Health Partners Medicare Prime (HMO-POS) Over …...Health Partners Medicare Prime (HMO-POS) OTC...

Health Partners Medicare Prime (HMO-POS) Over-the-Counter Catalog

This catalog lists over-the-counter items currently available through your Health Partners Medicare Prime over-the-counter benefit. We may add or remove items on this list during the year.

Using Your OTC Benefit

As a Health Partners Medicare Prime member, your benefit covers up to $25 of OTC items during each month of the plan year. Unused amounts are not carried over to the next month.

You can order items from this catalog online or by phone, and they will be shipped to you within 3-5 days. You pay no shipping charges.

When items are marked as Dual Purpose, please talk with your doctor about whether they’re right for you before ordering.

Some items on this list may be covered by other Prime plan benefits. These items are marked with a note that says “Possibly covered under Part B.” To avoid using your OTC coverage unnecessarily, check with the plan before ordering.

You can order online anytime at https://hpp.otcstores.com.

For help ordering by phone:

Call Health Partners Medicare Member Relations at 1-866-901-8000 (TTY 1-877-454-8477). Telephone orders can be placed Monday through Friday from 8 a.m. to 5 p.m. For general questions about your OTC coverage, Member Relations is available 24 hours a day, seven days a week.

OTC Catalog Categories

Oral Care .................................................................................................................... 1

Vitamins ..................................................................................................................... 2

Eye and Ear Care ....................................................................................................... 9

Incontinence ............................................................................................................. 10

Pain Killers ............................................................................................................... 11

Cough, Cold and Flu ................................................................................................ 12

Feminine Hygiene .................................................................................................... 15

Laxatives .................................................................................................................. 15

First Aid .................................................................................................................... 16

Denture Care ............................................................................................................ 17

Support Bandages and Heating Pads ...................................................................... 18

Sun Care .................................................................................................................. 18

Antacids ................................................................................................................... 18

Allergy ...................................................................................................................... 19

Skin Care ................................................................................................................. 19

Thermometers .......................................................................................................... 19

Hand & Body Lotion ................................................................................................. 19

Health Partners Medicare Prime (HMO-POS)OTC Catalog

SKU Product Price Category Dual Purpose

Item*

ORAL CARE0014 Crest Regular, 8.2 oz $6.03 ORAL CARE0259 ACT Dry Mouth Alcohol Free Rinse, 33.8 oz $14.62 ORAL CARE0260 Act Anti-Cavity fluoride Rinse Mint,

18 oz$8.58 ORAL CARE

0261 ACT Total Care Dry Mouth Anti-Cavity Mouthwash, Soothing Mint, 18 oz

$9.25 ORAL CARE

0263 ACT Total Care Dry Mouth Lozenges, Soothing Mint, 18 ct

$8.00 ORAL CARE

0287 Arm & Hammer Spinbrush Pro Clean Powered Toothbrush Medium, 1 unit

$12.51 ORAL CARE

0288 Arm & Hammer Spinbrush Pro Clean Powered Toothbrush Soft, 1 unit

$12.73 ORAL CARE

0289 Aim Anticavity Toothpaste Ultra Mint, 5.5 oz $4.18 ORAL CARE0300 Colgate Cavity Protection Toothpaste, 8 oz $6.59 ORAL CARE0403 Sensodyne Maximum Strength Toothpaste, Fresh

Mint, 4 oz$11.32 ORAL CARE

0405 Sensodyne Pronamel Gentle Whitening Toothpaste, 4 oz

$11.32 ORAL CARE

0407 Sensodyne Pronamel Multi-Action Toothpaste, 4 oz $11.32 ORAL CARE0409 Sensodyne Deep Clean Toothpaste,

4 oz$11.32 ORAL CARE

0404 Sensodyne Extra Whitening Toothpaste, 4 oz $10.23 ORAL CARE1020 Waterpik Power Flosser, 1 unit $10.23 ORAL CARE0406 Sensodyne Extra Whitening Toothpaste, 6 oz $13.58 ORAL CARE0408 Sensodyne Complete Protection Toothpaste Extra

Fresh, 3.4 oz$11.01 ORAL CARE

0412 Tek Pro Toothbrush Medium Angled, 1 unit

$4.29 ORAL CARE

0413 Tek Professional Angled Toothbrush Soft, 1 unit $4.29 ORAL CARE0485 Listerine Antiseptic Adult Mouthwash Original,

8.5 fl. oz$6.98 ORAL CARE

0486 Listerine Essential Care Toothpaste, 4.2 oz $8.08 ORAL CARE0487 Listerine Antiseptic Mouthwash Cool Mint, 50.7 fl. oz $15.91 ORAL CARE0488 Listerine Gentle Gum Care Interdental Floss, Oral

Care, Mint, 50 Yards$4.90 ORAL CARE

0489 Listerine Cool Mint Floss, 55 yards $4.32 ORAL CARE0490 Listerine Healthy White Floss, 30 yards $4.24 ORAL CARE0491 Listerine Ultraclean Mint Floss, 30 yards $4.24 ORAL CARE0492 Listerine Ultraclean Access Flosser + 8 Refill Dental

Flosser Heads, 1 unit$7.90 ORAL CARE

* Talk with your doctor before using Dual Purpose products.

1


0614 Anbesol Maximum Strength Liquid, 0.41 fl. oz $9.44 ORAL CARE0715 Crest Tartar Control And Whitening Toothpaste -

Cool Mint, 6.4 oz$9.18 ORAL CARE

0716 Crest Cavity Protection Toothpaste Gel, 6.4 oz $5.45 ORAL CARE0717 Crest Gel-Cool Mint, 8.20 oz $6.45 ORAL CARE0718 Crest Pro-Health Multi-Protection Mouthwash,

33.8 fl. oz$12.10 ORAL CARE

0719 Crest 3D White Toothpaste Radiant Artic Fresh, 4.8 oz

$10.77 ORAL CARE

0720 Crest Pro-Health Whitening Power Toothpaste, 6.3 oz.

$12.18 ORAL CARE

0985 ACT Dry Mouth Xylitol Mint Lozenges, 36 ct $11.10 ORAL CARE0986 Act Dry Mouth Spray, 1 oz $11.88 ORAL CARE0987 ACT Dry Mouth Honey Lemon Xylitol Lozenges,

18 ct$6.94 ORAL CARE

1117 Anbesol Maximum Strength Gel, 0.33 oz $10.83 ORAL CARE1140 Orajel Severe toothache Gel, 0.25 oz $11.76 ORAL CARE1141 Colgate Extra Clean Full Head Toothbrush Soft,

1 unit$2.40 ORAL CARE

1169 Biotene Mouthwash-Dry Mouth, 16 oz $13.02 ORAL CAREVITAMINS

0054 21st Century Cal Mag Zinc +D Vitamin, 90 ct $8.58 VITAMINS Dual Purpose

0049 21st Century Therapeutic-M, 100 ct $12.73 VITAMINS Dual Purpose

0044 21st Century Vitamin D3 2000 IU Tablets, 110 ct $10.23 VITAMINS Dual Purpose

0088 21st Century Vitajoy Multi Gummies, Orange, Cherry and Strawberry, 75 ct

$10.23 VITAMINS Dual Purpose

0925 Food Plus Calcium With Vitamin D 500Mg Tablets, 60 ct


1139 Windmill Foods Plus Daily Vitamin with Beta Carotene Tablets, 60 ct


0535 Nat-Rul Magnesium, 100 ct $8.80 VITAMINS Dual Purpose

0764 Windmill Melatonin 3 mg Tablets, 100 ct


0768 Windmill Daily-Vitamin Tablet Complete Multivitamin for Nutrition, 100 ct


0031 21st Century D3, 10 ct $8.70 VITAMINS Dual Purpose

0290 Vitafusion Power C Gummy Vitamins Absolutely Orange, 70 ct


0769 Windmill Daily Vitamin Tablets Men's Health Formula, 60 ct


0553 Nature's Bounty L-Lysine 1000 mg, 60 ct


2


0946 21st Century Potassium Gluconate, 595 mg, Tablets, 110 ct


0638 Nature Made Vitamin E Softgels, 100 ct


0869 Sundown Naturals Sundown Garcina Cambogia 1000mg, 90 ct


0325 Nature’s Bounty B-12 500 MCG, 100 ct $11.99 VITAMINS Dual Purpose

0626 Nature Made B6 Vitamin, 100 mg, 100 ct $11.99 VITAMINS Dual Purpose

0085 21st Century Ultra Potency 10,000 mcg Biotin Tablets, 120 ct


1130 VitaFusion Women's, 70 ct $15.73 VITAMINS Dual Purpose

0870 Nature's Bounty Quick Dissolve Vitamin C Plus Zinc, 60 ct


0871 Sundown Naturals B6 100 mg, 150 ct $9.84 VITAMINS Dual Purpose

0061 21st Century Calcium 1000 + D3, 90 ct $9.61 VITAMINS Dual Purpose

0554 Sundown Naturals Vitamin B6, 50 mg Tablets, 150 ct $8.78 VITAMINS Dual Purpose

1122 One Daily Mens 50+, 100 ct $14.26 VITAMINS Dual Purpose

0772 Windmill Daily Vitamin Tablets With Iron, 100 ct $9.96 VITAMINS Dual Purpose

0062 21st Century Iron, Slow Release, Tablets, 60 ct $7.98 VITAMINS Dual Purpose

0639 Nature Made Magnesium Tablets, 250 mg, 100 ct $7.98 VITAMINS Dual Purpose

0050 21st Century Lutein 20 mg, 60 ct $19.98 VITAMINS Dual Purpose

0627 Nature Made Balanced B-100 Complex Tablets, 60 ct


0037 21st Century Melatonin, 90 ct $9.62 VITAMINS Dual Purpose

0624 Nature Made Vitamin C 500 mg, 60 ct $18.99 VITAMINS Dual Purpose

0295 Vitafusion Women's Gummy Vitamins, 150 ct $17.29 VITAMINS Dual Purpose

0078 21st Century 600+D3 Calcium Supplement Tablets, 400 ct


0765 Windmill Adult Chewable Hi-Potency Multi Vitamin Wafers, 60 ct


0766 Windmill Daily Vitamin Tablets Maximum Formula, 100 ct


3


1123 21st Century Vitamin E, 30,000 IU, Oil, 2.5 fl. oz $17.48 VITAMINS Dual Purpose

0548 Sundown Naturals Vitamin C mg, 100 ct


1119 21st Century Vitamin E-400 IU, 180mg, 110 ct $9.23 VITAMINS Dual Purpose

0063 21st Century Mega Multi, for Men, Tablets, 90 ct $16.78 VITAMINS Dual Purpose

0055 21st Century 600 Calcium Supplement Tablets, 75 ct $5.98 VITAMINS Dual Purpose

0072 21 Century HealthCare 21st Century B-100 Complex, 60 ct


0291 Vitafusion Sleep Well Sugar Free Gummy, 60ct $12.20 VITAMINS Dual Purpose

0631 Nature Made Vitamin D3 2000 IU, 100 ct $12.48 VITAMINS Dual Purpose

0036 21st Century C-500, 250 ct $9.98 VITAMINS Dual Purpose

0053 21st Century B-6 100 mg, 110 ct $9.98 VITAMINS Dual Purpose

0067 21st Century Apple Cider Vinegar Tablets, 300 mg, 250 ct


0068 21st Century Healthy Eyes with Lutein, 60 ct $9.98 VITAMINS Dual Purpose

0057 21st Century Health Care, Selenium, 200 mcg, 60 ct $9.80 VITAMINS Dual Purpose

0635 Nature Made Adult Gummies Vitamin D3, 90 ct $14.28 VITAMINS Dual Purpose

0001 Vitafusion Extra Strength Biotin Gummies - Blueberry, 100 ct


0001 21st Century Calcium 500 + D3 Plus Extra Tablets, 90 ct


0002 Vitafusion Vitamin D3 Gummy Vitamins, 150 ct $14.60 VITAMINS Dual Purpose

0003 Vitafusion Men's Complete Multivitamin Gummy, 70 ct


0018 21st Century 600 Calcium Supplement Tablets, 400 ct


0029 21st Century B Complex With C Tablets, 100 ct $9.86 VITAMINS Dual Purpose

0030 21st Century Lutein 10 mg Tablets, 60 ct $14.48 VITAMINS Dual Purpose

0046 21 Century HealthCare 21st Century Vitamin D3, 110 ct


0082 21st Century Calcium Citrate + D3 Petites, 200 ct $14.48 VITAMINS Dual Purpose

4


0086 21st Century VitaJoy Melatonin 5 mg Gummies, Strawberry, 120 ct


0032 21st Century Therapeutic-M, 130 ct $12.98 VITAMINS Dual Purpose

0045 21st Century C 500 mg Orange Chewable Tablets, 110 ct


1133 Vitafusion Power C Vitamins, 150 ct $12.98 VITAMINS Dual Purpose

0033 21st Century's One Daily Women's, 100 ct $9.65 VITAMINS Dual Purpose

0034 21st Century Chromium Picolinate 200 mcg, 100 ct $8.30 VITAMINS Dual Purpose

0616 Emergen-C Dietary Supplement, Tangerine, 10 ct $8.30 VITAMINS Dual Purpose

0035 21st Century, One Daily Men's Health, 100 ct $9.14 VITAMINS Dual Purpose

0038 21st Century Multivitamin & Multimineral, Mega Multi, For Women, 90 ct


0299 Vitafusion MultiVites Gummy Vitamins, 150 ct $16.18 VITAMINS Dual Purpose

0039 21st Century Sentry, 130 ct $8.92 VITAMINS Dual Purpose

0040 21st Century Sentry Senior, 125 ct $8.92 VITAMINS Dual Purpose

0041 21st Century Tea Tree Oil, 2 oz $15.79 VITAMINS Dual Purpose

0042 21st Century Niacin 100 mg, 110 ct $15.36 VITAMINS Dual Purpose

0043 21st Century, L-Arginine, 1,000 mg, 100 ct $16.60 VITAMINS Dual Purpose

0047 21st Century MgO 400 mg Tablets, 90 ct $10.25 VITAMINS Dual Purpose

1142 21st Century, Chewable C, 500 mg, Orange Flavored Tablets, 110 ct


0048 21st Century One Daily, Women's 50+, Tablets, 100 ct


0051 21st Century One Daily, Women's, Tablets, 100 ct $9.48 VITAMINS Dual Purpose

0052 21st Century Balanced B50 Comples Vitamin 50mg, 60 ct


0056 21st Century Niacin 250 mg, 110 ct $9.00 VITAMINS Dual Purpose

0780 Food Plus Vitamin B1 100mg, 60 ct $9.00 VITAMINS Dual Purpose

0058 21st Century DHEA 25 mg, 90 ct $9.95 VITAMINS Dual Purpose

5


0059 21st Century C-500, 110 ct $9.29 VITAMINS Dual Purpose

0060 21st Century Iron - 65 mg, 120 ct $9.59 VITAMINS Dual Purpose

0064 21st Century One Daily, Men's Health, Tablets, 100 ct


0073 21 Century HealthCare 21st Century Vitamin B-12, 110 ct


0074 21st Century, Calcium Citrate Maximum + D3, 120 ct $8.90 VITAMINS Dual Purpose

0065 21st Century Chewable D3 400 IU, Orange Flavor, 110 ct


0066 21st Century Healthy Eyes Extra, 50 ct $10.20 VITAMINS Dual Purpose

0070 21st Century, Sentry, Multivitamin & Multimineral Supplement, 300 ct


0071 21st Century Sentry Senior Tablets, 265 ct $19.70 VITAMINS Dual Purpose

0075 21st Century Century Ultra Strength D3-10,000 IU, 110 ct


0636 Nature Made Adult Gummies Energy B12, 80 ct $13.20 VITAMINS Dual Purpose

1009 Nature’s Bounty B-12 1000 MCG, 100 ct $13.20 VITAMINS Dual Purpose

0077 21st Century 600mg+D3 Calcium Supplement Tablets, 75 ct


0079 21st Century Men's 50+ Sentry Senior, 100 ct $10.98 VITAMINS Dual Purpose

0080 21st Century Sentry Senior, Women's 50+, Tablets, 100 ct


0081 21st Century, B-12, 500 mcg, 110 ct $8.98 VITAMINS Dual Purpose

0620 Nature Made Vitamin A 8000 IU Softgels, 100 ct $8.98 VITAMINS Dual Purpose

1010 Nature's Bounty Vitamin C-500mg, 100 ct $8.98 VITAMINS Dual Purpose

0083 21st Century Digestive Enzymes Capsules, 60 ct $9.20 VITAMINS Dual Purpose

0084 21 Century HealthCare 21st Century Vita Joy Biotin, 120 ct


0087 21 Century HealthCare 21st Century Super Vision 2, 120 ct


0557 Nature's Bounty Green Coffee Bean with Raspberry Ketones & Green Tea, 60 ct


0625 Nature Made Calcium 500 mg + Vitamin D3 Tabs, 300 ct


6


0189 Phillips' Fiber Good Gummies, Assorted Flavors, 90 ct


1128 Phillips' Fiber Good Gummies Plus Energy Support, 80 ct


0292 Vitafusion Extra Strength D3 Gummies, 120 ct $17.89 VITAMINS Dual Purpose

0293 Vitafusion Extra Strength Melatonin Blackberry, 120 ct


0294 Vitafusion Extra Strength B-12 Gummies, Natural Cherry, 90 ct


0296 Vitafusion Calcium Supplement Gummy Vitamins, 100 ct


0297 Vitafusion Vitamin D3 Gummy Vitamins, 75 ct $11.52 VITAMINS Dual Purpose

0298 Vitafusion Men's Complete Multivitamin Gummy, 150 ct


0323 Sambucol Black Elderberry Gummies, 30 ct $16.96 VITAMINS Dual Purpose

0931 Windmill Food Plus Magnesium 400mg, 60 ct $16.96 VITAMINS Dual Purpose

0324 Nature's Way Alive! Men's Energy Tablets Multivitamin Supplement, 50 ct


1156 Nature's Way Alive! Women's 50+ Tablets, 50 ct $18.20 VITAMINS Dual Purpose

0536 Nature's Bounty B-6, 100 ct $12.83 VITAMINS Dual Purpose

0537 Nature’s Bounty Melatonin, 60 ct $12.74 VITAMINS Dual Purpose

0538 Nature’s Bounty Biotin, 72 ct $20.14 VITAMINS Dual Purpose

0539 Sundown Naturals B Complex Tablets, 100 ct $8.84 VITAMINS Dual Purpose

0540 Nature's Bounty B Complex Sublingual Liquid, 2 oz $9.93 VITAMINS Dual Purpose

1137 Foods Plus Vitamin D3 5000 IU Tablets, 60 ct $9.93 VITAMINS Dual Purpose

0541 Sundown Naturals Herbal Supplement Natural Water Pills, 60 ct


0545 Nature's Bounty Your Life Gummies, 75 ct $11.20 VITAMINS Dual Purpose

0546 Nature's Bounty Vitamin D3-2000 IU, Softgels, 200 ct


0549 Nature's Bounty D3 5000, 100 ct $23.84 VITAMINS Dual Purpose

0552 Nature's Bounty D3 1000, 120 ct $11.73 VITAMINS Dual Purpose

7


0556 Nature's Bounty Garcinia Cambogia & Coconut Oil Rapid Rel Softgel, 60 ct


0615 Centrum Silver Men Multivitamin / Multi Suppl Tablet, Vitamin D3, Age 50+, 50 ct


1007 Natures Bounty Vitamin E Softgels, 120 ct $16.98 VITAMINS Dual Purpose

0617 Emergen-C Tangerine, 0.33 oz $21.78 VITAMINS Dual Purpose

0618 Centrum Silver Women 50+ Multivitamin Tablets, 100 ct


0619 Nature Made Folic Acid 400 mcg, 250 ct $9.83 VITAMINS Dual Purpose

0621 Nature Made Vitamin C 500 mg, 250 ct $17.99 VITAMINS Dual Purpose

0622 Nature Made Multi For Her with Iron, 90 ct $14.15 VITAMINS Dual Purpose

0623 Nature Made Vitamin B-12 Dietary Supplement Tablets, 100 ct



0630 Nature Made Calcium with Vitamin D 400IU, 130 ct $14.94 VITAMINS Dual Purpose

0633 Nature Made Sublingual Vitamin B12 3000 mcg, 40 ct


0634 Nature Made Adult Gummies Calcium, 80 ct $19.09 VITAMINS Dual Purpose

0637 Nature Made Vitamin B-1 Dietary Supplement Tablets, 100 ct


0640 Nature Made Biotin 1000 mcg Softgels, 120 ct $19.18 VITAMINS Dual Purpose

0641 Nature Made Adult Gummies Multi, 90 ct $17.49 VITAMINS Dual Purpose

0767 Windmill Vitamin B-12 100mcg, 100 ct $8.74 VITAMINS Dual Purpose

0770 Windmill Biotin 1000 mcg Tablets, 60 ct $7.84 VITAMINS Dual Purpose

0771 Windmill Daily Women's Health Formula Multivitamin Tablets, 100 ct


0773 Windmill Vitamin B-50 Complex, 100 ct $19.33 VITAMINS Dual Purpose

0774 Windmill Natural Vitamins Vitamin C-250, 100 ct $9.82 VITAMINS Dual Purpose

0777 Windmil Dhea 50 mg, 50 ct $9.43 VITAMINS Dual Purpose

0778 Windmill 5-Htp Griffonia Extract, Dietary Supplement, 50 ct


8


0779 Foods Plus Vitamin C 500mg, 100 ct $9.90 VITAMINS Dual Purpose

1196 Vitafusion Adult Vitamin B12 Gummies, Raspberry, 1000 mcg, 60 ct


0872 Sundown Naturals Vitamin A, 100 ct $8.79 VITAMINS Dual Purpose

0926 Windmill Vitamin B-12 500 Mcg Dietary Supplement Tablets by Food Plus, 60 ct


0927 Food Plus Vitamin C-500mg Chewable Tablets, 60 ct


0928 Food Plus Vitamin C 1000 Mg Sustained Released Tablets, 60 ct


0929 Windmill Vitamins Calcium Magnesium Mineral Tablets by Food Plus, 180 ct


0930 Windmill Foods Plus Folic Acid 400 Mcg Tablets, 60 ct


1008 Nature's Bounty Calcium Magnesium Zinc Caplets, 100 ct


1011 Nature's Bounty Magnesium 500 mg, 200 ct $14.22 VITAMINS Dual Purpose

1012 Nature Made Vitamin C 500 mg Chewable Tablets, 60 ct


1121 Windmill Calcium With Vitamin mg Tablets, 60 ct $9.68 VITAMINS Dual Purpose

1125 21st Century Zink, 90 ct $9.71 VITAMINS Dual Purpose

1126 21st Century D3 IU Softgels, 250 ct $11.65 VITAMINS Dual Purpose

1127 21st Century D3 IU Softgels, 250 ct $12.35 VITAMINS Dual Purpose

1129 Vitafusion Fiber Well Gummies, 90 ct $17.00 VITAMINS Dual Purpose

1131 Vitafusion Fiber Well Fit Gummies - Peach, Strawberry & Berry, 90 ct


1132 Vitafusion Gorgeous Hair, Skin & Nails Multivitamin Gummy Vitamins, 100 ct



1136 Nature Made Vitamin K2 100 mcg, 30 ct $22.58 VITAMINS Dual Purpose

1191 Centrum Silver Adults 50+, 80 ct $15.28 VITAMINS Dual Purpose

1195 21st Century Folic Acid, 180 ct $9.30 VITAMINS Dual Purpose

EYE and EAR CARE0649 Clear Eyes Triple Action Lubricant/Redness Relief

Eye Drops, 0.5 fl. oz$8.58 EYE/EAR

9


0531 Rohto Cooling Eye Drops, 0.4 fl. oz $11.88 EYE/EAR0812 Visine A.C Astringent Redness Reliever Eye Drops,

0.5 fl. oz$9.26 EYE/EAR

0529 Rohto Eye Drops Cooling, 0.4 fl. oz $9.38 EYE/EAR0650 Clear Eyes Maximum Itchy Eye Relief, 0.5 fl. oz $7.24 EYE/EAR0109 Systane Long Lasting Drops, 1 fl.oz $22.70 EYE/EAR0110 Systane Long Lasting Lubricant Eye Drops, 0.5 fl. oz $22.70 EYE/EAR0117 Bausch & Lomb Advanced Relief Eye Wash, 4 fl. oz $7.96 EYE/EAR0119 Bausch & Lomb Opcon Allergy Relief Eye Drops,


0530 Rohto Eye Drops, Lubricant, Redness Relief, 0.4 fl. oz

$9.01 EYE/EAR

0532 Rohto Dry-Aid Lubricant Eye Drops, 0.34 fl. oz $16.48 EYE/EAR0647 Clear Eyes Contact Lens Relief, 0.5 fl. oz $6.88 EYE/EAR0652 Clear Eyes Natural Tears Lubricant, 0.5 fl. oz $14.61 EYE/EAR0653 Clear Eyes Maximum Strength Redness Relief Eye

Drops, 0.5 fl. oz$12.69 EYE/EAR

0654 Stye Ointment, 0.125 fl. oz $12.78 EYE/EAR0657 Clear Eyes Cooling Comfort Redness Relief Eye

Drops, 0.5 fl. oz$9.88 EYE/EAR

0658 Debrox Earwax Removal Aid Liquid, 0.5 fl. oz $12.25 EYE/EAR0659 Clear Eyes Eye Drops, Redness Relief, 1 fl. oz $9.70 EYE/EAR0660 Clear Eyes Complete 7 Symptom Relief Eye Drops,


0817 Visine Tears Dry Eye Relief Lubricant Eye Drops, 0.5 fl. oz

$10.41 EYE/EAR

0847 Visine Totality Multi Symptom Relief Drops, 0.5 fl. oz $10.85 EYE/EAR0861 Blink Contacts Lubricant Eye Drops, 0.34 fl. oz $10.45 EYE/EAR0862 RevitaLens Ocutec Multi-Purpose Disinfecting

Solution, 10 fl. oz$15.75 EYE/EAR

1002 Hyllands Ear Ache Drops, 0.33 fl. oz $11.95 EYE/EARINCONTINENCE

0511 Poise Very Light Liners, 26 ct $8.58 INCONTI-NENCE

0301 Convatec Aloe Vesta Bathing Cloths, 8 ct $6.98 INCONTI-NENCE

0509 Poise Ultra Thin Pads, 30 ct $10.83 INCONTI-NENCE

0569 Attends Belted Style Undergarments, 54 ct $20.78 INCONTI-NENCE

0330 Prevail Adult Wipes with Lotion, 48 ct $9.70 INCONTI-NENCE

0329 Prevail® Premium Adult Washcloths, Softpak, 48 ct $11.38 INCONTI-NENCE

0510 Poise Liners Very Light, 44 ct $10.69 INCONTI-NENCE

10


0512 Poise Incontinence Pads for Women, Moderate Absorbency, Long, 54 ct

$24.50 INCONTI-NENCE

PAIN KILLERS0939 Advil PM Liqui-Gels, 20 ct $12.51 PAIN0331 St.Joseph Aspirin, 36 ct $4.29 PAIN0826 Motrin Caplets, 100 ct $15.91 PAIN0978 Aspercreme Lidocaine Patch, 5 ct $13.98 PAIN0232 Icy Hot Extra Strength Balm, 3.5 oz $10.19 PAIN0825 Tylenol Extra Strength Caplets, 100 ct $18.06 PAIN0007 Tylenol PM Simply Sleep, 24 ct $9.99 PAIN0130 Aleve Tablets with Naproxen Sodium, 220mg, 24 ct $9.99 PAIN0139 Aleve PM, 20 ct $9.99 PAIN0243 Icy Hot Muscle Pain Relief Patches, Small, 5 ct $9.99 PAIN0336 Excedrin Migraine, 24 ct $9.99 PAIN1006 Mentholatum Ointment, 3 oz $9.99 PAIN0008 Advil Liqui-Gels, 20 ct $7.82 PAIN0015 Icy Hot Extra Strength Patch, Large, 5 ct $12.99 PAIN0221 Icy Hot Extra strength Patch Extra Large, 3 ct $12.99 PAIN0225 Icy Hot Maximum Strenght Gel, 1.75 oz $12.99 PAIN0245 Gold Bond Cracked Skin Fill & Protect, 0.75 oz $12.99 PAIN0814 Bengay Ultra Strength Methyl Salic/M, 2 oz $12.99 PAIN0819 Bengay Ultra Strength Pain Relief Patch, 4 ct $12.99 PAIN0129 Bayer Back and Body, 50 ct $12.12 PAIN0131 Bayer Tabs, 24 ct $8.99 PAIN0133 Bayer Chewable Orange, 36 ct $6.49 PAIN0134 Bayer Low Dose Enteric Coated, 120 ct $13.45 PAIN0135 Bayer Tabs, 100 ct $11.71 PAIN0136 Aleve Gelcaps Arthritis, 40 ct $12.23 PAIN0137 Aleve Caplets, 150 ct $21.99 PAIN0138 Bayer Back and Body, 24 ct $9.73 PAIN0140 Aleve Liquid Gels, 40 ct $17.13 PAIN0218 Aspercreme Maximum Strength, 3 fl. oz. $11.99 PAIN0223 Unisom QuickMelts Tablets, Cherry, 25mg, 24 сt $11.99 PAIN0219 Unisom Sleep Tabs, 16 ct $13.83 PAIN0222 Arthritis Hot Pain Creme, 3 oz $9.36 PAIN0224 Gold Bond Intensive Relief Anti-itch, 5.5 oz $15.73 PAIN0226 Icy Hot No Mess Aplicator, 2.5 oz $9.84 PAIN0815 Bengay Gel Vanishing Scent, 2 oz $9.84 PAIN0960 Gold Bond Maximum Strength Anti-itch, 2 oz $9.84 PAIN0231 Icy Hot Spray, 3.7 oz $9.61 PAIN0239 Gold Bond Medicated Anti-Itch Cream, 1 oz $9.19 PAIN0240 Gold Bond Pain & Itch Cream with Lidocaine,

1.75 oz$11.80 PAIN

0244 Gold Bond Pain And Itch Spray, 2 oz $16.94 PAIN0308 Mineral ice Pain Relieving Gel, 8 oz $15.62 PAIN0309 Mineral ice Pain Relieving Gel, 3.5 oz $9.49 PAIN1157 Aleve Liquid Gels, 20 ct $9.49 PAIN

11


0332 St.Joseph Aspirin, 120 ct $9.79 PAIN0335 Excedrin Extra Strength, 24 ct $8.78 PAIN0976 Icy Hot Smart Relief Tens therapy Back and Hip,

1 unit$19.82 PAIN

0977 Aspercreme Lidocaine, 2.7 oz $12.49 PAIN0998 Solanpas Jet Spray, 4 oz $12.42 PAIN1013 Vicks ZZZQuil Night time sleep Aid, 12 fl. Oz $17.73 PAIN1084 Capzasin HP Arthritis Pain Relief, 1.5 oz $18.99 PAIN1173 Bengay 30-10-4% Methyl Salic/Men, 4 oz $18.14 PAIN

COUGH, COLD and FLU0190 Blistex Lip Ointment, 0.21 oz $4.18 COUGH+

COLD+FLU1004 Vicks Advanced Soothing Vapors Waterless

Vaporizer, 1 unit$15.91 COUGH+

COLD+FLU1001 Zarbee's Cough and Throat Relief Apple Spice Tea,

6 ct$13.98 COUGH+

COLD+FLU0883 Robitussin Nighttime Cough DM Max Strength Berry

Liquid, 4 fl. oz$13.15 COUGH+

COLD+FLU0885 Robitussin Maximum Strength Cough+Chest

Congestion DM Non-Drowsy Liquid, 4 fl. oz$13.15 COUGH+

COLD+FLU0311 Zarbee's Cough Lozenges and Immune Support,

30 ct$15.73 COUGH+

COLD+FLU1014 Ricola Dual Action Lozenges - Cherry, 19 ct $7.98 COUGH+

COLD+FLU0205 Carmex Cold Sore Treatment, 0.07 oz $19.82 COUGH+

COLD+FLU0005 Robitussin 12-Hour Cough Relief, Orange, 5 fl. oz $17.29 COUGH+

COLD+FLU0892 Robitussin 12 Hour Cough Relief, Grape, 3 fl. oz $17.29 COUGH+

COLD+FLU0006 Robitussin Cough+Chest Congestion DM, 4 fl. oz $12.56 COUGH+

COLD+FLU0011 Halls Mentho-Lyptus Drops Cherry, 9 ct $2.18 COUGH+

COLD+FLU0521 Halls Cough Drops Sugar Free, 20 ct $2.18 COUGH+

COLD+FLU0012 Nyquil Cherry Cold & Flu, 8 fl. oz $13.07 COUGH+

COLD+FLU0101 Diabetic Tussin DM Cough Suppressant &

Expectorant, Maximum Strenghth, 8 fl. oz$17.48 COUGH+

COLD+FLU1161 Rompe Pecho, 4 fl. oz $17.48 COUGH+

COLD+FLU0102 Diabetic Tussin DM Maximum Strength, 4 fl. oz $15.31 COUGH+

COLD+FLU0106 Diabetic Tussin Extra Cough Relief, 4 fl. oz $15.68 COUGH+

COLD+FLU

12


0107 Diabetic Tussin DM Expectorant Cough Supressant, 4 fl. oz

$9.31 COUGH+ COLD+FLU

0145 Coricidin HBP Nighttime Mutli-Symptom Cold Liquid, 12 fl. oz


0146 Afrin No Drip Nasal Spray Sever Congestion, 0.5 fl. oz


0148 Afrin Original, 0.5 oz $11.59 COUGH+ COLD+FLU

0503 Vicks VapoRub Ointment, Lemon Scent, 1.76 oz $9.54 COUGH+ COLD+FLU

0505 Vicks Soothing Vapors Plug-In Waterless Vaporizer & Nightlight, 1 unit


0506 Vicks Vapo Rub Ointment, 3.53 oz $13.84 COUGH+ COLD+FLU

0508 Vicks VapoRub Lavender, Lavender, 1.76 oz $9.23 COUGH+ COLD+FLU

0519 Halls Triple Soothing Action Cherry Bag, 30 ct $9.17 COUGH+ COLD+FLU

0520 Halls Triple Soothing Menthol Bag, 30 ct $5.18 COUGH+ COLD+FLU

0522 Halls Cough Drops Honey/Lemon Sugar Free Bag, 25 ct


0523 Halls Cough Drops Honey/Lemon Bag, 30 ct $9.10 COUGH+ COLD+FLU

0524 Halls Cough Drops Sugar Free Menthol Bag, 25 ct $5.90 COUGH+ COLD+FLU

0680 Dayquil Liquid Caps, 24 ct $16.78 COUGH+ COLD+FLU

0681 Nyquil Severe Cold & Flu, 8 fl. oz $16.78 COUGH+ COLD+FLU

0682 Nyquil Liquid Caps, 24 ct $16.78 COUGH+ COLD+FLU

0683 Nyquil Cold & Flu Liquid, 8 fl. oz $14.79 COUGH+ COLD+FLU

0684 Dayquil Cold & Flu Liquid, 8 fl. oz $14.46 COUGH+ COLD+FLU

0722 Delsym Adult 12 hour Cough Suppressant, 5 fl. oz $20.85 COUGH+ COLD+FLU

0723 Delsym, 3 fl. oz $19.50 COUGH+ COLD+FLU

0724 Mucinex Fast-Max Congestion & Cough, 6 fl. oz $20.20 COUGH+ COLD+FLU

0725 Mucinex Sinus-Max, 20 ct $21.10 COUGH+ COLD+FLU

0726 Ricola Original Natural Herb Cough Drops, 21 ct $4.84 COUGH+ COLD+FLU

13


0730 Ricola Sugar Free Lemon Mint Herb Throat Drops, 19 ct


0731 Ricola Mixed Berry With Vitamin C Supplement Drops, 19 ct


0727 Ricola Herb Throat Drops, 24 ct $5.98 COUGH+ COLD+FLU

0732 Ricola Cherry Honey Herb Throat Drops, 24 ct $5.98 COUGH+ COLD+FLU

0733 Ricola Cough Drops Natural Herb, 24 ct $5.98 COUGH+ COLD+FLU

0728 Ricola Cough Suppressant Throat Drops Sugar Free Swiss Herb, 19 ct


0735 Ricola Cough Suppressant Throat Drops Sugar Free Green Tea with Echinacea, 19 сt


0737 Ricola Honey Lemon with Echinacea, 19 ct $9.06 COUGH+ COLD+FLU

0884 Robitussin Adult Max Strength Nighttime Cough DM Max, 8 fl. oz


0886 Robitussin Max Strength Cough + Chest Congestion DM Non-Drowsy, 8 fl. oz


0889 Robitussin Adult Maximum Strength Severe Multi-Symptom Cough Cold+Flu Liquid, 8 fl. oz


0891 Robitussin Adult Maximum Strength Severe Multi-Symptom Cough Cold+Flu Nighttime Liquid, 8 fl.oz


0887 Robitussin Adult Peak Cold Non-Drowsy Multi-Symptom Cold CF Liquid, 8 fl. oz


0888 Packs Robitussin Max Strength Severe Cough + Sore Throat CF Max, 4 fl. oz


0890 Robitussin Adult Severe Multi-Symptom Cough Cold + Flu CF Nighttime Max, 4 fl. oz


0893 Robitussin Cough+Chest Congestion DM Sugar Free, 4 fl. oz


0945 Tylenol Cold Max Multi-Symptom Citrus, 8 fl. oz $12.48 COUGH+ COLD+FLU

1005 Vicks VapoSteam, 8 fl. oz $15.70 COUGH+ COLD+FLU

1015 Ricola Dual Action Cough Drops, 19 ct $9.98 COUGH+ COLD+FLU

1016 Ricola Cough Suppressant Drops Glacier Mint, +B3, 119 ct


1179 Vicks VapoInhaler, 0.07 Oz $9.80 COUGH+ COLD+FLU

1087 Ayr Nasal Mist Allergy & Sinus, 1.7 fl. oz $9.46 COUGH+ COLD+FLU

1159 Robitussin Adult Maximum Strength Severe Multi-Symptom Cough Cold+Flu Liquid, 4 fl. oz


14


1160 Robitussin Extended-Release 12 Hour Cough Relief Grape Flavored Liquid, 5 fl. oz


1177 Sambucol Black Elderberry Cold and Flu Relief Tabs, 30 ct


FEMININE HYGIENE0111 AZO Urinary Tract Health Cranberry Tabs, 50 ct $11.32 FEMININE

HYGIENE1184 AZO Urinary Pain Relief Max Strength Tablets, 12 ct $12.23 FEMININE

HYGIENE1097 Midol Complete Pain Reliever Diuretic Antihistamine

Caplets, 24 ct$9.96 FEMININE

HYGIENE0149 Midol Complete, 24 ct $12.69 FEMININE

HYGIENE1098 Monistat 1 Day Treatment Kit, 1 unit $23.73 FEMININE

HYGIENELAXATIVES

1112 Pepto Bismol Liquid for Nausea, Heartburn, Indigestion, Upset Stomach, and Diarrhea Relief, Original Flavor, 12 fl. oz

$11.32 LAXATIVES

0178 Phillips Laxative Caplets, 24 ct $9.18 LAXATIVES0706 Pepto-Bismol Upset Stomach Reliever/Antidiarrheal

Chewable Tablets Original, 48 ct$13.98 LAXATIVES

0712 Pepto-Bismol Liquid 5 Symptom Medicine Cherry, 8 oz

$8.80 LAXATIVES

0984 Dulcolax Pink Laxative for Women, 25 ct $11.90 LAXATIVES0805 Ex-Lax Maximum Relief Tablets 25 mg, 24ct $9.60 LAXATIVES1168 Pepto-Bismol Upset Stomach Reliever/Antidiarrheal

Chewable Tablets Original, 30 ct$9.42 LAXATIVES

1113 Pepto Bismol Liquid Ultra for Nausea, Heartburn, Indigestion, Upset Stomach, and Diarrhea Relief, Original, 12 oz

$15.73 LAXATIVES

1166 Humco Castor Oil Tasteless, 2 fl. oz $9.84 LAXATIVES0174 Phillips Stool Softener Liquid Gels, 30 ct $9.19 LAXATIVES0176 MiraLAX Single Dose Packets, 10 ct $19.99 LAXATIVES0699 Metamucil MultiHealth Fiber Daily Fiber

Supplement/Therapy For Regularity, Fiber Singles, Orange Smooth Singles, 30 ct

$19.99 LAXATIVES

0700 Metamucil MultiHealth Fiber Daily Fiber Supplement/Therapy For Regularity, Fiber Singles, Sugar-Free, Orange Smooth Single, 30 ct

$19.99 LAXATIVES

0698 Pepto Bismol Extra Strenght Liquid, 30 ct $9.72 LAXATIVES0483 Imodium Anti-Diarrheal Liquid, Mint, 4 fl. oz $9.62 LAXATIVES0665 Fleet Mineral Oil Enema for Adults, 4.5 fl oz $5.98 LAXATIVES0253 Dulcolax Medicated Laxative Suppositories, 4 ct $9.98 LAXATIVES0257 Rolaids Advanced Antacid Plus Anti-Gas Mixed

Berries, 60 ct$9.98 LAXATIVES

15


0177 Philips Milk Of Magnesia Saline Laxative, Original, 4 fl. oz

$8.30 LAXATIVES

1109 Phillips Milk Of Magnesia, Original, 12 fl. oz $9.48 LAXATIVES0695 Pepto-Bismol Upset Stomach Reliever/Antidiarrheal

Caplets, 24 ct$8.90 LAXATIVES

0809 Gas X Extra Strength Softgel, 20 ct $7.30 LAXATIVES0810 Ex-Lax Regular Strength Chocolate Stimulant

Laxative, 24 ct$7.30 LAXATIVES

0180 Phillips Milk of Magnesia Concentrated, 8 oz $9.83 LAXATIVES0691 Pepto Original Liquid 5 Symptom Relief, 8 oz $9.82 LAXATIVES0992 Dulcolax Laxative liquid Gel Caps, 25 ct $11.11 LAXATIVES0172 Phillips Milk of Magnesia Fresh Mint Saline Laxative,

12 oz$10.37 LAXATIVES

0173 Phillips Laxative Caplets, 55 ct $13.97 LAXATIVES0175 Phillips Milk of Magnesia, Cherry, 12 fl. oz $10.38 LAXATIVES

FIRST AID1185 Swan 70% Isoprop. Alc., 16 fl. oz $11.01 FIRST AID0319 Salonpas Lidocaine Plus Roll On Pain Relieving

Liquid, 3 oz$17.50 FIRST AID

0853 Johnson & Johnson First Aid Kit, 70 ct $12.23 FIRST AID0994 Salonpas Pain Relieving Patches, Large, 6 ct $12.23 FIRST AID0314 Salonpas Deep Relieving Gel Topical Analgesic,

2.75 oz$15.73 FIRST AID

0313 Salonpas-Hot 5.12X7.09, 1 unit $9.84 FIRST AID0115 Flents First Aid Cots, 12 ct $7.98 FIRST AID0307 Betadine First Aid Spray, 3 oz $17.48 FIRST AID0663 Stye Eye Therapy Warming Compress, 1 unit $17.48 FIRST AID0318 Salonpas Lidocaine Plus Pain Relieving Cream, 3 oz $15.31 FIRST AID0315 Salonpas Pain Relieving Patch, 60 Patches $14.79 FIRST AID1100 Band-Aid+NEOS, 20 ct $9.24 FIRST AID0196 Cara Ice Bag & Wrap, 1 unit $20.78 FIRST AID0995 Salonpas Maximum Strength Lidocaine 4% Pain

Relieving Gel-Patch, 6 ct$20.78 FIRST AID

0416 Calaclear Lotion, 6 oz $14.89 FIRST AID0755 Vaseline 100% Pure Petroleum Jelly, 13 oz $9.43 FIRST AID0754 Easy Care First Aid Chest Kit, 1 unit $23.98 FIRST AID0150 RID Home Lice, Bed Bug & Dust Mite Spray, with

Permethrin, 5 oz$12.25 FIRST AID

0526 Curad First Aid Kit, 1 unit $9.70 FIRST AID0019 Curad First Aid Kit, 1 unit $17.58 FIRST AID0151 RID Lice Killing Shampoo, Maximum Strength,

2 fl. oz$16.36 FIRST AID

0152 Lotrimin AF For Ringworm Cream, 0.42 oz $13.67 FIRST AID0721 Alocane Maximum Strength Emergency Burn Gel,

2.5 fl. oz$13.67 FIRST AID

0756 Vaseline Petroleum Jelly, 7.5 oz $11.13 FIRST AID0837 Neosporin Antibiotic Ointment, 1 oz $15.56 FIRST AID

16


0838 Neosporin Antibiotic Ointment, 0.5 oz $8.66 FIRST AID0839 Neosporin + Pain Relief Ointment, 0.5 oz $10.22 FIRST AID0848 Band Aid Tough Strips XL, 10 ct $6.58 FIRST AID1189 Solimo 70% Ethyl Rubbing Alcohol First Aid

Antiseptic, 16 fl. oz$6.58 FIRST AID

0850 Band-Aid Hurt-Free Antiseptic Wash, 6 oz $7.22 FIRST AID0851 Band-Aid Brand Water Block Plus Waterproof Clear

Adhesive Bandages, 30 ct$6.26 FIRST AID

0852 Band-Aid flexible Fabric Adhesive Bandages, 8 ct $1.58 FIRST AID0868 Bandaid Guaze Pads 4x4 Sterile, 25 ct $14.82 FIRST AID0944 Band Aid Flex Assorted, 30 ct $6.46 FIRST AID0952 Thermalon Dry Eye Compress, 1 ct $16.45 FIRST AID1099 Ace Reusable Cold Compress, 1ct $10.01 FIRST AID1186 Bandaid One Size, 100 ct $22.88 FIRST AID1187 Qc Hydro Peroxide, 16 fl. oz $17.57 FIRST AID1188 Swan 99% Alcohol, 16 fl. oz $10.96 FIRST AID1190 Hydrogen Peroxide Solution for Treatment, 32 fl. oz $12.34 FIRST AID

DENTURE CARE0010 Polident Smokers Denture Cleanser, 120 ct $13.98 DENTURE0347 Super Poligrip Free, 2.4 oz $10.13 DENTURE0348 Polident 3 Minute Denture Cleanser, 120 ct $13.15 DENTURE0349 Polident 3-Min Antibacterial Denture Cleanser Tabs

Triple Mint, 40 ct$7.11 DENTURE

0350 Super Poligrip Comfort Seal Strips, 40 ct $10.10 DENTURE0351 Super Poligrip Extra Care Denture Adhesive, 2.4 oz $10.12 DENTURE0366 Super Poligrip Original Denture Adhesive, 2.4 oz $9.26 DENTURE0367 Polident 3- Min Antibacterial Denture Cleanser Tabs

Triple Mint, 84 ct$9.63 DENTURE

0368 Polident Overnight Whitening Antibacterial Denture Cleanser Tabs, 84 ct

$10.24 DENTURE

0369 Polident Overnight Whitening Antibacterial Denture Cleanser Tabs, 40 ct

$8.29 DENTURE

0799 Polident Smokers Denture Cleanser, 40 ct $8.29 DENTURE0802 Polident Partials Antibacterial Denture Cleanser,

40 ct$8.29 DENTURE

0645 Efferdent Plus Mint Denture Cleansing Tabs, 44 ct $8.80 DENTURE0646 Efferdent Plus Mint Anti-Bacterial Denture Cleanser,

44 ct$8.80 DENTURE

0685 Fixodent Denture Adhesive Cream Fresh Mint, 2.4 oz

$9.39 DENTURE

0686 Fixodent Denture Adhesive Cream, 2.4 oz $9.38 DENTURE0687 Fixodent Powder Extra Hold, 2.7 oz $8.70 DENTURE0689 Fixodent Denture Cream plus Scope, 2 fl. oz $8.70 DENTURE0688 Fixodent Denture Adhesive Cream, 1.4 fl. oz $8.06 DENTURE0800 Polident Overnight Whitening Antibacterial Denture

Cleanser, 120 ct$12.44 DENTURE

17


0801 Polident Smokers, Antibacterial Denture Cleanser, Bonus Pack Triple Mint Freshness, 84 ct

$10.19 DENTURE

SUPPORT BANDAGES and HEATING PADS

0090 Futuro Ankle Support Wrap Around, Large, 1 unit $13.98 SUPPORT BANDAGES/ HEATING PADS

Possibly Covered Under Part B

1018 Sport Aid Slip-On Ankle Brace (Tan), XLarge, 1 unit $16.43 SUPPORT BANDAGES/ HEATING PADS


0016 Futuro Knee Support Sport Adjustable, 1 unit $17.48 SUPPORT BANDAGES/ HEATING PADS


0751 Sport Aid Slip-On Ankle Brace (Tan), Large, 1 unit $17.48 SUPPORT BANDAGES/ HEATING PADS


0093 Futuro Knee Stabilizer Sport Adjustable, 1 unit $23.66 SUPPORT BANDAGES/ HEATING PADS


1210 Sunbeam Heating Pad for Pain Relief | Standard Size UltraHeat, 3 Heat Settings with Moist Heat| Light Blue, 12-Inch x 15-Inch

$21.10 SUPPORT BANDAGES/ HEATING PADS

SUN CARE0182 Solarcaine Aloe Gel, 8 oz $10.13 SUN CARE1170 Alba Botanic Soothing Sunscreen SPF 45 Pure

Lavender, 4 oz$12.12 SUN CARE

0181 Solarcaine Aloe Spray, 4.5 oz $10.99 SUN CARE0184 Coppertone Odyssey SPF 30, 8 oz $17.48 SUN CARE0493 Neutrogena Beach Defense Sunscreen SPF 30

Spray, 6.5 oz$14.89 SUN CARE

0185 Coppertone Sunscreen Tanning 8 SPF , 8 fl. oz $16.48 SUN CARE0496 Aveeno Protect+Hydrate Lotion - SPF 30, 3 oz $14.18 SUN CARE0183 Coppertone Sunscreen Sport SPF 70 Spray, 5.5 oz $17.04 SUN CARE0186 Coppertone Sunscreen Sport SPF 30 Spray, 5.5 oz $14.65 SUN CARE0494 Aveeno Protect and Hydrate Sunscreen Lotion SPF

50, 3 oz$14.58 SUN CARE

0495 Neutrogena Beach Defense Sunscreen SPF 30 Lotion, 6.7 oz

$16.28 SUN CARE

0915 Solbar Shield Sunscreen SPF 40, 4.0 oz $19.40 SUN CAREANTACIDS

0009 Tums Chewy Bites Extra Strength Berry, 60 ct $11.90 ANTACIDS

18


0020 Alka-Seltzer Heart Burn Relief Chews, 36 ct $7.24 ANTACIDS0141 Alka-Seltzer Original Antacid, 36 ct $17.50 ANTACIDS0142 Zegerid OTC, 14 ct $18.94 ANTACIDS0999 Tums Smoothies Assorted, 12 ct $3.38 ANTACIDS1085 Alka-Seltzer Original Antacid & Pain Relief with

Aspirin, 12 ct$3.38 ANTACIDS

1174 Prilosec OTC Acide Reducer Tablets, 14 ct $12.50 ANTACIDSALLERGY

1171 Claritin 24 Hour Allergy Relief Liqui-Gels, 10 ct $17.44 ALLERGY1172 Rhinocort Nasal Allergy Spray, 0.17 fl. oz $24.53 ALLERGY

SKIN CARE0863 Neutrogena Acne Wash, 4.2 fl. oz $12.57 SKIN CARE1175 Aveeno 1% Hydrocortisone Anti-Itch Cream, 1 oz $9.80 SKIN CARE0864 Neutrogena Oil Free Acne Wash Pump, 6 fl. oz $10.20 SKIN CARE1176 Aveeno Anti-Itch Concentrated Lotion with Calamine

and Triple Oat Complex, 4 fl. oz$15.29 SKIN CARE

0246 Cortizone-10 Intensive-Healing Formula, 2 oz $10.31 SKIN CARE0248 Cortizone-10 Hydrocortisone, 1 oz $9.41 SKIN CARE0988 Cortizone-10 Plus Hydrocortisone, 2 oz $10.61 SKIN CARE

THERMOMETERS0013 Vicks Digital Thermometer V901F-24, 1 unit $19.14 THERMOM-

ETERSHAND & BODY LOTION

1163 Neutrogena Acne Prone Skin Formula Facial Bar, 3.5 oz

$10.48 HAND & BODY LOTION

0840 Ivy Dry Quickly Relieves Itching Soap Bars, 0.7 oz $16.92 HAND & BODY LOTION

19

Discrimination is Against the Law Health Partners Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, creed, religious affiliation, ancestry, sex gender, gender identity or expression, or sexual orientation. Health Partners Medicare does not exclude people or treat them differently because of race, color, national origin, age, disability, creed, religious affiliation, ancestry, sex gender, gender identity or expression, or sexual orientation.

Health Partners Medicare provides free aids and services to people with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters or TTY services • Written information in other formats (large print, audio, accessible electronic formats,

other formats)

Health Partners Medicare provides free language services to people whose primary language is not English, such as:

• Qualified interpreters • Information written in other languages

If you need these services, contact Health Partners Medicare Member Relations at 1-866-901-8000 (TTY 1-877-454-8477), 24 hours a day, seven days a week.

If you believe that Health Partners Medicare has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Health Partners Medicare. You can file a grievance in person or by phone, mail or fax:

Phone: 1-866-901-8000 (TTY 1-877-454-8477)

Mail: Attn: Complaints, Grievances & Appeals Unit Health Partners Medicare 901 Market Street, Suite 500 Philadelphia, PA 19107

Fax: 215-991-4105

If you need help filing a grievance, Health Partners Medicare Member Relations is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Health Partners Medicare is an HMO plan with Medicare and Pennsylvania State Medicaid program contracts. Enrollment in Health Partners Medicare depends on contract renewal.

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

http://www.hhs.gov/ocr/office/file/index.html

ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-866-901-8000 (TTY 1-877-454-8477).

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-901-8000 (TTY 1-877-454-8477).

注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-866-901-8000 (TTY 1-877-454-8477)。

1-866-901-8000 برقم اتصل. بالمجان لك تتوافر اللغویة المساعدة خدمات فإن اللغة، اذكر تتحدث كنت إذا : ملحوظة : 1-877-454-8477) والبكم الصم ھاتف رقم(

របយត�៖ េបើសន�អ�កន�យ ��ែខ�រ, េស�ជនយែផ�ក�� េ�យមនគតឈ� �ល គ�ច�នស�បបេរ �អ�ក។ ចរ ទរសព� 1-866-901-8000 (TTY 1-877-454-8477)។

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-866-901-8000 (ATS 1-877-454-8477). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-866-901-8000 (TTY 1-877-454-8477).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-866-901-8000 (TTY 1-877-454-8477).

�ચનાઃ જો તમ �જરાતી બોલતા હો, તો િનઃ�લક ભાષા સહાય સવાઓ તમારા માટ� ઉપલબધ છ.

ફોન કરો 1-866-901-8000 (TTY 1-877-454-8477)

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-866-901-8000 (TTY 1-877-454-8477).

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-866-901-8000 (TTY 1-877-454-8477)번으로 전화해 주십시오.

Wann du Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: 1-866-901-8000 (TTY 1-877-454-8477).

UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-866-901-8000 (TTY 1-877-454-8477). ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-866-901-8000 (TTY 1-877-454-8477).

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-866-901-8000 (телетайп 1-877-454-8477).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-866-901-8000 (TTY 1-877-454-8477).

H9207_HPM-922-17_NSR

Health Partners Medicare is an HMO plan with Medicare and Pennsylvania State Medicaid program contracts. Enrollment in Health Partners Medicare depends on contract renewal. Health Partners Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. H9207_HPM-220S05-1709-002_C

Health Partners Medicare Prime (HMO-POS) Over …...Health Partners Medicare Prime (HMO-POS) OTC...

Documents

Transcript of Health Partners Medicare Prime (HMO-POS) Over …...Health Partners Medicare Prime (HMO-POS) OTC...

PROVIDENCE MEDICARE PRIME + RX (HMO-POS)/media/Files/Providence HP/pdfs... · 2018 Evidence of Coverage for Providence Medicare Prime + RX (HMO-POS) 1 Table of Contents . 2018 Evidence

SPRING/SUMMER 2018 WWW ... - Independent Health · Independent Health is a Medicare Advantage organization with a Medicare contract offering HMO, HMO-SNP, HMO-POS and PPO plans. Enrollment

Health Alliance Medicare POS Basic Rx (HMO-POS) / Health ......Health Alliance Medicare POS Basic Rx (HMO-POS) / Health Alliance Medicare POS 30 Rx (HMO-POS) / Health Alliance Medicare

2016 Provider Directory - Blue Cross Blue Shield … Provider Directory Blue Cross Medicare Advantage Basic (HMO) SM Blue Cross Medicare Advantage Premier Plus (HMO-POS) SM Y0096_BEN_OK_HMOPRDR16

Blue Cross Medicare Advantage · Blue Cross Medicare Advantage and Blue Cross Medicare Advantage Dual Care plans are HMO, HMO-POS, PPO, and HMO Special Needs Plans provided by Health

SaverRx (HMO) Medicare HMO Blue ValueRx (HMO) Medicare HMO Blue FlexRx (HMO … · 2021. 1. 1. · (HMO), Medicare HMO Blue ValueRx (HMO), Medicare HMO Blue FlexRx (HMO-POS) and Medicare

Horizon Blue Cross Blue Shield of New · Horizon Blue Cross Blue Shield of New Horizon Medicare Blue Advantage (HMO) Horizon Medicare Blue Select (HMO-POS) Horizon Medicare Blue Rx

[Carrier] HMO - POS PLAN SMALL GROUP HEALTH …€¦ · [Carrier] HMO - POS PLAN [Plan Name] SMALL GROUP HEALTH MAINTENANCE ORGANIZATION (HMO) POINT OF SERVICE (POS) CONTRACT CONTRACTHOLDER:

ConnectiCare Medicare Advantage plans...Plan 1 (HMO-POS), ConnectiCare Flex Plan 2 (HMO-POS), ConnectiCare Flex Plan 3 (HMO-POS) and ConnectiCare Passage Plan 1 (HMO). This document

BCN Advantage HMO-POS Elements, Basic, Classic or Prestige...HMO-POS Elements, Basic, Classic or Prestige, you must be entitled to Medicare Part A, be enrolled in Medicare Part B,

Blue Cross Medicare Advantage (HMO/HMO-POS)SM · PDF fileY0096_BEN_TMP_MAPRDIRCVR14a Approved 08132013 850275.0414 Blue Cross Medicare Advantage (HMO/HMO-POS)SM 2014 Provider Directory

Moda Health HMO (HMO-POS) · 2020-07-16 · 1 Moda Health HMO (HMO-POS) HMO Plan Provider Directory This directory provides a list of Moda Health HMO (HMO-POS) network providers.

2018 Health Maintenance Organization Medicare Advantage ......Section 1.1 You are enrolled in Vantage Medicare Advantage BASIC (HMO-POS), which is a Medicare HMO Point-of-Service Plan

BCN Advantage HMO-POS Elements, Basic, Classic or Prestige · HMO-POS Elements, Basic, Classic or Prestige, you must be entitled to Medicare Part A, be enrolled in Medicare Part B,

Blue Cross Medicare Advantage (HMO/HMO … Approved 08132013 850275.0414 Blue Cross Medicare Advantage (HMO/HMO-POS)SM 2014 Provider Directory January 1, 2014 - December 31, 2014 ...

Medicare Advantage and Supplement Plans - Health …...Health Alliance Medicare Guide HMO Rx 2 (HMO) / Health Alliance Medicare Guide HMO Rx (HMO) 2020 Summary of Benefits January

2021 CIGNA COMPREHENSIVE DRUG LIST (Formulary) · 9/1/2020 · Cigna Premier Medicare (HMO-POS), Cigna Primary Medicare (HMO), Cigna TotalCare (HMO D-SNP), Cigna True Choice Medicare

Health Alliance Medicare HMO 20 Rx (HMO) / Health ......Health Alliance Medicare HMO 20 Rx (HMO) / Health Alliance Medicare HMO Basic Rx (HMO) / Health Alliance Medicare HMO 40 Rx

Core/Open HMO and HMO-POS Plan Provider Directory

2020 Evidence of Coverage UCare EssentialsRx (HMO-POS) – …...UCare Essentials Rx, which is a Medicare HMO Point-of-Service Plan . You are covered by Medicare, and you have chosen