,000 IU Caplets Vitamin A 10,000 IU Caplets 100 $4.00 100 Elemental Iron 65mg Tablets Feosol 100 $7.00 101 Folic Acid 400mcg Tablets Folic Acid 400mcg Tablets 100 $5.00 102 Magnesium 250mg Tablets Magnesium 250mg Tablets 100 $3.00 103 Zinc 50mg Tablets Zinc 50mg Tablets 100 $5.00 104 Vitamin B 1 100mg Tablets Vitamin B 1 100mg Tablets 100 $4.00 105 Vitamin B 12 500mcg Tablets Vitamin B 12 500mcg Tablets 100 $6.00 106 Vitamin B 6 100mg Tablets Vitamin B 6 100mg Tablets 100 $5.00 107 Calcium 600 + Vitamin D Tablets Caltrate 600 + D Tablets 60 $6.00 108 Calcium Tablets Caltrate 600 Tablets 60 $5.00 CHILDREN S PRODUCTS 109 Orajel Baby Orajel Baby 0.33oz $6.00 110 Tooth and Gum Cleanser Tooth and Gum Cleanser 1 $6.00 111 Diaper Rash Ointment Diaper Rash Ointment 1oz $3.00 112 Duofilm Duofilm 1 $7.00 113 Gas Relief Drops Mylicon Drops 1oz $10.00 114 Poly Vitamin Drops Poli Vi Sol Drops 1 $7.00 115 Children s Chewable Multi Vitamins Flintstones Multi Vitamins 100 $7.00 116 Children s Ibuprofen Suspension 100mg Motrin Suspension for Children 4oz $7.00 117 Jr. Strength Ibuprofen Chew Tabs 100mg Motrin Jr. Strength Tablets 24 $6.00 118 Acetaminophen Jr. Strength Chew Tabs 160mg Tylenol Jr. Strength Tablets 24 $5.00 119 Children's Acetaminophen Liquid Tylenol Children's Elixir 4oz $5.00 120 Acetaminophen 80mg Chew Tabs Tylenol 80mg Chewable Tablets 30 $5.00 121 Children's Cold and Allergy Liquid Dimetapp Cold and Allergy Elixir 4oz $5.00 122 Ibuprofen Infants Drops Motrin Infant Drops 0.5oz $7.00 OTC Items Benefit 9 OTC Items Benefit 10
CHILDREN S PRODUCTS 123 Acetaminophen Infants Drops Tylenol Infant Drops 1oz $5.00 124 Children's Glycerin Suppositories Children's Glycerin Suppositories 12 $3.00 125 Diphenhydramine Liquid Benadryl Elixir 4oz $4.00 126 Premium Medium Baby Diapers Premium Medium Baby Diapers 18 $8.00 127 Premium Large Baby Diapers Premium Large Baby Diapers 16 $8.00 128 Premium Extra Large Baby Diapers Premium Extra Large Baby Diapers 14 $8.00 129 Premium Baby Wipes Pampers Baby Wipes 60 $3.00 OTHER ITEMS 130 Male Condoms Male Condoms 3 $2.00 131 Female Condoms Female Condoms 3 $6.00 132 Feminine Hygiene Wipes Feminine Hygiene Wipes 16 $3.00 133 Pregnancy Test Pregnancy Test 1 $8.00 134 Disposable Douche Disposable Douche 1 $3.00 135 Premium Tampons Premium Tampons 8 $2.00 136 Pill Box Pill Box 1 $2.00 137 First Aid Kit First Aid Kit 1 $3.00 138 Sore Throat Lozenges Chloraseptic Lozenges 18 $2.00 139 Hand Sanitizer Wipes Hand Sanitizer Wipes 24 $4.00 140 SPF 30 Sunblock SPF 30 Sunblock 4oz $6.00 141 Pocket Facial Tissue Pocket Facial Tissue 1 $2.00 142 Calamine Lotion Calamine Lotion 4oz $3.00 143 Sensitive Teeth Toothpaste Sensodyne 2oz $3.00 144 Premium Mouthwash Listerine 1 $3.00 145 Fever Strip Thermometer Fever Strip Thermometer 1 $3.00 146 Premium Antibacterial Hand Soap Softsoap Antibacterial Soap 1 $3.00 147 Dry Skin Therapy Moisturizing Cream Dry Skin Therapy Cream 1 $8.00 148 Temple Thermometer (Digital) Temple Thermometer (Digital) 1 $13.00 OTC Items Benefit 11 OTC Items Benefit 12
P.O. Box 31387 Tampa, FL 33631 3387 47296 FL019759_CAD_OTC_ENG State Approved MMDDYYYY WellCare 2012 FL_07_12_WHK