2018 Over-the-Counter (OTC) Order Form 2018 Formulario … · Better Health se complace en proveer a sus afiliados el Catalogo de Medicamentos Sin Receta (OTC). Esta es una forma

$25 Monthly / al mesBetter Health

2018 Over-the-Counter (OTC) Order Form

Plan Name / Nombre del Plan Benefit Amount / Monto de Beneficio

Lunes a Viernes 8 a.m. a 7 p.m. E.S.T.

TTY: 711Monday through Friday 8 a.m. to 7 p.m. E.S.T.

800-514-45612018 Formulario de Artculos OTC

AHCA Approval 12/20/17

Better Health provides its members with the Over-the-Counter (OTC) Program. This is an easy way to get OTC drugs and supplies by mail with your Better Health OTC benefit.

HOW TO ORDER BY MAIL:1. Write your name, address, phone number and member ID in the space at the topof the form. 2. Enter number of items you want to order that add up to your benefit amount orless.3. Fold form and put it in an envelope. Place a first class postage stamp on theenvelope and mail to:

OTC Health Solutions,9675 NW 117th Avenue, Suite 202

Miami, FL 33178ORDER BY PHONE:Call 800-514-4561, TTY: 711, from 8 a.m. to 7 p.m., Eastern, Monday through Friday.

ORDER ONLINE:To access our website please visit: Better.otchs.com

For a list of participating Navarro and CVS/pharmacy y ms locations for in-store pick up, visit Better.otchs.com or call 800-514-4561.

This information is available for free in other languages. Please contact our customer service number at 800-514-4561 and for TTY/TTD assistance please dial 711.

Orders will be shipped to your home at no extra charge. Please allow 7 - 10 business days for delivery.


Better Health se complace en proveer a sus afiliados el Catalogo de Medicamentos Sin Receta (OTC). Esta es una forma conveniente de recibir por correo sus medicamentos y suministros sin receta mdica a travs de su beneficio de Better Health.

PEDIDO POR CORREO:1. Escriba su nombre, direccin, nmero de telfono y su nmero de afiliado en elespacio indicado. 2. Marque los artculos que desee y sume hasta la cantidad de su beneficio omenos.3. Coloque este formulario en un sobre con una estampilla de Primera Clase ymndelo a:

OTC Health Solutions,9675 NW 117th Avenue, Suite 202

Miami, FL 33178

PEDIDO POR TELEFONO:Llame al 800-514-4561, TTY: 711 de 8 am a 7 pm, hora del este, de lunes a viernes.

PEDIDO POR INTERNET:-Para Better Health, entre a nuestra pgina: Better.otchs.com

Si usted desea recoger sus medicamentos y suministros sin receta en la tienda, visite Better.otchs.com o llame al 800-514-4561 para obtener la lista de tiendas participantes de Navarro y CVS/pharmacy y ms.

Esta informacin est disponible gratis en otros idiomas. Por favor, pngase en contacto con nuestro nmero de servicio al cliente al 800-514-4561. Para asistencia TTY/TTD, por favor marque 711.

Los pedidos sern enviados a su domicilio sin cargo adicional. Por favor permita 7 - 10 das laborables para la entrega.


1

Name: Date:(Nombre): (Fecha):Address: Order for the Month of:(Direccin): (Orden para el Mes de):Member Id: Phone:(Numero De Membresia): (Telfono):

QtyCode

CdigoProduct

Compare toComparado a

CountCantidad

PricePrecio

A1 Effervescent Pain Relief Alka-Seltzer 36 CT $4.49

A2 Dairy Relief Chewable Lactaid 60 CT $12.49

A4 Antacid Calcium E/S Tab Tums E-X 96 CT $3.99

A7 Ranitidine 75mg Zantac 75 30 CT $7.99

A8 Heart Burn Relief Tablets Gaviscon 100 CT $6.49

A9 Omeprazole Tabs 14 CT $11.49

A13 Antacid Calcium Smooth Tums Smooth 60 CT $3.99

A14 Acid Controller Tabs Pepcid AC 30 CT $6.99

A15 Motion Sickness Tablets Dramamine 12 CT $3.99

L1 Bisacodyl Laxative Tabs Dulcolax 25 CT $4.49

L2 Stool Softener Colace 100 CT $9.99

L6 Glycerin Suppository Adult Fleet Glycerin 25 CT $3.99

L7 Fiber Capsules Metamucil 160 CT $10.99

L10 Daily Fiber SF Metamucil 10 OZ $7.99

P20 Glucose Tablets Orange Dex4 10 CT $1.49

Q1 Anti-Diarreheal Caplets Imodium A-D 12 CT $5.49

Q3 Pink Bismuth Chewable Pepto-Bismol 30 CT $3.99

Q4 Gas Relief E/S Soft Gel Gas-X 30 CT $4.49

Q5 BeanAid Capsules Beano 30 CT $5.99

Q8 Gas Relief Infant Mylicon 0.5 OZ $6.49

2018 Formulario de Artculos OTC2018 Over-the-Counter (OTC) Order Form

Capsulas para alivio de gases

Tabletas para aliviar los gases

Alivio de gases para bebes

Bismuto rosado masticables

Tabletas anticidas

Anticidos con calcio

Supositorios de glicerina

Cpsulas de fibra

Fibra diaria sin azucar

Tabletas antidiarreicas

Omeprazol en tabletas

Alivio de acidez estomacal

Comprimidos Dramamina

Bisacodilo en tabletas laxantes

Ablandador de heces

Tabletas de Glucosa de Naranja

Ranitidina 75mg

You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos

Antacids, Digestion and Laxatives / Anticidos, Digestin y Laxantes

Analgsico efervescente

Alivio De Lcteos Masticable

Anticido de calcio en tabletas

Producto


2

QtyCode

CdigoProduct


CountCantidad

PricePrecio

C1 Nasal Spray Regular Afrin Sinus 1 OZ $5.49C2 Allergy Relief Tablets Benadryl 24 CT $3.99C3 Cold Flu & Sore Throat Max Mucinex Fast 6 OZ $9.99C7 Medicated Chest Rub Vicks 3.5 OZ $5.99C8 Thermometer Digital 1 CT $4.99

C10 Loratidine 10mg Claritin 10 CT $7.99C11 Sore Throat Lozenges Cepacol 18 CT $3.99C12 Tussin CF Max Strength Robitussin CF 4 OZ $5.49C13 Tussin DM Robitussin DM 4 OZ $4.99C16 Nasal Decongest Pseudo Free Sudafed PE 18 CT $4.49C19 Chest Congest Relief 400mg Mucinex 60 CT $9.49

C20 Child Allergy Elixir Pseudo FreeChildren's Benadryl

4 OZ $4.99

C24Daytime Cold/Flu Pseudo Free Softgels

DayQuil 16 CT $4.49

C52 Nasal Spray Saline Ocean 1.5 OZ $3.49C53 Allergy Cetirizine 10mg Tabs Zyrtec 14 CT $9.99C54 Nighttime Cold & Flu NyQuil 16 CT $4.49C56 Sinus Acetaminophen Tylenol Sinus 24 CT $4.99C57 Sore Throat Spray Chloraseptic 6 OZ $4.49

C58Child's Cold Cough & Sore Throat

Children's Mucinex

4 OZ $8.99

C59 Fluticasone Nasal Spray Flonase 0.34 OZ $14.99C60 Cough & Cold (HBP) Coricidin 16 CT $5.99C62 Cold Sore Treatment Abreva 0.07 OZ $16.99C64 Air Shield Orange Tablets Airborne 10 CT $6.49C65 Honey Lemon SF Cough Drops Halls 25 CT $1.99

QtyCode

CdigoProduct


CountCantidad

PricePrecio

M2 Toothbrush Each $0.99M3 Lip Balm Original SPF 15 ChapStick 0.15 OZ $1.99M4 Sens Tooth Paste White Sensodyne 4 OZ $4.99

M35 Dental Floss Waxed Reach Waxed 100 yd $2.49M52 Oral Pain Relief Anbesol 0.33 OZ $5.99M71 Flosser Picks GUM Flossers 90 CT $2.99M72 Mint Antisept Mouthwash Listerine 3.2 OZ $1.99X2 Denture Cleanse Tab A/B Mint Polident 84 CT $5.49X5 Denture Cleans Tab A/B Efferdent 40 CT $2.99X6 Denture Adhesive Regular Poligrip 2.4 OZ $4.49

Antihistamnico para resfriadoPara las astas bucalesTabletas para suporte sistema inmune

Propionato de fluticasona, spray nasal

Pasta dental blanqueadora

Pastillas de miel y limon para la tos

Dental Care / Ciudado Dental

Producto

Cepillo dentalBalsamo para labios

Descongestiona nasales seudo libre

Friccin medicinal para el pechoTermmetro digitalLoratidina 10 mg

Medicina para la tos Tussin DMTussin CFPastillas para la irritacin de garganta

Medicina para la tos,resfriado y dolor de garganta para ninos

Descongestionante del pecho 400 mg

Alivio de alergia en liquido para nios

Capsulas de gel para la gripe de dia

Aerosol nasal de agua salinaCetirizina 10 mg tabletas para alergiaMedicina para el resfriado y la gripe

Spray para el dolor de gargantaAcetaminofen Sinusal


Cough, Cold and Allergy / Tos, Catarros y Alergia

Aerosol nasal regularTabletas para el alivio de alergiaPara La gripe y dolor de garganta

Producto

Tabletas para dentadurasPegamento para dentales regular

Hilo dental enceradoAlivio del dolor oralPortahilo DentalEnjuague bucal antisptico de menta Tabletas para dentaduras menta


3

QtyCode

CdigoProduct


CountCantidad

PricePrecio

E1 Dry Eye Relief Visine Tears 0.5 OZ $4.49

E2 Eye Drops Redness ReliefVisine Original

0.5 OZ $3.49

E4 Eye Itch Relief Zaditor 0.17 OZ $10.99X16 Ear Wax Removal Murine Kit $5.99

QtyCode

CdigoProduct


CountCantidad

PricePrecio

F1 Elastic Bandage 4" Futuro Elastic 1 CT $3.99F2 Muscle Rub Bengay 3 OZ $5.99

F3 Bandage Antbtc One SizeBand-Aid Antibiotic

20 CT $3.99

F4 Calamine Lotion Plus Caladryl 6 OZ $4.99F5 Hydrocortisone Crm 1% Cortizone 1 OZ $4.99F7 Triple Antibiotic Ointment Neosporin 0.5 OZ $4.49F9 Bandage Clear Assort. Sizes Band-Aid 45 CT $3.99

F11 Anti Itch Cream Benadryl 1 OZ $4.99

F12 Bandage Sheer One Size Band-Aid Sheer

40 CT $2.99

F21 Iodine 1 OZ $2.49F22 First Aid Antsep Merthiolate 2 OZ $4.99F29 Anti Itch Gel Gel contra la picazn Benadryl 4 OZ $4.99F34 Hot/Cold Multi Compress Compresa frio y caliente 1 CT $8.99F36 Reusable Ice Pack Paquete de hielo reutilizables 1 CT $4.99F61 Bacitracin Bacitracina 1 OZ $5.99F62 First Aid Tape Cinta para primeros auxilios 1 CT $1.99F65 Gauze Pad 2X2 Gaza Estril 2X2 25 CT $3.99F68 Petroleum Jelly Jalea de petrleo Vaseline 2.5 OZ $3.49F69 Butterfly Closures 12 CT $3.49F70 Hydrogen Peroxide Spray 8 OZ $2.49M45 Alcohol Prep Pads BD 100 CT $3.99M53 Gauze Roll 2" X 2 yds 1 CT $1.99M57 Gloves Nitrile Large 50 CT $7.49


Vendas Elasticas

Gotas para el alivio de ojos rojos

Producto

Alivio para ojos resecos

Gotas para la cera en los odos

Eye and Ear Care / Ciudado de la Vista y Oido

Gota Para El Picor De Los Ojos

First Aid Medical Supplies / Primeros Auxilios

Producto

Crema muscular

Pomada triple antibitica

Locin de calamina

Mertiolato antiseptico

Guantes de nitrilo grandes

Vendaje De Tejido Antibacterial

Hidrocortisona en crema al 1%

Vendas tamaos surtidosCrema contra la picazn

Yodo

Almohadillas de alcohol

Vendajes un solo tamao

Cierres de mariposasHidrgeno de perxido spray

Gasa


4

QtyCode

CdigoProduct


CountCantidad

PricePrecio

F35 Corn & Callus Remover Kit Dr. Scholl's 0.5 OZ $3.99

O2Tolnaftate Athlete's Foot Cream

Tinactin 1 OZ $6.99

O3 Wart Removal Compound W 0.5 OZ $5.99

O4 Odor Control Spray Powder Odor-Eaters 4 OZ $4.99

O5 Moleskin Padding Dr. Scholl's 2 CT $2.49

QtyCode

CdigoProduct Compare to

Comparado aCount

CantidadPrice

Precio

X74 Pads-Bladder Control Moderate Poise 20 CT $5.99

X75 Underwear Women S/M Depends 20 CT $13.99

X77 Underwear Men S/M Depends 18 CT $13.99

X83Unisex Overnight Underwear XL 58"-68"

Depends 12 CT $13.99

X84Unisex Overnight Underwear L 44"-58"

Depends 14 CT $13.99

QtyCode

CdigoProduct


CountCantidad

PricePrecio

M23 Hand Sanitizer Purell 2 OZ $1.49

M49 Tablet Cutter Each $6.49

M51 7 Day Pill Box Each $2.49

M75Mosquito Repellant with 30% Deet

OFF! Repellant 6 OZ $6.49

M76 Mosquito Repellant Deet Free OFF! Repellant 6 OZ $6.49

*X71Blood Pressure MonitorSemi Auto 8.7" x 16.5"

Each $24.99

*X72Blood Pressure MonitorManual 8.7" x 12.6"

Each $17.99

X81 Maxi Reg Always 24 CT $3.49

Adult Incontinence / Incontinencia

Producto

Almohadillas para incontinencia

Calzones pequeos/ medianos F


Producto

Atomizador de control de olores en polvo

Relleno Moleskin

Eliminador medicinal de callos

Crema para el pie de atleta tolnaftato

Eliminacin de verrugas

Foot Care / Cuidado de los pies

*Limit of 1 BP monitor per year*Limite de 1 BP monitor annual

Repelentes de mosquitos sin dietiltoluamida

Calzones pequeos/ medianos M

Calzones absorbentes unisexo para la noche XL - 58" - 68"Calzones absorbentes unisexo para la noche L - 44" - 58"

Desinfectante de manos

Toallas sanitarias regular

Miscellaneous / Miscelneo

Cortador de tabletas

Pastillero de 7 dias

Producto

Monitor de presin arterial semi auto 8.7" x 16.5"Monitor de presin arterial8.7" x 12.6"

Repelentes de mosquitos con 30% de dietiltoluamida


5

QtyCode

CdigoProduct


CountCantidad

PricePrecio

H2 Hemorrhoidal Suppositories Preparation H 12 CT $4.99

H3 Hemorrhoidal Ointment Preparation H 2 OZ $7.49

M6 Sleep Aid Tylenol 24 CT $3.99

M7 Baby Teething Gel Baby Orajel 0.33 OZ $4.49

M46 Urinary Relief Max Strength Azo 12 CT $4.99

P1 Ibuprofen Tabs 200mg Advil 50 CT $4.49

P4 Low Dose Enteric Aspirin 81mg Ecotrin 120 CT $5.49

P6 Acetaminophen 500mg Tylenol 100 CT $6.99

P8 Aspirin Chewable 81mgBayer Chewable

36 CT $2.49

P12 Child Ibuprofen Suspension Motrin 4 OZ $6.49

P13 Child Non Aspirin Suspension Tylenol 4 OZ $4.49

P14 Hot/Cold Patch Icy Hot 5 CT $6.99

P17 Headache Pain Relief Excedrin 100 CT $7.49

P19 Naproxen 220mg Aleve 24 CT $4.49

P45 Acetaminophen PM Tylenol PM 24 CT $4.49

P50 Menstrual Pain Relief Max Midol 24 CT $4.99

P51 Aspirin Enteric Coated 325Mg Ecotrin 100 CT $6.49

P52 Acetaminophen 325 Regular Tylenol 90 CT $8.99

QtyCode

CdigoProduct


CountCantidad

PricePrecio

F10 Diaper Rash Ointment Desitin 2 OZ $3.99

F64 Acne Treatment 10% Clearasil 1 OZ $4.99

M1 Sunblock SPF 45 3 OZ $8.49

M9 Cotton Swab 375 CT $2.49

M11 Baby Powder 4 OZ $1.99

M31 Oil Free Acne Wash Neutrogena 6 OZ $3.99

M32 Active Tampons Regular Tampones regular Playtex Sport 18 CT $4.49

M33 Unscented Wipes 56 CT $3.49

M34 Diabetic Skin Lotion Gold Bond 13 OZ $6.99

Alivio de dolor menstrual

Acetaminofeno 325MG regular

Lavado de acn sin aceite

Locin para la piel diabtica

Toallitas humeda sin olor

Talco

Ungento para erupciones en la piel

Hisopos de algodn

Personal Care / Cuidado personal


Somnfero

Tratamiento de acn 10%

Protector solar SPF 45

Producto

Supositorios Hemorroidales

Ungento para hemorroides

Aspirina masticable 81mg

Ibuprofeno en suspension para nios

Ibuprofeno 200 mg

Aspirina enterica y recubierta de 81mg

Acetaminofeno 500mg

Pain Relievers and Sleep Aids / Analgsicos y Artculos para ayudarle a dormir

Alivio Urinario fuerza maxima

Naproxen 220mg

Aspirina recubierta 325MG

Acetaminofeno PM

Producto

Acetaminofeno en suspension nios

Parches calientes y frios

Alivio de dolor de cabeza

Gel para la denticion de bebe


6

QtyCode

CdigoProduct


CountCantidad

PricePrecio

V2 Vitamin C 500mg 100 CT $6.99

V3 Calcium Carbonate + D Caltrate 60 CT $4.49

V5 Coenzyme Q-10 50mg 30 CT $9.99

V10 Glucosamin/ Chondroitin Osteo Bi-Flex 80 CT $15.99

V16 Vitamin E 400 IU Soft Gel 100 CT $11.99

V17 Folic Acid 800mcg Tablet 100 CT $3.49

V18 Iron Supplement 65mg Feosol 90 CT $5.49

V19 Fish Oil Omega-3 1000mg Puritan 120 CT $8.99

V32 Vitamin D 1000 IU 100 CT $3.49

V35 Magnesium 500mg 100 CT $4.49

V36 Zinc Gluconate 50mg 100 CT $4.49

V41 Chewable Multivitamins Flintstones 60 CT $6.99

V45 Probiotic Adult 15 CT $14.49

V48 Biotin 10000Mc Soft Gel 60 CT $11.49

V49 Melatonin Gummy 5mg 60 CT $10.49

V54Calcium Supplement Gummy

50 CT $10.49

V56 Vitamin A 8,000 IU Nat 100 CT $4.99

V57 Vitamin B12 500mcg 100 CT $8.99

V58 B Complex Plus Vitamin C Nature's Bounty

130 CT $6.99

V59 Potassium gluconate 550Mg

Nature's Bounty

100 CT $4.99

V60Adult Daily Multiple Vitamin

One A Day 365 CT $6.99

V61 B-6 Vitamins Nature's Bounty

100 CT $5.99

V62Adult Daily Women's 50+ Adv.

One A Day 50 CT $6.99

V63 Adult Daily Men's 50+ Adv. One A Day 50 CT $6.99

V64 Lutein 40mg Ocuvite 30 CT $17.99Luteina 40MG capsula de gelatina

Magnesio 500 mg

Vitamina D 1000 mg IU

cido flico 800 mg

Multivitaminas suplemento para adulto

Vitamina B6

Complejo B ms vitamina C

Vitamina E 400 mg IU Capsulas de gel

Glucosamina/Condroitina

Suplemento de hierro 65mg

Aceite de pescado Omega-3 1000 mg

Multivitamina para hombre 50+

Probiotico Para Adultos

Melatonina Gomitas 5 mg

Suplemento de calcio en gomitas

Gluconato de potasio 550MG

Multivitamina para mujer 50+

Gluconato de zinc 50 mg

Vitaminas masticables

Vitamina A 8,000 IU

Vitamina B-12 500mcg

Biotina 10000 mcg capsulas de gelatina

Vitamins and Minerals Dual Purpose Items* / Vitaminas y Minerales Producto de doble propsito**Must consult with Primary Care Physician prior to ordering a dual-purpose item

*Consulte su Mdico de cabecera antes de ordenar un producto de doble propsito*You will receive the generic equivalent of all items / Usted recibira el generico de todos los productos

Vitamina C 500 mg

Carbonato de calcio 600 mg + D

Coenzima Q-10 50mg

Producto



Better Health, Inc. follows Federal civil rights laws. We dont discriminate against people because of their:

Race Color

National origin Age

Disability Sex or gender identity

That means we wont exclude you or treat you differently because of these things.

Communicating with you is important For people with disabilities or who speak a language other than English, we offer these services at no cost to you: Qualified sign language interpreters Written materials in large print, audio, electronic, and other formats Help from qualified interpreters in the language you speak Written materials in the language you speak

To get these services, call the Member Services number on your ID card. Or you can call our Grievance Coordinator at 1-305-921-2630 (TTY 711).

Your rights Do you feel you didnt get these services or we discriminated against you for reasons listed above? If so, you can file a grievance (complaint). File by mail, email, fax, or phone:

Grievance Coordinator 9250 W. Flagler St. Suite 600 Miami, FL 33174

Phone: 1-305-921-2630 Fax: 1-786-441-8183 Email: [email protected]

Need help filing? Call our [Grievance Coordinator] at the number above. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:

On the Web: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf By mail: U.S. Department of Health and Human Services

200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

By phone: 1-800-368-1019 (TTY/TDD 1-800-537-7697)

For a complaint form, visit www.hhs.gov/ocr/office/file/index.html.

This information is available for free in other languages. Please contact our customer service number at 1-800-514-4561 (TTY 711) Monday through Friday from 8 a.m. to 7 p.m. Eastern time.

Esta informacin est disponible gratuitamente en otros idiomas. Pngase en contacto con nuestro nmero de servicio al cliente al 1-800-514-4561 (TTY 711) de lunes a viernes de 8 a.m. a 7 p.m. hora del Este.

FL-MEM-0806-16 AHCA rev 011017 Approved 011317

Do you need help with your health care, talking with us, or reading what we send you? Call us toll free at 1-800-514-4561 TTY 711 to get this for free in other languages or formats.

Necesita ayuda con su cuidado de la salud, para hablar con nosotros o leer lo que le enviamos? Llmenos a la lnea gratuita al 1-800-514-4561 TTY 711 para recibir esto gratuitamente en otros idiomas o formatos.

ske ou bezwen d ak swen sante ou, d pou pale ak nou, oswa pou li sa nou voye ba ou? Rele nou gratis 1-800-514-4561 TTY 711 pou jwenn sa gratis nan lt lang oswa fma.

Vous avez besoin daide pour vos soins de sant, pour communiquer avec nous ou pour lire les documents que nous vous envoyons ? Appelez-nous notre numro gratuit 1-800-514-4561 TTY 711 pour obtenir ces informations dans dautres langues et formats.

Precisa de ajuda com servios de sade, falar conosco ou ler o que enviamos para voc? Entre em contato conosco por meio do 1-800-514-4561 TTY 711 para obter estas informaes gratuitamente em outros idiomas ou formatos.

1-800-514-4561 TTY 711

Ha bisogno di supporto con lassistenza sanitaria, per parlare con noi oppure leggere ci che le abbiamo inviato? Ci contatti al numero gratuito 1-800-514-4561 TTY 711 per ottenere supporto senza costi aggiuntivi in altre lingue o formati.

Bentigen Sie Hilfe bei Ihrer medizinischen Versorgung, der Kommunikation mit uns oder beim Lesen unserer Unterlagen? Rufen Sie uns dann bitte unter 1-800-514-4561 TTY 711 gebhrenfrei an, um dies gratis in anderen Sprachen oder Formaten zu erhalten.

Kailangan ninyo ba ng tulong sa inyong pangangalagang pangkalusugan, sa pamamagitan ng pakikipag-usap sa amin, o pagbasa kung ano ang ipinapadala namin sa inyo? Tawagan kami nang walang bayad sa 1-800-514-4561 TTY 711 upang makuha ito nang libre sa ibang mga wika o anyo.

Qu v cn tr gip v chm sc sc khe, tr chuyn vi chng ti, hoc c nhng g chng ti gi cho qu v? Hy gi cho chng ti theo s min ph 1-800-514-4561 TTY 711 c tr gip min ph bng cc ngn ng hay hnh thc khc.

. ) TTY 711( 4561-514-800-1

BET-MEM-1002-17 Approved 091817

, , ? 1-800-514-4561 TTY 711, .

, , ; 1-800-514-4561 TTY 711 .

Czy potrzebujesz pomocy w zwizku z Twoj opiek zdrowotn albo przy rozmowie z nami lub przy czytaniu wysyanych przez nas materiaw? Zadzwo do nas pod numer bezpatnej infolinii 1-800-514-4561 TTY 711, aby otrzyma ten materia za darmo w innych jzykach lub formatach.

, , , ? 1-800-514-4561 TTY 711

, ? 1-800-514-4561 TTY 711 .

BET-MEM-1002-17 Approved 091817

2018 Order Booklet Better A8Cover Page2018 Order Booklet Better A8.pdfInstrucciones (2)Page 1Page 2Page 3Page 4Page 5Page 6

2018 Order Booklet Better A6BET_FL-MEM-0806-16 FL HHS Final Rule Notice STATEBET-MEM-1002-17 FL Mega Reg Babel Sheet FINAL

Documents

2018 Over-the-Counter (OTC) Order Form 2018 Formulario … · Better Health se complace en proveer a sus afiliados el Catalogo de Medicamentos Sin Receta (OTC). Esta es una forma