Over-the-Counter (OTC)

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PLEASE READ: This document contains information about the OTC products covered in this plan. Guide to using your Over-the-Counter (OTC) benefit 2020 Over-the-Counter (OTC) Catalog

Transcript of Over-the-Counter (OTC)

Page 1: Over-the-Counter (OTC)

Hometown Health & Senior Care Plus / 10213-RH job name: Senior Care Plus & Hometown Health

2020 OVER-THE-COUNTER CATALOG / SOUTHERN NV

release date: 8/1/19 vendor: Printing Services of Nevada release file type: Hi-Res PDF

trim size: 17” x 11” or 8.5” x 11” bleed size: 17.25” x 11.25” or 8.75” x 11.25” finished size: 8.5” x 11” colors: 4-color process

Last modified -- 8/2 02:50

10213RH_1048707_SCP_2020_OTC_Catalog_South_0003

P L E A S E R E A D : This document contains information about the OTC products covered in this plan.

Guide to using your Over-the-Counter (OTC) benefit

LADD/1908 -1048707

2020Over-the-Counter (OTC)

Catalog

1-855-383-4231

www.HometownOTCStore.com

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Dear Hometown Health Member,

By enrolling in Hometown Health, you receive a $50.00 Quarterly Benefit to spend on Over-the-Counter (OTC) products that are included in this catalog. Your OTC Benefit allows you to purchase items such as cold and cough medicines, incontinence products, vitamins, dental care, and much more. Items ordered from this catalog will be shipped directly to your home, at no cost to you! You are permitted three (3) orders per calendar Quarter, up to your Benefit Allowance. Shipments are limited to one (1) shipment per month. See your Evidence of Coverage for additional information about your OTC Benefit.

State Plan Name BenefitNevada Value RX Complete $50.00 Per Quarter

What is covered with your OTC Benefit?

Eligible items include OTC remedies or medicines to alleviate or treat illness or injury, dental care items, eye and ear care items and incontinence supplies (adult diapers). These items do not require a prescription from a health care provider.

Dual Purpose items are items that may serve more than one purpose. These items are sometimes used to alleviate or treat a medical condition or they may be used to promote general health and well-being. These items do not require a prescription from your doctor to purchase; however, you must discuss these items with your doctor prior to ordering or using to ensure the items are health-related and appropriate to use. For your convenience, we have identified “Dual Purpose” items in the Eligible Items section of the catalog.

Your Quarterly Benefit can be used anytime during a calendar Quarter to order OTC items from this catalog. You cannot use or combine future allowance amounts when placing your order, and any out-of-pocket OTC Items purchased by you will not be eligible for reimbursement from the Benefit Provider or Fieldtex Products, Inc. You cannot spend beyond your Quarterly Benefit Allowance and unused points are forfeited at the end of each calendar Quarter.

Welcome to Hometown Health 2020 OTC Benefits

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By phone: Call us at 855-383-4231 (TTY 711) Monday – Friday from 8am to 5pm, Saturday and Sunday 7am to 12pm, and our friendly customer service representatives will take your order. Be sure to have your filled-in order form, member ID and birthdate available to allow us to access your account.

Online: Visit us at www.HometownOTCStore.com and login to place your order. Online you will be able to keep track of what you have ordered, check status of orders, and check your Benefit Allowance.

By mail: Each Quarter, fill out the attached mail order form, seal it with tape, add postage and drop it in the mail. Be sure to give it 7 days to reach us. Orders will be processed the Month in which they are received, unless received early and specified on order as intended for a future Month. A new mail order form is sent with each of your Quarterly shipments.

How To Order

1 Each Calendar Quarter, choose the items you would like and write the product number on your order-form. Have the form available when you call or go online for fast and easy ordering.

2 Be sure to have your Member ID number (found on the front of your Health ID card). You will need to provide your Member ID number and your date-of-birth to access your account online or over the phone. If you are ordering online, your username is your Member ID, and your password is your date-of-birth in the format of “MMDDYY”. Example: June 6, 1940 would be entered as 060640

3 Total all the items, be sure to stay within your available Quarterly allowance. If you go over your Available Benefit Amount, you will not be able to complete your order.

Ordering Process

*Please keep this catalog for your entire 2020 benefit year*

There are three easy ways you can place your order: by mail, by phone, or online. Whichever way you choose to place your order, be sure to have your Member ID number and date-of-birth available to access your Benefit Account.

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The OTC Supplier cannot give you Medical advice. If you have a question about a product, please talk to your medical health provider or your doctor.

If you receive a damaged product, please contact Fieldtex Products, Inc. at 1-800-353-7763 (TTY:711) Monday - Friday from 8am to 5pm immediately and ask for the OTC Department, and we will replace it at no cost to you.

Please expect 7-10 days for shipments, call 1-800-353-7763 if an order does not arrive.

• You can only purchase OTC products up to your Quarterly Benefit Allowance. You cannot use or combine future allowance amounts when placing your order. Any Quarterly Allowance not used is forfeited at the end of each Quarter.

• Hometown Health and Fieldtex Products are not responsible for lost or stolen packages. For delivery issues, please contact Fieldtex Products, Inc. at 1-800-353-7763 (TTY Hearing Impaired: 711) Monday - Friday, 8am - 5pm.

• Please allow 7-10 days for delivery of in-stock items. You will be notified if an item is out of stock and may take longer for delivery. If mailing-in your order, please allow 1 week for delivery to Fieldtex Products, Inc. Orders will be processed the Month in which they are received, unless received early and specified on order as intended for a future Month.

• Benefit is valid only for products purchased from Fieldtex Products, Inc. Over-The-Counter Benefit Catalog. No reimbursements are honored if purchased from other sources or with your out-of-pocket money.

• Products in this catalog should only be ordered for the Hometown Health member.

• Please note that certain items in this catalog may be covered under Medicare Part B or Part D. When the item is covered under Part B or Part D, you may not be able to use this OTC Benefit.

In those instances, you must use your Hometown Health medical or prescription drug benefit to obtain the item if medically appropriate.

Important Information

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Table of Contents

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Allergy ...........................................................................................................6-7Cold and Flu ...................................................................................................7-9

Cough Drops ..................................................................................................9-10Dental Care (Denture, Dry Mouth, Toothbrush, Toothpaste) ..........................10-13

Diabetic Supplies ...........................................................................................14Diabetic Supplies - Socks ................................................................................14

Diagnostic Equipment (Blood Pressure Monitors, Scales, Thermometers) ......14-15Ear Care .........................................................................................................16Eye Care .........................................................................................................16-17Feminine and UTI ...........................................................................................17Fiber Supplements .........................................................................................17

First Aid (Bandages, Dressings and Gauze, Gloves, Tape, Kits) ........................18-20 Foot Care .......................................................................................................20-21

Hemorrhoid ...................................................................................................22

Home Testing .................................................................................................22

Hot and Cold Therapy ....................................................................................22-23Incontinence ..................................................................................................24

Lactose ..........................................................................................................25Lice ................................................................................................................25

Lip Care .........................................................................................................26Motion Sickness Medication ..........................................................................26Ointments and Topicals (Analgesics, Cleaners) ............................................... 262626-29 Pain Relief .....................................................................................................29-32Skin Care .......................................................................................................32-33

Skin Care - Sunscreen .....................................................................................33

Sleep Aid .......................................................................................................33-34

Smoking Cessation .........................................................................................34

Stomach - Antacids and Acid Reducers ...........................................................35-36Stomach and Laxatives ...................................................................................36-37Supports (Ankle, Back, Elbow, Knee, Stockings, Wrist) ....................................38-41Vitamins, Minerals and Special Supplements .................................................41-42Weight Loss - Kitchen Scales ...........................................................................42

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Eligible Items

Visit us Online at www.HometownOTCStore.comPage 6

Allergy

Allergy Relief Capsules 24/Ct Diphenhydramine HCL 25mg 922-90581 $3.00

Alka Seltzer Plus Severe Sinus Congestion LiquiGels 20/Ct 922-99038 $11.00

Allegra 12 Hour 60mg Tablets 12/Ct 922-91071 $17.00

Allegra 24 Hour 180mg Tablets 30/Ct 922-90980 $35.00

Flonase Nasal Spray For Allergies 60/Spray 922-99046 $26.00

Allergy 10mg Tablets 30/Ct Loratidine 922-90582 $4.50

Benadryl Allergy Tablets 24/Ct 922-10874 $7.50

Claritin Reditabs 10/Ct 922-11580 $19.00

Complete Allergy Medicine Tablets 100/Ct Diphenhydramine 25mg 922-11569N $2.50

Fexofenadine Tablets 30/Ct Generic Allegra 922-00301 $15.00

Nasacort Allergy 24 Hour 60/Spray 922-10222 $26.50

Flonase Nasal Spray For Allergies 120/Spray 922-10400 $44.00

Benadryl Allergy Ultratabs 60 Packets of 2 120/Ct 922-10417 $34.00

Allergy/Sinus Headache Caplets 20/Ct 922-90580 $4.75

All Day Allergy Tablets 30/Ct Cetirizene 922-90584 $14.00

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Zyrtec 10mg Tablets 14/Ct 922-91073 $23.00

Zyrtec 10mg Tablets 30/Ct 922-00203 $32.00

Airborne Original Orange Tablets 10/Ct922-90553$12.50

Alka Seltzer Plus Cold and Cough LiquiGels 20/Ct922-99912$11.00

Alka Seltzer Plus Severe Cough, Mucus and Congestion Day/Night LiquiGels 20/Ct922-99037$11.00

Breathe Right Strips Large 30/Ct922-10875$19.00

Breathe Right Strips Small/ Medium 30/Ct922-90895$19.00

Careall Medicated Chest Rub 3.53 oz.922-99093$2.50

Coricidin HPB Liqui-Gels 20/Ct922-11575$11.50

Cough/Cold High Blood Pressure Tablets 16/Ct922-90090$3.50

Delsym Cough Suppressant 6 fl. oz.922-10013$21.00

Effervescent Cold Relief Tablets 20/Ct922-90579$5.75

Mentholatum Ointment 1 oz. Jar922-90444$4.50

Mucinex DM Tablets 20/Ct922-11561$22.00

Allergy

Cold and Flu

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Eligible Items

Visit us Online at www.HometownOTCStore.comPage 8

Tylenol Cold / Flu Severe Caplets 24/Ct922-99065$12.25

Cold and Flu Mucinex Fast-Max Cold, Flu and Sore Throat 9 fl. oz.922-99113$28.00

Mucus Relief DM Tablets 30/Ct922-90576$10.50

Nasal Decongestant Spray -Afrin- 1 oz.922-90897$3.50

Nasal Spray Extra Moisture 1 oz.922-90898$3.50

Night Time Cold-Flu Relief SoftGels 16/Ct922-90639$5.25

Robitussin Cough and Chest Sugar Free 4 fl. oz.922-90516$14.75

Saline Nasal Spray 1.5 oz.922-90640$2.25

Steam Inhaler922-10459$50.00

Theraflu Nighttime Severe Cough & Cold 6/Ct922-10401$13.50

Tussin DM Sugar Free 4 fl. oz.922-90578$4.25

Tussin DM 4 fl. oz.922-90446$3.00

Tylenol Cold and Flu 8 fl. oz.922-99118$11.75

Tylenol Sinus Severe Caplets 24/Ct922-99066$12.50

Vicks DayQuil Cold and Flu LiquiCaps 8/Ct922-91076 $11.00

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Cold and Flu Vicks DayQuil Cold and Flu LiquiCaps 24/Ct922-11952$17.00

Vicks NyQuil Cold and Flu LiquiCaps 48/Ct 922-10493 $21.00

Vicks Vapo Inhaler Menthol Scent922-10463$9.75

Vicks VapoRub 3.53 oz.922-11625$16.00

Cough Drops Black Cherry Sugar Free Cough Drops 25/Ct922-90643$2.50

Chloraseptic Lozenges - Citrus 18/Ct922-11562$6.00

Halls Defense Asst Sugar Free Citrus 25/Ct922-90912$4.25

Halls Defense Citrus 30/Ct922-90913$4.00

Halls Honey Lemon Cough Drops 30/Ct922-11601$4.00

Halls Menthol-Lyptus Cough Drops 30/Ct922-11703$3.50

Honey Lemon Cough Drops 30/Ct922-99054$1.50

Luden’s Sugar Free Wild Cherry Cough Drop 25/Ct922-99083$3.00

Luden’s Wild Cherry Throat Drops 30/Ct922-11584$3.00

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Cough Drops Dental CareRicola Cherry Honey Cough Drops 24/Ct922-99114$3.75

Ricola Cough Drops 21/Ct922-11571$3.75

Ricola Sugar Free Lemon Cough Drops 19/Ct922-90447$3.75

Sucrets Sore Throat Cherry Lozenges 18/Ct922-11591$5.25

Vitamin C Drops 30/Ct922-90914$2.50

Dentek Instant Oral Pain Relief 50/Applications922-00303$9.00

Floss Waxed Unflavored 100 Yds922-90652$2.00

Gum Soft Picks Wider Spaces 50/Ct922-00662$4.50

Orajel Medicated Mouth Sore Swabs 12/Ct922-90080$9.00

Anbesol Maximum Strength .33 oz.922-10221$11.00

Mint Flosser with Pick 50/Ct922-90613$2.25

J and J Waxed Mint Reach Floss 55 Yds922-90077$2.00

Freshmint Wax Mint Dental Floss 100 Yds922-90612N$1.50

GUM Soft Picks 60/Ct922-10227$8.50

Tongue Cleaner 1/Ct922-90954$2.25

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Dental Care - Denture Denture Brush922-90909$0.50

Freshmint Denture Cleanser Tablets 40/Ct922-90906$2.75

Fixodent Adhesive Neutral Zinc Free 2.4 oz.922-99107$10.25

Fixodent Free Cream 2.4 oz.922-99109$10.50

Fixodent Original 1.4 oz.922-90128$6.25

Fixodent Plus Scope Adhesive 2 oz.922-99110$10.50

Freshmint Denture Adhesive 2.4 oz.922-90908$3.50

Freshmint Denture Cleanser Tablets 90/Ct922-90655N$5.25

Oral B Denture Brush Twin Head922-90126$4.00

Polident 3-Minute Tablets 40/Ct922-99049$5.75

Polident Overnight Tablets 40/Ct922-91079$6.75

Polident Overnight Tablets 84/Ct922-90486$11.00

Polident Tablets for Smokers 40/Ct922-99050$6.75

Poligrip Extra Care 2.2 oz.922-90490$9.50

Denture Cup with Hinged Lid922-10491 $1.00

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Eligible Items

Visit us Online at www.HometownOTCStore.comPage 12

Dental Care - Denture

Dental Care - Toothbrush Colgate Medium Toothbrush 922-99181 $2.00 Colgate Plus Soft Toothbrush 922-90156A $2.75 Complete Clean Medium Toothbrush 922-10481 $2.50 Complete Clean Soft Toothbrush 922-10476 $2.50 Elite Angle Full Head Medium Toothbrush 922-90654 $2.50 Elite Angle Full Head Soft Toothbrush 922-90653 $2.25 Freshmint Nylon Toothbrush 922-90910 $0.50 Oral B 3D White Soft Toothbrush 922-90988 $6.50

Poligrip SPG Free 2.4 oz.922-99047$9.50

Poligrip Super Original 2.4 oz.922-90491$9.50

Dental Care - Dry Mouth ACT Dry Mouth Lozenges 18/Ct922-10226$7.00

ACT Total Care Dry Mouth Rinse Mint 18 oz.922-00438$9.25

Biotene Dry Mouth Balance Gel 1.5 oz.922-00340$11.50

Biotene Dry Mouth Oral Mouth Rinse 16 fl. oz.922-00304$11.00

Biotene Moisturizing Mouth Spray 1.5 fl. oz.922-10224$11.00

Poligrip SPG Free 1.4 oz.922-99051$7.25

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Dental Care -Toothbrush Electric Interplak Rechargable Cordless Toothbrush 922-00352 $50.00 Interplak Toothbrush Replacement Heads 2/Ct 922-00370 $31.00 Oral B Precision Clean Battery Powered Toothbrush 922-99149 $23.50 Oral B Precision Replacement Brush Head 2/Ct 922-99911 $33.00

Dental Care - ToothpasteAim Toothpaste 6 oz.922-10466$2.25

Aquafresh Cavity Protection Toothpaste 5.6 oz.922-99044$4.25

Biotene Fresh Mint Toothpaste 4.3 oz.922-99045$10.50

Close-Up Cinnamon Flavored Toothpaste 6 oz.922-10467$3.50

Colgate Total Clean Mint Toothpaste 4.8 oz.922-90157$7.75

Crest Baking Soda and Peroxide Toothpaste 6.4 oz.922-99148$5.00

Crest Gum Detoxify Extra Fresh Toothpaste 4.1 oz922-10468$9.00

Crest Regular Toothpaste 4.6 oz.922-90615$4.25

Freshmint Anticavity Toothpaste 4.6 oz.922-90911$2.00

Listerine Essential Care Original Gel Toothpaste 4.2 oz.922-99147$8.00

Parodontax Extra Fresh Toothpaste 3.4 oz.922-00305$10.25

Pepsodent Complete Care Toothpaste 5.5 oz.922-90617$2.00

Sensodyne Deep Clean Toothpaste 4.0 oz.922-90485$10.50

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Eligible Items

Visit us Online at www.HometownOTCStore.comPage 14

Diabetic Supplies Aveeno Diabetics’ Dry Skin Relief Lotion922-00252$12.00

Diabetic Health Pack 30/Ct922-00353$29.50

Glucose 4 Gram Tablets Orange Flavor - 10/Ct922-00295$3.50

Glucose 4 Gram Tablets Orange Flavor - 50/Ct922-00296$8.00

Glucose SOS Instant Dissolve Powder 6/Ct Fruit Medley922-10446$13.50

Gold Bond Diabetic Foot Cream 3.4 oz.922-10223$11.75

Diabetic Supplies - Socks Cotton Diabetic Socks 1 Pair $12.50

922-00158 Small/MediumShoe Size: Mens 7.5 - 10 Womens 9 - 11.5

922-00159 Large/XLShoe Size: Mens 10.5 - 12Womens 12 - 13.5

Polyester Diabetic Socks 1 Pair $12.50

922-00173 Small/MediumShoe Size: Mens 7.5 - 10 Womens 9 - 11.5

922-00174 Large/XLShoe Size: Mens 10.5 - 12Womens 12 - 13.5

Diagnostic EquipmentPulse Oximeter922-10447$29.00

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Diagnostic Equipment - Blood Pressure MonitorsAdvocate Blood Pressure Monitor XL 922-00112$42.50

Cuff Circumference: 12.6 in - 20.5 in.

Healthmate Cuff Digital Blood Pressure Monitor 922-90327$48.00

Cuff Circumference: 9 in. - 13 in.

Perfect Measure Blood Pressure Monitor 922-00374$50.00

Cuff Circumference: 9.4 in. - 13.4 in.

Diagnostic Equipment - ScalesCon Air Dr. Scale922-10405$50.00

Platform Digital Scale922-01070$39.25

Stainless Steel Digital Scale922-01072$50.00

Advocate Non-Contact Infrared Thermometer Speaks English/Spanish922-99159$50.00

Digital Ear Thermometer922-90956$33.75

Digital Thermometer 9 Second Read922-10460$6.75

Hand Held Digital Temple Touch Infrared Probe Thermometer922-99169$23.00

Infrared Forehead Thermometer One Second Read922-99170$50.00

Diagnostic Equipment - Thermometers

(Dual Purpose)

(Dual Purpose)

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Eligible Items

Visit us Online at www.HometownOTCStore.comPage 16

Debrox Earwax Removal Drops 1/2 fl. oz.922-11848$10.50

Ear Wax Removal Kit 0.5 fl. oz.922-90641$6.00

Lipo-Flavonoid Ear Ringing Relief Caplets 72/Ct922-00319$30.00

Murine Ear Wax Removal System 0.5. fl. oz.922-99082$11.25

Swim-Ear Ear Drops 1 fl. oz.922-11655$7.00

Ear Care

Eye Care Clear Eyes Itchy Eye Relief .5 oz.922-91080$6.25

Clear Eyes Triple Action Relief .5 oz.922-91045$6.50

Eye Care Kit911-55009$12.00

Contains: 1 lens cleaner1 eye drops1 eyeglass tool kit and more

Eye Drops Original .5 oz.922-90453N$2.00

Naphcon A Eye Drops922-00371$17.00

Sterile Irritation Eye Drops .5 oz.922-90588$3.25

Stye Eye Ointment 0.125 oz.922-11668$11.50

Visine A.C. Seasonal Itching .5 oz.922-91047$6.25

Blink Contacts Lubricating Eye Drop 10mL922-90917$10.25

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Visine Advanced Lubricant/ Redness .28 oz.922-99063$3.75

Visine Eye Allergy Relief Eye Drops .5 oz.922-99064$9.75

Feminine and UTIMonistat 7 Day922-91092$18.00

Monistat Chafing Relief Powder Gel 1.5 oz.922-91101$12.00

Uristat Ultra with Cranberry UTI Pain Relief Tablets 30/Ct922-00226$13.00

Eye Care

Fiber Supplements Benefiber 38 Servings922-00830$17.50

Benefiber Chewables 100/Ct922-99021$25.00

Best Fiber Sugar Free Powder 62 Servings922-90575$12.50

Fiber Gummies 120/Ct922-00264$22.50

FiberCon Caplets 36/Ct922-11839$11.50

Fiber-Tabs 90/Ct922-90880$11.75

Metamucil Capsules 0.52 gram 100/Ct922-00359$26.00

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Eligible Items

Visit us Online at www.HometownOTCStore.comPage 18

First Aid - Bandages All-In-One Finger Dressing 3 Sterile Dressings922-91060$5.00

Antibacterial Sheer Band Aid Assorted 20/Ct922-90876$3.00

Curad Sensitive Comfort Fabric Bandages 3/4 in. x 3 in. 30/Ct 922-10494 $2.00

Curad Soothe and Cool Assorted Bandages 8/Ct922-00375$6.50

Curad Truly Ouchless XL Bandages 8/Ct922-00377$6.75

Curad Flex Fabric Assorted Bandages 100/Ct922-10487 $4.00

Curad Bandage Variety Pack 200/Ct922-10488 $8.50

Elastic Bandage 2 in. x 5 Yds922-00011$1.50

Elastic Bandage 3 in. x 5 Yds922-00006$1.50

J and J Flexible Fabric Assorted Bandages 30/Ct922-10317$5.75

J and J Flexible XL 1 3/4 in. x 4 in. Bandages 10/Ct922-10320$5.75

Elastic Bandage 4 in. x 5 Yds922-00013$2.00

J and J Flexible 3/4 in. x 3 in. Bandages 30/Ct922-10319$5.75

J and J Flexible Fabric Assorted Bandages 100/Ct922-10489 $7.25

J and J Flexible 1 in. x 3 in. Bandages 100/Ct922-10490$8.25

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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First Aid - Bandages J and J Hydro Seal All Purpose Large Bandages 6/Ct922-10420$7.00

J and J Large Waterproof Pad Bandage 6/Ct922-10410$5.25

J and J Plastic Bandages 3/4 in. x 3 in. 60/Ct922-10866$4.00

Sheer Spot 7/8 in. Bandage 100/Ct922-10135BX100$3.25

New Skin Liquid Bandage 50 Applications922-10322$6.50

First Aid - Dressings and Gauze Cohesive Elastic Bandage 3 in. x 5 Yds922-00010$2.75

Cotton Balls 100% Cotton 300/Ct922-90773$2.25

Cotton Swabs 300/Ct922-90891$2.25

J and J Gauze Pads 4 in. x 4 in. 10/Ct922-10907$5.50

Krimptex Bandage Roll 4.5 in. x 4.1 Yds922-07104$2.25

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Eligible Items

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First Aid - Tape Waterproof Tape 1 in. x 10 yds. 922-00101 $4.00Covered Tape 1/2 in. x 5 yds. 922-00035 $2.00Waterproof Tri-cut Tape 2 in. x 5 yds. 922-10039 $2.75

Burn Care Kit911-90050$12.75

Curad 175 Piece First Aid Kit922-99079$16.25

J and J 140 Piece First Aid Kit922-90564$19.00

First Aid - Kits

First Aid - GlovesCurad Nitrile Exam Gloves 10/Ct - One Size Fits Most 922-10492 $1.00Powder Free Vinyl Exam Gloves - Small 100/Ct 922-10008 $5.50Powder Free Vinyl Exam Gloves - Med 100/Ct 922-10009 $5.50Powder Free Vinyl Exam Gloves - Lg 100/Ct 922-10010 $5.50Powder Free Vinyl Exam Gloves - XL 100/Ct 922-10011 $5.50

Mini First Aid Kit922-90457$2.50

Personal Soft Sided First Aid Kit911-93901-10999$8.00

Foot Care Arm and Hammer Odor Control Foot Powder 7 oz.922-99158$10.00

Clotrimazole Cream Usp 1% 1 oz.922-90610$2.50

Compound W Plantar Pads 20/Ct922-99078$12.75

Contains:140 essential items to treat cuts and scrapes

Contains:2 Gauze Pads 4 Burn Gel Packets 1 Roll of Tape

Contains:6 Alcohol Swabs2 Gauze Pads1 Bandage Rolland more

Contains:10 Bandages3 Gauze Pads4 Alcohol Wipesand more

Contains:175 pieces and includes all first aid essentials

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Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

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Corn and Callus Remover .3 fl. oz.922-90608$5.00

Corn Cushions 9/Ct922-90609$2.00

Dr. Scholl’s Liquid Corn/Callus with Cushions .33 oz922-10427$9.00

Foot Care

Foot Care Kit911-90061$7.25

Contains: Callus, Corn, Metatarsel and Toe bandages, Moleskin, Tape and more

Freeze Off Original Spray 8/Applications922-99081$23.00

J and J Hydro Seal Blister Toe Bandages 8/Ct922-10431$7.75

J and J Hydro Seal Extreme Blister Cushions 5/Ct922-10425$7.75

Liquid Wart Remover .31 fl. oz.922-90605$5.50

Lotrimin Spray 4.6 oz.922-90943$12.75

Medicated Corn Remover Pads 9/Ct922-11950$2.50

Medicated Foot Powder 4 oz.922-90607$4.50

Moleskin Plus 4/Sheets922-90604$3.25

Toe Separators - 2 small; 2 medium; 2 large922-90636$5.75

Tolnaftate Antifungal Cream .5 oz.922-90905$2.00

Zeasorb Athletes Foot Powder 2.5 oz.922-00324$10.75

Page 22: Over-the-Counter (OTC)

Eligible Items

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Hemorrhoid Relief Ointment 2 oz.922-90139$5.00

Medicated Pads 100/Ct922-90651$6.50

Preparation H Cooling Gel 0.9 oz.922-99157$12.25

Hemorrhoid

Preparation H Suppositories 24/Ct922-99145$25.00

Preparation H Totable Wipes 10/Ct922-99152$6.25

Suppositories 12/Ct922-90154$4.50

Tucks Medicated Pads 40/Ct922-90940$8.00

Early Result Pregnancy Test 1/Ct922-00246$5.25

One Step Pregnancy Test 1/Ct922-00245$5.25

Home Testing

Hot and Cold Therapy Advocate Heating Pad Classic 12 in. x 15 in.922-90890$22.00

Cooling Eye Reusable Cold Pack 2.5 in. x 5 in.922-10103$1.50

Combination Hot Water Bottle w/Enema System922-10403$13.00

Page 23: Over-the-Counter (OTC)

Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

Page 23

Hot and Cold Therapy Extra Strength Cold and Hot Therapy Patch 5/Ct922-90459$6.00

Instant Heat Pack 5 in. x 9 in.922-00067$1.00

Maximum Strength Cold and Hot Pain Relief Liquid Roll On 2.5 fl. oz.922-90122$6.75

Personal Heating Pad Wrap 18 in. x 15.5 in. 922-10456$45.00

Reusable Ice Bag Medium 9 in.922-10089$7.00

Salonpas Deep Relieving Gel 2.75 oz.922-91030$13.75

Salonpas Pain Relieving Hot-Gel Patch 6/Ct922-90889$13.50

Select Heat Heating Pad 12 in. x 14 in.922-00357$38.00

Select Heat Heating Pad King Size 12 in. x 24 in. 922-10404$46.00

Soft Touch Reusable Hot/Cold Gel Packs 2/Ct922-10458$6.25

Thermacare Lower Back and Hip Heatwraps 2/Ct922-90885$13.50

Thermacare Muscle and Joint Heatwrap 1/Ct922-91031$5.00

Thermacare Neck To Arm Heatwraps 3/Ct922-90887$13.50

Therma-Kool Reusable Cold/Hot Pack 6 in. x 9 in.922-00471$2.50

Page 24: Over-the-Counter (OTC)

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Incontinence

A & D Original Ointment 1.5 oz. 922-11640 $5.25 Balmex Adult Cream 3 oz. 922-91043 $7.50 Balmex Zinc Oxide Cream 2 oz. 922-91088 $5.75 Flushable Adult Wipes 48/Ct 922-10012 $4.00 Maxi Care 30 in. x 30 in. Absorbent Bed Pads Disposable 10/Ct 922-90057 $8.25 Prevail Adult Washcloths 48/Ct 922-11089 $5.00 Prevail Bariatric "A" Brief Fits 62 in. - 73 in. 12/Ct 922-10449 $21.00 Prevail Bariatric "B" Brief Fits up to 100 in. 10/Ct 922-10454 $25.00 Prevail Bladder Control Pads Maximum 48/Ct 922-99161 $18.00 Prevail Bladder Control Pads Moderate 20/Ct 922-99162 $6.50 Prevail Bladder Control Pads Ultra Thin 30/Ct 922-99163 $9.00 Prevail Breezers 360 Briefs Medium with Flexible Stretch Fasteners Waist 26 in. - 48 in. White 16/Ct 922-10495 $12.75

Prevail Breezers 360 Briefs Large with Flexible Stretch Fasteners Waist 45 in. - 62 in. Blue 18/Ct 922-10496 $19.00

Prevail Breezers 360 Briefs XLarge with Flexible Stretch Fasteners Waist 58 in. - 70 in. Beige 15/Ct 922-10497 $19.00

Prevail Male Guard 14/Ct 922-99164 $7.25 Prevail Per-Fit Protective Underwear Women XLarge 14/Ct Fits 190 - 240 lbs. Waist 58 in. - 68 in. 922-99160 $16.50

Prevail Per-Fit Protective Underwear Women/Medium 20/Ct Fits 90 - 190 lbs. Waist 34 in. - 46 in. 922-99167 $16.50

Prevail Per-Fit Underwear Women/Large 18/Ct Fits 140 - 230 lbs. Waist 44 in. - 58 in. 922-99168 $22.00 Prevail Super Plus Underwear 2XL Fits 68 in. - 80 in. 12/Ct 922-10455 $20.00 Reusable Bed Pad 34 in. x 36 in. 922-91068 $19.50 Stay Dry Bed Pad - Reusable 36 in. x 72 in. 922-10413 $47.00 Stay Dry Chair Pad - Reusable 17 in. x 24 in. 922-10433 $14.00 Surecare Shield Light-Moderate 25/Ct 922-11090 $8.75 Surecare Underwear Large 18/Ct Waist 45 in. - 54 in. 922-90055 $19.00 Surecare Underwear Medium 20/Ct Waist 34 in. - 46 in. 922-90056 $19.00 Surecare Underwear XL 14/Ct Waist 48 in. - 66 in. 922-90054 $18.00 Vitamin A & D Ointment 4 oz. 922-99094 $2.00

Page 25: Over-the-Counter (OTC)

Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

Page 25

Dairy Digestive Fast Acting Caplets 60/Ct922-99052$14.50

Lactaid Fast Acting Caplets 32/Ct922-90145$14.00

Schiff Digestive Advantage Defense Caplets 32/Ct922-99146$16.00

Dairy Aid Original Strength Caplets 60/Ct922-11872$11.00

Lactose

Complete Lice Treatment Kit 922-00247$23.00 Includes: Lice Killing Shampoo Nit Combing Geland Bedding Spray

Rid Home Lice Treatment Complete Kit922-10409$29.00

Includes: Lice Killing Shampoo Lice and Egg Comb Out Spray Home Lice, Bedbug & Dustmite Spray

Rid Lice and Bedbug Control Spray 5 oz.922-10421$11.00

Rid Lice Killing Shampoo 8 oz.922-10434$30.00

Lice

Page 26: Over-the-Counter (OTC)

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Motion Sickness

Blistex Medicated Lip Balm922-00325$2.75

Blistex Medicated Lip Ointment922-00326$4.00

Medicated Lip Balm Generic Carmex922-00327$1.75

Neosporin Lip Overnight Renewal .27 oz.922-10406$8.25

Lip Care

Dramamine Tablets 12/Ct922-90201$8.25

Motion Sickness Tablets 12/Ct922-90650$2.50

Antifungal Cream 1 oz.922-10752$5.00

Aveeno Anti-Itch Lotion 4 oz.922-99056$10.75

Bacitracin 1 oz.922-00065$2.50

Ointments and Topicals

Page 27: Over-the-Counter (OTC)

Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

Page 27

Benadryl Extra Itch Cooling Spray 2 oz.922-99058$10.50

Calamine Lotion 6 fl. oz.922-90933$3.50

Hydrocortisone 1% Anti-Itch Maximum Strength922-90935$3.00

Ointments and Topicals

Hydrocortisone Cream 1% 1 oz.922-10057$2.25

Itch Relief Cream Extra Soothing 1 oz.922-90095$5.00

Neosporin Burn Relief .5 oz.922-10419$9.00

Neosporin Ointment .5 oz.922-00835$8.50

Safetec First Aid Burn Gel 4 oz.922-90471$4.75

Triple Antibiotic Ointment Generic Neosporin 1 oz.922-90932$8.25

Triple Antibiotic Ointment Tube 1 oz.922-00049$3.00

Wound Seal + Applicator 4/Ct922-10482$17.00

Wound Seal Topical Powder 4/Ct922-10475$13.00

Ointments and Topicals - Analgesics Aspercreme 1.25 oz.922-10050$5.50

Aspercreme Lidocaine No Mess Liquid Roll On 2.5 oz.922-00328$13.50

Bengay Vanishing Scent Topical Gel 2 oz.922-10424$6.50

Page 28: Over-the-Counter (OTC)

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Bengay Greaseless Topical Cream 2 oz.922-10323$8.50

Cortizone-10 Cream 2 oz.922-99100$13.75

Flexall Ultra Plus 2 oz.922-91082$9.25

Icy Hot Cream 1.25 oz.922-10053$5.00

LidoAID Pain Relieving Gel .17 oz922-10445$9.00

Muscle and Joint Vanishing Scent Gel 3 oz.922-90901$3.00

Muscle Rub Ultra Strength Pain Relieving Cream 3 oz.922-90900$3.25

Pain Relief Lidocaine Patches 5/Ct922-10457$6.25

Salonpas Lidocaine Plus Cream 3 oz.922-10448$16.75

Ointments and Topicals - Analgesics

Tiger Balm Rub Ultra .63 oz922-10462$10.00

Salonpas Lidocaine Plus Liquid Roll On 3 fl.oz922-10453$16.75

Tiger Balm Pain Relieving Hydrogel Patch Large 4/Ct922-10464$9.75

Tiger Balm Pain Relieving Patch 5/Ct922-10465$8.50

Page 29: Over-the-Counter (OTC)

Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

Page 29

Ointments and Topicals - CleanersAlcohol Wipes 200/Ct922-00050F$4.00

Bactine Maximum Pain Relieving Cleansing Spray 5 oz.922-00329$11.00

Decolorized Iodine 2 oz.922-91091$5.00

J and J Hurt Free Antiseptic Wash 6 oz.922-10321$6.25

Pain Relief Advil Coated Caplets 50/Ct922-91077$14.00

Advil Coated Tablets 100/Ct922-90658$20.00

Advil Liqui-Gels 20/Ct922-91059$8.00

Advil Liqui-Gels 80/Ct922-99097$21.00

Advil Migraine Liqui-Gels 20/Ct922-99098$8.50

Advil PM Coated Caplets 40/Ct922-91065$15.00

Advil PM Liqui-Gels 20/Ct922-99099$11.75

Ibuprofen IB Caplets 200mg 100/Ct922-90600N$3.25

Aleve Easy Open Cap Caplets 100/Ct922-99116$24.00

Page 30: Over-the-Counter (OTC)

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Pain Relief Aleve Easy Open Cap 220mg Gelcaps 40/Ct922-11704$14.00

Aleve Liquid Gels 80/Ct922-99117$31.00

Aleve PM Caplets 20/Ct922-99023$11.00

Aspirin 81mg Chewable Tablets Orange 36/Ct922-90598$2.25

Bayer Aspirin Low Dose Tablets 81mg 120/Ct922-99026$16.25

Bayer Aspirin Tablets 325mg 100/Ct922-99027$16.75

Bayer Chewable Aspirin Tablets 81mg Cherry 36/Ct922-90662$6.00

Naproxen -Generic Aleve- Caplets 220mg 100/Ct922-90602N$8.00

Norwich Aspirin Tablets 325mg 100/Ct922-10880$4.50

Chewable Aspirin 81mg Tablets Orange 36/Ct922-90902$1.25

Ecotrin Tablets 325mg 125/Ct922-00372$13.25

Excedrin Extra Strength Caplets 100/Ct922-99101$23.00

St. Joseph Low Dose Aspirin Micro Tablets 81mg 120/Ct922-91058$10.25

St. Joseph Low Dose Chewable Aspirin 81mg 36/Ct922-91057$3.50

Low Dose Aspirin Tablets 81mg 120/Ct922-11876N$2.50

Page 31: Over-the-Counter (OTC)

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Page 31

Pain Relief Headache Relief Extra Strength Tablets 50/Ct922-99106$4.00

Motrin IB Caplets 100/Ct922-90659$19.00

Motrin IB Caplets 50/Ct922-91074$12.50

Motrin IB Liquid Gels 20/Ct922-99103$8.75

Motrin PM Caplets 20/Ct922-99104$8.75

Tylenol 8 Hour Arthritis Pain 100/Ct922-10416$24.00

Excedrin Migraine Caplets 24/Ct922-99102$8.50

Tylenol 8 Hour Arthritis 24/Ct922-10408$8.25

Tylenol Extra Strength Caplets 500mg 100/Ct922-99059$21.00

Tylenol Extra Strength Caplets 500mg 24/Ct922-99060$7.75

Tylenol PM Caplets 24/Ct922-99061$9.00

Tylenol Regular Strength Tablets 100/Ct922-99062$15.00

Extra Strength Tylenol Coated Tabs 225/Ct922-10432$28.00

Extra Strength Tylenol 50 Packets of 2 100/Ct922-00098F$24.00

Acetaminophen Extra Strength Caplets 500mg APAP 100/Ct922-90599N$3.50

Page 32: Over-the-Counter (OTC)

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Pain Relief

Skin Care2nd Skin Scar Gel .52 oz.922-90121$11.50

Abreva Oral Care Pump 2.0 Gram922-99043$35.00

Aloe Vera 16 oz.922-90950$9.50

Aloe With Lidocaine Gel 8 oz.922-90951$4.25

Campho-Phenique Cold Sore Treatment Gel .23 oz.922-11633$8.00

Dermarest Medicated Psoriasis Gel 4 fl. oz.922-00330$12.00

Gold Bond Eczema Relief Cream 5.5 oz922-10220$15.50

Johnson’s Baby Powder with Aloe and Vitamin E 15 oz.922-10478$8.50

Medicated Body Powder 10 oz.922-90934$4.50

Acetaminophen Regular Strength Tablets 325mg 100/Ct922-90903$2.50

Non Aspirin Acetaminophen PM Caplets 500mg 50/Ct922-90904$2.00

Arthritis Pain Relief Tablets APAP 650mg 24/Ct922-90601$5.25

Icy Hot Smart Relief Tens Kit Back and Hip922-99111$50.00

Includes:1 Control Unit1 Preloaded Battery1 Reusable Electro Pad

Rechargeable Tens Unit922-10461$28.00 Includes: 1 Control Unit1 Battery1 Reusable Electro Pad

Page 33: Over-the-Counter (OTC)

Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

Page 33

Skin CareScarAway Silicone Scar Sheets 8/Ct922-10418$37.00

Vaseline Healing Jelly 13 oz.922-10472$9.50

Skin Care - SunscreenCoppertone Sport Sunscreen SPF 30 7 oz.922-10411$16.00

Coppertone Sport Sunscreen SPF 50 7 oz.922-10428$16.00

Coppertone Sunscreen SPF 30 8 oz.922-90058$16.00

Neutrogena Sheer Zinc Sunscreen SPF 30 3 oz.922-10426$15.00

Neutrogena Sheer Zinc Sunscreen SPF 50 3 oz.922-10412$16.00

Sunscreen SPF 50 8 oz.922-90063$8.50

Sleep Aid Melatonin 3mg Tablets 120/Ct922-00331$11.50

Melatonin Soothers 30/Ct922-10430$4.00

QC EZ Nite Sleep Softgels 24/Ct922-10473$6.50

Sleep Aid - Generic Sominex 32/Ct922-90925$4.00

Sleep Aid - Generic Unisom 16/Ct922-90927$5.25

Melatonin 3mg Tablets 100/Ct922-00316$7.75

Page 34: Over-the-Counter (OTC)

Eligible Items

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Unisom Sleep Gels 32/Ct922-10225$17.00

ZZZQuil LiquiCaps 48/Ct922-10474$29.50

Smoking Cessation Nicotine Gum 2mg 40/Ct922-99913$43.00

Nicotine Gum 4mg 40/Ct922-99914$45.00

Nicotine Lozenges 2mg 72/Ct922-99915$50.00

Nicotine Lozenges 4mg 72/Ct922-99916$50.00

Nicotine Patch Step 1 21mg 7/Ct922-99918$32.00

Nicotine Patch Step 2 14mg 7/Ct922-99917$32.00

Sleep Aid

Nicotine Patch Step 3 7mg 7/Ct922-99919$32.00

Nicotine Patches Step 1 21mg 14/Ct922-10407$47.00

Nicotine Patches Step 2 14mg 14/Ct922-10423$45.00

Nicotine Patches Step 3 7mg 14/Ct922-10437$45.00

Page 35: Over-the-Counter (OTC)

Eligible Items

Call us toll-free at 855-383-4231Monday-Friday 8 am-5 pm / Saturday-Sunday 7 am-12 pm

Page 35

Stomach - Antacids and Acid Reducers Alka-Seltzer Heartburn Relief Chews Assorted 36/Ct922-99025$9.50

Alka-Seltzer Original Foil Tablets 36/Ct922-91048$9.50

Chewy Delights Cherry Generic Tums 32/Ct922-00335$5.50

Famotidine Acid Reducer Tablets 10mg -Generic Pepcid- 30/Ct922-90648$7.25

Lansoprazole 15mg Tablets -Generic Prevacid- 14/Ct922-90984$16.00

Omeprazole 20mg Tablets Generic Prilosec - 14/Ct922-91070$20.00

Omeprazole 20mg Tablets Generic Prilosec - 28/Ct922-90982$35.00

Omeprazole Disolving Tablets Strawberry Flavor 42/Ct922-10439$32.00

Pepcid Complete Cool Mint Chewable Tablets 25/Ct922-00206$17.00

Pepto Bismol 4 fl. oz.922-90923$6.50

Prelief Dietary Supplement Caplets 120/Ct922-00334$16.00

Prevacid 24 Hour 15mg OTC Tablets 14/Ct922-90978$23.00

Prilosec 20mg OTC Tablets 14/Ct922-91075$24.00

Prilosec 20mg OTC Tablets 28/Ct922-99105$38.00

Ranitidine 75mg Tablets 30/Ct922-90594$8.00

Page 36: Over-the-Counter (OTC)

Eligible Items

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Rolaids Advanced Antacid Plus Anti-Gas Chewable Tablets 60/Ct922-99154$8.25

Rolaids Softchews Antacid Flavors Vary 12/Ct922-99155$3.75

Rolaids Ultra Antacid Chewable Tablets Fruit 72/Ct922-99156$8.25

Tums 96/Ct Flavors Vary922-90466$8.50

Tums Chewy Delights Cherry 32/Ct922-00336$9.00

Ultra Strength Antacid Calcium Chewable Tablets Flavors Vary 72/Ct922-99144$4.75

Zantac 150 Maximum Strength Tablets 24/Ct922-00172$16.50

Stomach and Laxatives Anti-Diarrheal/Anti-Gas 2 mg Tablets 30/Ct922-10438$7.50

Anti-Diarrheal Tablets 2mg 24/Ct922-90120$5.25

Anti-Nausea Liquid Cherry 4 oz.922-90596$3.50

Beano Tablets 30/Ct922-11824$9.00

Clearlax 17.9 oz.922-10483$28.00

Clearlax 8.3 oz.922-10480$16.00

Stomach - Antacids and Acid Reducers

Page 37: Over-the-Counter (OTC)

Eligible Items

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Page 37

Stomach and Laxatives Enema Adult 4.5 oz.922-90918$2.25

Equalactin Chews 48/Ct922-00333$10.00

Ex-Lax Chocolate 24/Ct922-91053$8.75

Gas Relief And Prevention Caplets 20/Ct922-91054$7.00

Gas-X Extra Strength Softgels 10/Ct922-91052$4.75

Generic Tums 96/Ct922-90919$5.25

Gentle Stool Softener Docusate Sodium 25/Ct922-90590$3.50

Imodium AD Caplets 24/Ct922-00836$19.50

Imodium Liquid 4 oz.922-90657$9.75

Laxative Bisocodyl 25/Ct922-90589$2.50

Miralax OTC 7 Dose 4.1 oz.922-90883$12.00

Phillips Stool Softner 30/Ct922-99035$8.75

Senna Laxative Tablets 100/Ct922-90644$6.00

Stomach Relief Tablets 30/Ct922-10429$5.00

Clearlax 4.1 oz.922-10477$8.50

Page 38: Over-the-Counter (OTC)

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Supports - Ankle Adjustable Ankle Support922-10007$14.50

Procare Elastic Ankle Support Large922-90618$7.00

Procare Elastic Ankle Support Medium922-90619$7.00

Procare Elastic Ankle Support Small922-90620$7.00

Procare Elastic Ankle Support XL922-90621$7.00

Procare Elastic Ankle Support XXL922-90629$7.50

Supports - BackBack Stabilizer Large 39 in. - 50 in.922-90208$49.50

Back Stabilizer Small/Medium 29 in. - 39 in.922-90449$50.00

Mueller Adjustable Back Brace 28 in. - 50 in.922-90209$30.25

Mueller Adjustable Back Brace with Lumbar Pad 28 in. - 50 in. 922-90210$43.75

Neoprene Elbow Support One Size Fits All922-10790$20.00

Procare Elastic Elbow Support Small 8 in. - 9 in.922-90627$7.50

Procare Elbow Support Large 10 in. - 11.5 in.922-90626$7.50

Supports - Elbow

Page 39: Over-the-Counter (OTC)

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Page 39

Procare Elbow Support XL 11.5 in. - 13 in.922-90628$7.50

Tera-Prene Tennis Elbow Sleeve XL 12 in. - 14 in.922-99089$24.00

Supports - Elbow

Supports - KneeDJ Orthopedics Reddie Brace Large 15 in. -17 in.922-99922$50.00

DJ Orthopedics Reddie Brace Medium 14 in. - 15 in.922-99921$50.00

DJ Orthopedics Reddie Brace Small 13 in. - 14 in.922-99920$50.00

DJ Orthopedics Reddie Brace XL 17 in. - 19 in.922-99923$50.00

Extra Large Scott Specialties Tera-Prene Knee Support 21.75 in922-99088$42.00

Procare Support - Knee Large 20.5 in. - 23 in.922-90622$7.00

Procare Support - Knee Medium 18 in. - 20.5 in.922-90623$7.00

Procare Support - Knee Small 15.5 in. - 18 in.922-90624$7.00

Procare Support - Knee X-Large 23 in. - 25.5 in.922-90625$7.00

DJ Orthopedics Reddie Brace 2XL 19 in.922-99084$50.00

Page 40: Over-the-Counter (OTC)

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Supports - StockingsAnti-Embolism Stocking with Inspection Toe$17.50

922-10435 - Small922-10436 - Small Long 922-10442 - Medium922-10450 - Medium Long922-10443 - Large922-10451 - Large Long922-10444 - XL922-10452 - XL Long

Mens Black Light Support$26.00 922-00366 Small - 15-20 mmHg

922-00367 Medium - 15-20 mmHg922-00368 Large - 15-20 mmHg 922-00369 Extra Large -15-20 mmHg

Unisex Beige Firm Support$38.00

922-00386 Small - 30-40 mmHg922-00387 Medium 30-40 mmHg922-00388 Large- 30-40 mmHg922-00389 Extra Large - 30-40 mmHg

Unisex Beige Medium Support$35.00

922-00382 Small - 20-30 mmHg922-00383 Medium 20-30 mmHg922-00384 Large- 20-30 mmHg922-00385 Extra Large - 20-30 mmHg

Womens Beige Light Support$26.00

922-00362 Small - 15-20 mmHg922-00363 Medium - 15-20 mmHg922-00364 Large - 15-20 mmHg922-00365 Extra Large - 15-20 mmHg

Page 41: Over-the-Counter (OTC)

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Page 41

Supports - WristAdjustable Wrist Support Unisize 922-91095$11.00

Quick-Fit Wrist Support Left Unisize922-91096$30.00

Quick-Fit Wrist Support Right Unisize922-99119$30.00

Wristlet922-91097$4.75

Vitamins, Minerals and Special Supplements Airborne Gummies Berry/Citrus 21/Ct 922-00837 $11.25 B-12 1000mcg Melts 100/Ct 922-00294 $12.00 B-Complex Softgels 100/Ct 922-90298 $10.50 Calcium 500mg + D Tablets 130/Ct 922-00339 $15.25 Calcium 600mg + D 200 IU Tablets 60/Ct 922-90230 $3.00 Centrum Men MultiGummies 70/Ct 922-00833 $12.75 Centrum Women MultiGummies 70/Ct 922-00832 $12.75 Chocolate Calcium Chews 60/Ct 922-90966 $7.75 Co Q10 100mg Softgels 40/Ct 922-00360 $35.00 Co Q10 50mg Gummies 60/Ct 922-00341 $25.00 Daily Men/Women Maximum Vitamin Pak 30/Ct 922-00361 $26.00 Daily One Multivitamin For Women 100/Ct 922-90961 $11.00 Ferosul 5 Iron Tablets 100/Ct 922-90245 $3.00 Fish Oil Cholesterol Free 1000mg Softgels 120/Ct 922-90964 $8.50 Folic Acid 400mcg Tablets 250/Ct 922-00343 $8.75 Generic Centrum Silver 125/Ct 922-00345 $8.50 Glucoflex Glucosamine and Chondroitin Caplets 60/Ct 922-11869 $19.00 Iron 65mg Tablets 180/Ct 922-00346 $14.00 K 100mcg Tablets 100/Ct 922-99069 $5.00

(Dual Purpose)

Page 42: Over-the-Counter (OTC)

Eligible Items

Visit us Online at www.HometownOTCStore.comPage 42

Vitamins, Minerals and Special Supplements Magnesium 500mg Tabs 100/Ct 922-90240 $5.25 Magnesium Citrate 250mg Softgels 60/Ct 922-00347 $16.00 Mega Red Omega 3 Krill oil 500 mg 40/Ct 922-10471 $40.00 Multi-Vitamin with Iron 100/Ct 922-90257 $4.00 One A Day Men's 50plus Advantage 65/Ct 922-90664 $16.00 One A Day Proactive 65plus For Men And Women 150/Ct 922-99033 $16.00 One A Day Women's 50plus Advantage 65/Ct 922-90663 $16.00 Oyster Shell 500mg Plus D Tablets 150/Ct 922-90237 $6.50 Potassium Gluconate 595mg Tablets 100/Ct 922-99076 $7.00 Sustain Release B-Complex Tablets 60/Ct 922-11863 $10.00 Vitamin B-12 250mcg Tablets 100/Ct 922-11864 $7.00 Vitamin B-12 500mcg Tablets 100/Ct 922-91083 $13.00 Vitamin B-6 50mg Tablets 100/Ct 922-90577 $4.50 Vitamin C 1000mg Tablets 100/Ct 922-00349 $21.00 Vitamin C Chewables Wafers 500mg 60/Ct 922-00350 $13.00 Vitamin C-500 Tablets 100/Ct 922-11861 $6.00 Vitamin D 400 IU Tablets 100/Ct 922-90309 $3.75 Vitamin D 5000 IU Softgels 100/Ct 922-99073 $25.00 Vitamin E 100 IU Dl-Alpha Softgels 100/Ct 922-90316 $4.50 Windmill Vitamin E-400 IU Dl-Alpha Softgels 90/Ct 922-11862 $10.25 Zinc Lozenges with Vitamin C 50/Ct 922-00248 $7.00 Zinc Lozenges with Vitamin C 50/Ct 922-00248 $7.00

Weight Loss - Kitchen Scales Digital Kitchen Scale922-01080$25.00

Digital Stainless Steel Food Scale922-01081$28.00

(Dual Purpose)

(Dual Purpose)

Page 43: Over-the-Counter (OTC)

Notice of Non-Discrimination

Discrimination is Against the Law. Senior Care Plus complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Senior Care Plus does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Senior Care Plus:• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

- Qualified sign language interpreters - Written information in other formats (large print, audio, accessible electronic formats, other formats)

• 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 the Compliance Officer.

If you believe that Senior Care Plus 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: Compliance Officer, 10315 Professional Circle, Reno, NV, 89521, 800-611-5097, (TTY: 1- 800-833-5833). You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Compliance Officer 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, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD)

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

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Page 44: Over-the-Counter (OTC)

Hometown Health & Senior Care Plus / 10213-RH job name: Senior Care Plus & Hometown Health

2020 OVER-THE-COUNTER CATALOG / SOUTHERN NV

release date: 8/1/19 vendor: Printing Services of Nevada release file type: Hi-Res PDF

trim size: 17” x 11” or 8.5” x 11” bleed size: 17.25” x 11.25” or 8.75” x 11.25” finished size: 8.5” x 11” colors: 4-color process

Last modified -- 8/2 02:50

10213RH_1048707_SCP_2020_OTC_Catalog_South_0003

P L E A S E R E A D : This document contains information about the OTC products covered in this plan.

Guide to using your Over-the-Counter (OTC) benefit

LADD/1908 -1048707

2020Over-the-Counter (OTC)

Catalog

1-855-383-4231

www.HometownOTCStore.com