2020 Over-the-Counter (OTC) Benefit Catalog - AmeriHealth ......Fieldtex Products, Inc. does not guarantee the accuracy or completeness of the information, and does not recommend or

2020Over-the-Counter Benef it Product Catalog

www.AmeriHealthOTCStore.com 1 844-986-1116 (TTY 711) Y0093_CAT_704539_M

Dear Member,

By enrolling in AmeriHealth Caritas VIP Care (HMO-SNP), you receive a Quarterly Benefit of $150.00 to spend on Over-the-Counter (OTC) products that are exclusively available from this catalog. Your OTC Benefit allows you to select items such as cold and cough medicines, incontinence products, vitamins, dental care items, and much more. Items ordered from this catalog will be shipped directly to you, at no cost to you!

What is covered with your OTC Benefit?Eligible items include OTC remedies or medicines to alleviate or treat illness or injury, such as 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 provider to purchase, however AmeriHealth Caritas VIP Care (HMO-SNP) strongly recommends that you discuss these items with your provider prior to ordering or using. For your convenience we have identified these categories throughout the catalog.

Your Quarterly benefit can be used anytime during the Quarter to order OTC items from this catalog. You cannot spend out-of-pocket beyond your benefit allowance and any unused benefit is forfeited at the end of each Quarter. In addition, any out-of-pocket OTC items purchased by you will not be eligible for reimbursement from the Benefit Plan or Fieldtex Products, Inc. If mailing your order form, be sure to allow 7 days for your order to reach us.

Welcome to AmeriHealth Caritas VIP Care (HMO-SNP) 2020 OTC Benefits

State Plan Name BenefitPennsylvania AmeriHealth Caritas VIP Care (HMO-SNP) $150.00 Per Quarter

There are three easy ways you can place your order: by mail, phone, or online. Whatever way you choose to place your order, be sure to have your Member ID number and date of birth available in order to access your benefit. By mail: Fill out the attached mail order form and drop it in the mail. Be sure to give the order 7 days to reach us. The order will be processed in the month that it is received, unless otherwise specified. A new mail order form is sent with each of your Quarterly shipments. By phone: Call us at 1 844-986-1116 (TTY: 711) Monday - Friday 8 am - 5 pm, Saturday from 9 am - 5 pm and Sunday from 10 am - to 5 pm and our friendly customer service representatives will take your order. Online: Visit us at www.AmerihealthOTCStore.com and login to place your order. Online you can shop in the privacy of your home while being able to keep track of what you have ordered, check the status of orders, and check your benefit allowance.

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

2. Total all the items, and be sure to stay within your available allowance. If you go over your $150.00 benefit, you will not be able to complete your order.

3. Be sure to have your Member ID number (found on the front of your 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.

How To Order

Ordering Process

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

• Your OTC benefit covers only the items included in this catalog.

• The website is available 24/7, unless down for maintenance, the call center is available to take orders Monday – Friday from 8:00 AM to 5:00 PM, Saturday 9:00 AM to 5:00 PM and Sunday 10:00 AM to 5:00 PM. If you want to place your order by mail please give at least 7 days for the mail order form to reach us.

• 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. Mail orders will be processed the quarter in which they are received, unless otherwise specified. Catalog’s products may be substituted without notice.

• Our commitment to you; we will never substitute a brand name product for a generic version.

• If you receive a damaged item, call Fieldtex Products, Inc. immediately at 1-800-353-7763 (TTY Hearing Impaired: 711) Monday - Friday 8:00 AM to 5:00 PM. The item will be exchanged for an identical item at no cost to you. Please note that only damaged products can be exchanged within 30 days of purchase, no other returns are allowed.

• AmeriHealth Caritas VIP Care (HMO-SNP) and Fieldtex Products, Inc. are not responsible for lost or stolen packages.

• Fieldtex Products is the supplier of all the products in this catalog and can only answer questions pertaining to your order. Medical information regarding the use of these products is not available. Please consult your physician.

• The health information provided in this catalog is general in nature and is not medical advice or a substitute for professional health care. It is provided for your information and convenience only. Fieldtex Products, Inc. does not guarantee the accuracy or completeness of the information, and does not recommend or endorse the products which are referenced in this catalog.

• The OTC benefit only guarantees members a credit, per membership term, to use while ordering items listed in this catalog. Please note, however, that the items themselves are not offered or guaranteed by AmeriHealth Caritas VIP Care (HMO-SNP).

• Products in this catalog should only be ordered for the use of the enrolled member.

• Items in the OTC Benefit Catalog may change throughout the year. A copy of this catalog is also available on the AmeriHealth VIP Care website at www.amerihealthcaritasvipcare.com. For up-to-date information, please call Fieldtex Products Monday – Friday from 8:00 a.m. – 5:00 p.m. at 1-800-353-7763 (TTY 711).

• Quantity purchase limits may be applied periodically for high demand items.

• In order to purchase Dual Purpose items under your plan, your personal physician must recommend them to you for a specific diagnosed condition. Please speak to your physician before ordering these items. For your convenience, we have identified “Dual Purpose” items in the Eligible Items section of the catalog.

• 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 AmeriHealth Caritas VIP Care (HMO-SNP) medical or outpatient drug benefit to obtain the item if medically appropriate.

Important Things to Remember

Table of ContentsAllergy ...........................................................................................................7-8Cold and Flu ...................................................................................................8-10Cough Drops ..................................................................................................10-11Dental Care (Denture, Dry Mouth, Toothbrush, Toothpaste) ..........................11-15Diabetic Supplies ...........................................................................................15Diabetic Supplies - Socks ................................................................................15Diagnostic Equipment (Blood Pressure Monitors, Thermometers, Scales) ......16-17Ear Care .........................................................................................................18Eye Care .........................................................................................................18-19Feminine and UTI ...........................................................................................19Fiber Supplements .........................................................................................19First Aid (Bandages, Dressings and Gauze, Gloves, Tape, Kits) ........................20-22 Foot Care .......................................................................................................22-23Hemorrhoid ...................................................................................................24Home Testing .................................................................................................24Hot and Cold Therapy ....................................................................................24-25Incontinence ..................................................................................................26Lactose ..........................................................................................................27Lice ................................................................................................................27

Lip Care .........................................................................................................28Motion Sickness Medication ..........................................................................28Ointments and Topicals (Analgesics, Cleaners) ...............................................28-31 Pain Relief .....................................................................................................31-34Skin Care .......................................................................................................34-35Skin Care - Sunscreen .....................................................................................35-36Sleep Aid .......................................................................................................37Smoking Cessation .........................................................................................36Stomach - Antacids and Acid Reducers ...........................................................38-39Stomach and Laxatives ...................................................................................39-40Supports (Ankle, Back, Elbow, Knee, Stockings, Wrist) ....................................41-44Vitamins, Minerals and Special Supplements .................................................44-45Weight Loss ...................................................................................................45Weight Loss - Kitchen Scales ...........................................................................45

Eligible Items

Page 7To Order by Phone Call us Toll-Free at 1-844-986-1116 (TTY 711) Monday-Friday 8AM to 5PM, Saturday 9AM to 5PM and Sunday 10AM to 5PM

Allergy

Allergy Relief Capsules 24/Ct Diphenhydramine HCL 25mg 922-90581 $3.25

Alka Seltzer Plus Severe Sinus Congestion LiquiGels 20/Ct 922-99038 $9.75

Allegra 12 Hour 60mg Tablets 12/Ct 922-91071 $14.00

Allegra 24 Hour 180mg Tablets 30/Ct 922-90980 $25.00

Flonase Nasal Spray For Allergies 60/Spray 922-99046 $22.00

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

Benadryl Allergy Tablets 24/Ct 922-10874 $6.75

Claritin Reditabs 10/Ct 922-11580 $16.50

Complete Allergy Medicine Tablets 100/Ct Diphenhydramine 25mg 922-11569N $3.00

Fexofenadine Tablets 30/Ct Generic Allegra 922-00301 $15.50

Nasacort Allergy 24 Hour 60/Spray 922-10222 $24.00

Flonase Nasal Spray For Allergies 120/Spray 922-10400 $37.00

Benadryl Allergy Ultratabs 60 Packets of 2 120/Ct 922-10417 $26.00

Allergy/Sinus Headache Caplets 20/Ct 922-90580 $4.50

All Day Allergy Tablets 30/Ct Cetirizene 922-90584 $12.75

Eligible Items

Page 8 To Order Online Visit us at www.AmeriHealthOTCStore.com

Zyrtec 10mg Tablets 14/Ct 922-91073 $20.00

Zyrtec 10mg Tablets 30/Ct 922-00203 $29.50

Allergy

Cold and Flu

Xyzal Allergy 24 Hour 80/Ct -Levocetrizine 922-10469 $52.00

Airborne Original Orange Tablets 10/Ct922-90553$8.75

Alka Seltzer Plus Cold and Cough LiquiGels 20/Ct922-99912$9.25

Breathe Right Strips Large 30/Ct922-10875$15.75

Breathe Right Strips Small/ Medium 30/Ct922-90895$15.75

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

Coricidin HPB Liqui-Gels 20/Ct922-11575$9.50

Cough/Cold High Blood Pressure Tablets 16/Ct922-90090$3.00

Delsym Cough Suppressant 6 fl. oz.922-10013$20.00

Effervescent Cold Relief Tablets 20/Ct922-90579$5.25

Eligible Items


Cold and Flu Mentholatum Ointment 1 oz. Jar922-90444$4.25

Mucinex DM Tablets 20/Ct922-11561$19.50

Mucinex Fast-Max Cold, Flu and Sore Throat 9 fl. oz.922-99113$24.00

Mucus Relief DM Tablets 30/Ct922-90576$10.00

Nasal Decongestant Spray -Afrin- 1 fl. oz.922-90897$3.75

Nasal Spray Extra Moisture 1 oz.922-90898$3.25

Night Time Cold-Flu Relief SoftGels 16/Ct922-90639$5.00

Robitussin Cough and Chest Sugar Free 4 fl. oz.922-90516$10.00

Saline Nasal Spray 1.5 oz.922-90640$2.75

Theraflu Nighttime Severe Cough & Cold 6/Ct922-10401$9.50

Tylenol Cold / Flu Severe Caplets 24/Ct922-99065$9.50

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

Tussin DM 4 fl. oz.922-90446$3.25

Steam Inhaler922-10459$46.00

Tylenol Cold and Flu 8 fl. oz.922-99118$9.50

Eligible Items


Cold and Flu

Cough Drops

Vicks DayQuil Cold and Flu LiquiCaps 24/Ct922-11952$13.50

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

Vicks VapoInhaler Menthol Scent922-10463$7.75

Vicks VapoRub 3.53 oz.922-11625$12.00

Tylenol Sinus Severe Caplets 24/Ct922-99066$9.50

Vicks DayQuil Cold and Flu LiquiCaps 8/Ct922-91076 $8.00

Black Cherry Sugar Free Cough Drops 25/Ct922-90643$2.00

Chloraseptic Lozenges - Citrus 18/Ct922-11562$5.25

Halls Defense Sugar Free Assorted Citrus 25/Ct922-90912$3.25

Halls Defense Assorted Citrus 30/Ct922-90913$3.25

Halls Honey Lemon Cough Drops 30/Ct922-11601$3.25

Halls Menthol-Lyptus Cough Drops 30/Ct922-11703$3.25

Eligible Items


GUM Soft Picks 60/Ct922-10227$6.00

Sucrets Sore Throat Cherry Lozenges 18/Ct922-11591$4.50

Cough DropsHoney Lemon Cough Drops 30/Ct922-99054$2.00

Luden’s Sugar Free Wild Cherry Cough Drop 25/Ct922-99083$2.50

Luden’s Wild Cherry Throat Drops 30/Ct922-11584$2.50

Ricola Cherry Honey Cough Drops 24/Ct922-99114$3.25

Ricola Cough Drops 21/Ct922-11571$3.25

Ricola Sugar Free Lemon Cough Drops 19/Ct922-90447$3.25

Vitamin C Drops 30/Ct922-90914$2.75

Dental Care Anbesol Maximum Strength .33 oz.922-10221$10.75

Dentek Instant Oral Pain Relief 50/Applications922-00303$8.00

Floss Waxed Unflavored 100 Yds922-90652$1.75

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

Gum Soft Picks Wider Spaces 50/Ct922-00662$4.25

Eligible Items


Dental CareOrajel Medicated Mouth Sore Swabs 12/Ct922-90080$8.50

Mint Flosser with Pick 50/Ct922-90613$2.50

J and J Waxed Mint Reach Floss 55 Yds922-90077$2.50

Tongue Cleaner 1/Ct922-90954$2.50

Dental Care - Denture Denture Brush922-90909$.50

Freshmint Denture Cleanser Tablets 40/Ct922-90906$2.50

Fixodent Adhesive Neutral Zinc Free 2.4 oz.922-99107$8.50

Fixodent Free Cream 2.4 oz.922-99109$8.50

Fixodent Original 1.4 oz.922-90128$5.00

Fixodent Plus Scope Adhesive 2 oz.922-99110$8.50

Freshmint Denture Adhesive 2.4 oz.922-90908$3.50

Freshmint Denture Cleanser Tablets 90/Ct922-90655N$5.50

Pink Denture Cup with Hinged Lid922-10491 $1.00

Eligible Items


ACT Dry Mouth Lozenges 18/Ct922-10226$6.50

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

Biotene Dry Mouth Balance Gel 1.5 oz.922-00340$9.75

Dental Care - Denture Oral B Denture Brush Twin Head922-90126$3.25

Polident 3-Minute Tablets 40/Ct922-99049$6.00

Polident Overnight Tablets 40/Ct922-91079$6.00

Polident Overnight Tablets 84/Ct922-90486$9.50

Polident Tablets for Smokers 40/Ct922-99050$5.75

Poligrip Extra Care 2.2 oz.922-90490$8.25

Poligrip SPG Free 2.4 oz.922-99047$8.25

Poligrip Super Original 2.4 oz.922-90491$8.25

Dental Care - Dry Mouth

Biotene Dry Mouth Oral Mouth Rinse 16 fl. oz.922-00304$9.50

Biotene Moisturizing Mouth Spray 1.5 fl. oz.922-10224$9.75

Eligible Items


Dental Care - Toothbrush

Colgate Medium Toothbrush 922-99181 $3.00Colgate Plus Soft Toothbrush 922-90156A $3.00 Complete Clean Medium Toothbrush 922-10481 $2.00 Complete Clean Soft Toothbrush 922-10476 $2.00 Freshmint Nylon Toothbrush 922-90910 $0.50 Oral B 3D White Soft Toothbrush 922-90988 $5.00 Interplak Toothbrush Replacement Heads 2/Ct 922-00370 $22.00 Interplak Rechargable Cordless Toothbrush 922-00352 $45.00 Oral B Precision Replacement Brush Heads 2/Ct 922-99911 $23.00 Oral B Precision Clean Battery Powered Toothbrush 922-99149 $19.00

Dental Care -Toothpaste Aim Toothpaste 6 oz.922-10466 $2.00

Aquafresh Cavity Protection Toothpaste 5.6 oz.922-99044$4.00

Biotene Fresh Mint Toothpaste 4.3 oz.922-99045$9.75

Close-Up Cinnamon Flavored Toothpaste 6 oz.922-10467$3.00

Colgate Total Clean Mint Toothpaste 4.8 oz.922-90157$6.25

Crest Gum Detoxify Deep Clean Toothpaste 4.1 oz. 922-10508$9.75

Freshmint Anticavity Toothpaste 4.6 oz.922-90911$1.50

Crest Regular Cavity Protection Toothpaste 4.2 oz.922-10509$3.50

Listerine Essential Care Original Gel Toothpaste 4.2 oz.922-99147$6.50

Eligible Items


Dental Care - Toothpaste

Diabetic Supplies

Diabetic Supplies - Socks

Parodontax Extra Fresh Toothpaste 3.4 oz.922-00305$9.25

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

Sensodyne Deep Clean Toothpaste 4.0 oz.922-90485$9.25

Aveeno Diabetics’ Dry Skin Relief Lotion922-00252$12.00

Diabetic Health Pack 30/Ct922-00353$23.00

Glucose 4 Gram Tablets Orange Flavor - 10/Ct922-00295$3.00

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

Glucose SOS Instant Dissolve Powder 6/Ct Fruit Medley922-10446$11.00

Gold Bond Diabetic Foot Cream 3.4 oz.922-10223$10.00

Cotton Diabetic Socks 1 Pair $11.00

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 $11.00

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

Eligible Items


Diagnostic Equipment - Blood Pressure Monitors (Dual Purpose)Advocate Blood Pressure Monitor XL Cuff922-00112$35.00

Cuff Circumference: 12.6 in - 20.5 in.

Healthmate Cuff Digital Blood Pressure Monitor 922-90327$43.50

Cuff Circumference: 9 in. - 13 in.

Perfect Measure Blood Pressure Monitor 922-00374$53.00

Cuff Circumference: 9.4 in. - 13.4 in.

Diagnostic EquipmentPulse Oximeter922-10447$25.00

Omron Upper Arm Blood Pressure Monitor 922-00358$69.00

Cuff Circumference: 9 in. - 17 in.

Eligible Items


Advocate Non-Contact Infrared Thermometer Speaks English/Spanish922-99159$46.25

Digital Ear Thermometer922-90956$27.00

Digital Thermometer 9 Second Read922-10460$6.00

Hand Held Digital Temple Touch Infrared Probe Thermometer922-99169$16.00

Infrared Forehead Thermometer One Second Read922-99170$46.00

Diagnostic Equipment - Thermometer

Diagnostic Equipment - Scales (Dual Purpose)Thinner Analog Dr. Scale by ConAir922-10405$48.00

Platform Digital Scale922-01070$33.00

Stainless Steel Digital Scale922-01072$49.00

Health-O-Meter Digital Scale922-01078 $69.00

Eligible Items


Debrox Earwax Removal Drops 1/2 fl. oz.922-11848$8.00

Ear Wax Removal Kit 0.5 fl. oz.922-90641$5.00

Lipo-Flavonoid Ear Ringing Relief Caplets 72/Ct922-00319$31.00

Murine Ear Wax Removal System 0.5. fl. oz.922-99082$8.50

Swim-Ear Ear Drops 1 fl. oz.922-11655$5.00

Ear Care

Eye Care Clear Eyes Itchy Eye Relief .5 oz.922-91080$5.75

Clear Eyes Triple Action Relief .5 oz.922-91045$5.50

Eye Care Kit911-55009$15.00

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$15.25

Sterile Irritation Eye Drops .5 oz.922-90588$2.75

Stye Eye Ointment 0.125 oz.922-11668$9.00

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

Blink Contacts Lubricating Eye Drop 10mL922-90917$8.75

Eligible Items


Visine Advanced Lubricant/ Redness .28 oz.922-99063$2.75

Visine Eye Allergy Relief Eye Drops .5 oz.922-99064$8.00

Feminine and UTIMonistat 7 Day922-91092$16.50

Monistat Chafing Relief Powder Gel 1.5 oz.922-91101$10.00

Uristat Ultra with Cranberry UTI Pain Relief Tablets 30/Ct922-00226$11.00

Eye Care

Fiber Supplements Benefiber 38 Servings922-00830$15.00

Benefiber Assorted Chewables 100/Ct922-99021$17.25

Best Fiber Sugar Free Powder 62 Servings922-90575$11.00

Fiber Gummies 120/Ct922-00264$18.00

FiberCon Caplets 36/Ct922-11839$9.75

Fiber-Tabs 90/Ct922-90880$10.00

Metamucil Capsules 0.52 gram 100/Ct922-00359$22.00

Eligible Items


First Aid - Bandages All-In-One Finger Dressing 3 Sterile Dressings922-91060$4.00

Antibacterial Sheer Band Aid Assorted 20/Ct922-90876$2.75

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

Curad Soothe and Cool Assorted Burn Bandages 8/Ct922-00375$5.00

Curad Truly Ouchless XL Bandages 8/Ct922-00377$5.00

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


J and J Flexible Fabric Assorted Bandages 30/Ct922-10317$5.00

J and J Flexible XL 1 3/4 in. x 4 in. Bandages 10/Ct922-10320$5.00


J and J Flexible 3/4 in. x 3 in. Bandages 30/Ct922-10319$5.00

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

Eligible Items


First Aid - Bandages J and J Hydro Seal All Purpose Large Bandages 6/Ct922-10420$6.50

J and J Large Waterproof Pad Bandage 6/Ct922-10410$5.00

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$2.00

New Skin Liquid Bandage 50 Applications922-10322$5.50

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

Cotton Balls 100% Cotton 300/Ct922-90773$2.00

Cotton Swabs 300/Ct922-90891$2.50

J and J Gauze Pads 4 in. x 4 in. 10/Ct922-10907$4.25

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

Eligible Items


First Aid - Tape Waterproof Tape 1 in. x 10 yds. 922-00101 $2.75Covered Tape 1/2 in. x 5 yds. 922-00035 $2.00Waterproof Tri-cut Tape 2 in. x 5 yds. 922-10039 $2.50

Burn Care Kit911-90050$12.00

Curad 175 Piece First Aid Kit922-99079$14.50

J and J 140 Piece First Aid Kit922-90564$19.50

First Aid - Kits

First Aid - Gloves Curad Nitrile Exam Gloves 10/Ct - One Size Fits Most 922-10492 $1.00Powder Free Vinyl Exam Gloves - Small 100/Ct 922-10008 $6.25Powder Free Vinyl Exam Gloves - Med 100/Ct 922-10009 $6.25Powder Free Vinyl Exam Gloves - Lg 100/Ct 922-10010 $6.25Powder Free Vinyl Exam Gloves - XL 100/Ct 922-10011 $6.25

Mini First Aid Kit922-90457$2.50

Personal Soft Sided First Aid Kit911-93901-10999$6.25

Foot Care Arm and Hammer Odor Control Foot Powder 7 oz.922-99158$9.00

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

Compound W Plantar Pads 20/Ct922-99078$11.50

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

Eligible Items


Corn and Callus Remover .3 fl. oz.922-90608$4.25

Corn Cushions 9/Ct922-90609$2.00

Dr. Scholl’s Liquid Corn/Callus with Cushions .33 oz922-10427$7.75

Foot Care

Foot Care Kit911-90061$7.25

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

Freeze Off Original Spray 8/Applications922-99081$19.25

J and J Hydro Seal Blister Toe Bandages 8/Ct922-10431$6.00

J and J Hydro Seal Extreme Blister Cushions 5/Ct922-10425$6.00

Liquid Wart Remover .31 fl. oz.922-90605$4.75

Lotrimin Spray 4.6 oz.922-90943$9.75

Medicated Corn Remover Pads 9/Ct922-11950$2.25

Medicated Foot Powder 4 oz.922-90607$4.25

Moleskin Plus 4/Sheets922-90604$3.25

Toe Separators - 2 small; 2 medium; 2 large922-90636$5.00

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

Zeasorb Athletes Foot Powder 2.5 oz.922-00324$9.50

Eligible Items


Hemorrhoid Relief Ointment 2 oz.922-90139$5.00

Medicated Pads 100/Ct922-90651$5.50

Preparation H Cooling Gel 0.9 oz.922-99157$10.25

Hemorrhoid

Preparation H Suppositories 24/Ct922-99145$21.00

Preparation H Totable Wipes 10/Ct922-99152$5.25

Suppositories 12/Ct922-90154$4.00

Tucks Medicated Pads 40/Ct922-90940$7.00

Early Result Pregnancy Test 1/Ct922-00246$4.75

One Step Pregnancy Test 1/Ct922-00245$4.75

Home Testing

Hot and Cold Therapy Advocate Heating Pad Classic 12 in. x 15 in.922-90890$20.00

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

Combination Hot Water Bottle w/Enema System922-10403$10.75

Eligible Items


Hot and Cold TherapyExtra Strength Cold and Hot Therapy Patch 5/Ct922-90459$5.00

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$6.00

Personal Heating Pad Wrap 18 in. x 15.5 in. 922-10456$42.00

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

Salonpas Deep Relieving Gel 2.75 oz.922-91030$9.75

Salonpas Pain Relieving Hot-Gel Patch 6/Ct922-90889$9.75

Select Heat Heating Pad 12 in. x 14 in.922-00357$35.00

Select Heat Heating Pad King Size 12 in. x 24 in. 922-10404$40.00

Soft Touch Reusable Hot/Cold Gel Packs 2/Ct922-10458$5.00

Thermacare Lower Back and Hip Heatwraps 2/Ct922-90885$10.00

Thermacare Muscle and Joint Heatwrap 1/Ct922-91031$4.00

Thermacare Neck To Arm Heatwraps 3/Ct922-90887$10.00

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

Eligible Items


Incontinence

A & D Original Ointment 1.5 oz. 922-11640 $5.00 Vitamin A & D Ointment 4 oz. 922-99094 $2.00 A & D Ointment 15 oz. 922-10485 $3.50Balmex Adult Cream 3 oz. 922-91043 $6.75 Balmex Zinc Oxide Cream 2 oz. 922-91088 $4.75 Flushable Adult Wipes 48/Ct 922-10012 $4.00 Prevail Adult Washcloths 48/Ct 922-11089 $4.50 Prevail Bariatric "A" Brief Fits 62 in. - 73 in. 12/Ct 922-10449 $18.00 Prevail Bariatric "B" Brief Fits up to 100 in. 10/Ct 922-10454 $24.00 Prevail Male Guard 14/Ct 922-99164 $6.00 Prevail Bladder Control Pads Maximum 48/Ct 922-99161 $16.00 Prevail Bladder Control Pads Moderate 20/Ct 922-99162 $7.00 Prevail Bladder Control Pads Ultra Thin 30/Ct 922-99163 $7.75 Prevail Breezers 360 Briefs Medium with Flexible Stretch Fasteners Waist 26 in. - 48 in. White 16/Ct 922-10495 $11.00

Prevail Breezers 360 Briefs Large with Flexible Stretch Fasteners Waist 45 in. - 62 in. Blue 18/Ct 922-10496 $17.00

Prevail Breezers 360 Briefs XLarge with Flexible Stretch Fasteners Waist 58 in. - 70 in. Beige 15/Ct 922-10497 $16.00

Prevail Per-Fit Protective Underwear Women XLarge 14/Ct Fits 190 - 240 lbs. Waist 58 in. - 68 in. 922-99160 $14.50

Prevail Per-Fit Protective Underwear Women/Medium 20/Ct Fits 90 - 190 lbs. Waist 34 in. - 46 in. 922-99167 $14.50

Prevail Per-Fit Underwear Women/Large 18/Ct Fits 140 - 230 lbs. Waist 44 in. - 58 in. 922-99168 $14.50 Prevail Super Plus Underwear 2XL Fits 68 in. - 80 in. 12/Ct 922-10455 $17.00 Prevail Pant Liner Small 52/Ct 922-10498 $16.00Procare Underwear Large 18/Ct Waist 45 in. - 58 in. 922-10500 $16.00 Procare Underwear Medium 20/Ct Waist 34 in. - 46 in. 922-10499 $16.00 Procare Underwear XL 14/Ct Waist 58 in. - 68 in. 922-10501 $16.00 Maxi Care 30 in. x 30 in. Absorbent Bed Pads Disposable 10/Ct 922-90057 $8.50 Reusable Bed Pad 34 in. x 36 in. 922-91068 $17.50 Stay Dry Bed Pad - Reusable 36 in. x 72 in. 922-10413 $41.00 Stay Dry Chair Pad - Reusable 17 in. x 24 in. 922-10433 $12.00

Eligible Items


Dairy Digestive Fast Acting Caplets 60/Ct922-99052$13.50

Lactaid Fast Acting Caplets 32/Ct922-90145$11.75

Schiff Digestive Advantage Defense Caplets 32/Ct922-99146$13.50

Dairy Aid Original Strength Caplets 60/Ct922-11872$9.00

Lactose

Complete Lice Treatment Kit 922-00247$20.00 Includes: Lice Killing Shampoo Nit Combing Geland Bedding Spray

Rid Lice, Bedbug and Dustmite Control Spray 5 oz.922-10421$10.25

Rid Lice Killing Shampoo 8 oz.922-10434$28.00

Lice Rid Max Lice Removal Kit 922-10503$25.00

Includes: Lice Comb Pesticide free hair solution

Eligible Items


Motion Sickness

Blistex Medicated Lip Balm922-00325$3.00

Blistex Medicated Lip Ointment922-00326$3.50

Medicated Lip Balm Generic Carmex922-00327$1.75

Neosporin Lip Overnight Renewal .27 oz.922-10406$6.50

Lip Care

Dramamine Tablets 12/Ct922-90201$6.00

Antifungal Cream 1 oz.922-10752$4.50

Aveeno Anti-Itch Lotion 4 oz.922-99056$9.75

Bacitracin 1 oz.922-00065$2.50

Ointments and Topicals

Eligible Items


Benadryl Extra Itch Cooling Spray 2 oz.922-99058$8.75

Calamine Lotion 6 fl. oz.922-90933$3.00

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$3.50

Neosporin Burn Relief .5 oz.922-10419$7.50

Neosporin Ointment .5 oz.922-00835$7.75

Safetec First Aid Burn Gel 4 oz.922-90471$4.25

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$14.25

Wound Seal Topical Powder 4/Ct922-10475$10.50

Ointments and Topicals - AnalgesicsAspercreme 1.25 oz.922-10050$5.00

Aspercreme Lidocaine No Mess Liquid Roll On 2.5 oz.922-00328$11.00

Bengay Vanishing Scent Topical Gel 2 oz.922-10424$6.00

Eligible Items


Bengay Greaseless Topical Cream 2 oz.922-10323$5.75

Cortizone-10 Cream 2 oz.922-99100$9.75

Flexall Ultra Plus 2 oz.922-91082$8.25

Icy Hot Cream 1.25 oz.922-10053$4.75

LidoAID Pain Relieving Gel .17 oz922-10445$8.00

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$6.00

Salonpas Lidocaine Plus Cream 3 oz.922-10448$14.50

Ointments and Topicals - Analgesics

Tiger Balm Rub Ultra .63 oz922-10462$9.00

Salonpas Lidocaine Plus Liquid Roll On 3 fl.oz922-10453$14.50

Tiger Balm Pain Relieving Hydrogel Patch Large 4/Ct922-10464$9.00

Tiger Balm Pain Relieving Patch 5/Ct922-10465$7.00

Eligible Items


Ointments and Topicals - CleanersAlcohol Wipes 200/Ct922-00050F$3.50

Bactine Maximum Pain Relieving Cleansing Spray 5 oz.922-00329$9.00

Decolorized Iodine 2 oz.922-91091$4.50

J and J Hurt Free Antiseptic Wash 6 oz.922-10321$4.75

Pain ReliefAdvil Coated Caplets 200mg 50/Ct922-91077$11.00

Advil Coated Tablets 200mg 100/Ct922-90658$17.00

Advil Liqui-Gels 200mg 20/Ct922-91059$6.00

Advil Liqui-Gels 200mg 80/Ct922-99097$16.00

Advil Migraine Liqui-Gels 200mg 20/Ct922-99098$6.00

Advil PM Coated Caplets 200mg 40/Ct922-91065$11.00

Advil PM Liqui-Gels 200mg 20/Ct922-99099$9.00

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

Aleve Easy Open Cap 200mg Caplets 100/Ct922-99116$17.00

DynaWound Wound Cleanser 8 fl. oz. 922-10484$5.00

Eligible Items


Pain ReliefAleve Easy Open Cap 220mg Gelcaps 40/Ct922-11704$11.00

Aleve Liquid Gels 220mg 80/Ct922-99117$19.50

Aleve PM Caplets 220mg 20/Ct922-99023$8.00

Aspirin 81mg Chewable Tablets Orange 36/Ct922-90598$2.50

Bayer Aspirin Low Dose Tablets 81mg 120/Ct922-99026$9.75

Bayer Aspirin Tablets 325mg 100/Ct922-99027$10.00

Bayer Chewable Aspirin Tablets 81mg Cherry 36/Ct922-90662$4.50

Naproxen -Generic Aleve- Caplets 220mg 100/Ct922-90602N$7.25

Chewable Aspirin 81mg Tablets Orange 36/Ct922-90902$1.75

Ecotrin Tablets 325mg 125/Ct922-00372$10.00

Excedrin Extra Strength Caplets 100/Ct922-99101$15.00

St. Joseph Low Dose Aspirin Micro Tablets 81mg 120/Ct922-91058$7.75

St. Joseph Low Dose Chewable Aspirin 81mg 36/Ct922-91057$2.50

Low Dose Aspirin Tablets 81mg 120/Ct922-11876N$2.75

Excedrin Migraine Caplets 24/Ct922-99102$6.00

Eligible Items


Pain ReliefHeadache Relief Extra Strength Tablets 50/Ct922-99106$3.75

Motrin IB Caplets 100/Ct922-90659$13.00

Motrin IB Caplets 200mg 50/Ct922-91074$8.50

Motrin IB Liquid Gels 200mg 20/Ct922-99103$6.00

Tylenol 8 Hour Arthritis 650mg 100/Ct922-10416$16.00

Tylenol 8 Hour Arthritis 650mg 24/Ct922-10408$5.50

Tylenol Extra Strength Caplets 500mg 100/Ct922-99059$16.00

Tylenol Extra Strength Caplets 500mg 24/Ct922-99060$5.50

Tylenol PM Caplets 24/Ct922-99061$6.75

Tylenol Regular Strength Tablets 325 mg 100/Ct922-99062$11.75

Extra Strength Tylenol Coated Tabs 500mg 225/Ct922-10432$18.50

Extra Strength Tylenol 500mg 50 Packets of 2 100/Ct922-00098F$19.00

Non-Aspirin Acetaminophen Extra Strength Caplets 500mg APAP 100/Ct922-90599N$3.00

Motrin PM Caplets 200mg 20/Ct922-99104$6.00

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

Eligible Items


Pain Relief

Skin Care2nd Skin Scar Gel .52 oz.922-90121$11.00

Abreva Oral Care Pump 2.0 Gram922-99043$25.00

Aloe Vera 16 oz.922-90950$8.50

Non-Aspirin Acetaminophen PM Caplets 500mg 50/Ct922-90904$2.25

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

Icy Hot Smart Relief Tens Kit Back and Hip922-99111$52.00

Includes:1 Control Unit1 Preloaded Battery1 Reusable Electro Pad

Rechargeable Tens Unit922-10461$23.00 Includes: 1 Control Unit1 Battery1 Reusable Electro Pad

Tens Unit Plus Heat 922-10470$80.00 Includes: 1 Tens Electrical Simulator1 Remote control1 Small pad; 1 Large pad1 Rechargeable Battery

Tens OTC Accu Dual Channel 3000 Unit922-99115$58.00

Includes:1 Dual Channel Device4 Resuable Electrode Gel PadsBatteries

Eligible Items


Aloe With Lidocaine Gel 8 oz.922-90951$4.00

Campho-Phenique Cold Sore Treatment Gel .23 oz.922-11633$6.25

Dermarest Medicated Psoriasis Gel 4 fl. oz.922-00330$10.25

Gold Bond Eczema Relief Cream 5.5 oz922-10220$13.00

Johnson’s Baby Powder with Aloe and Vitamin E 15 oz.922-10478$7.00

Medicated Body Powder 10 oz.922-90934$4.50

Skin Care

ScarAway Silicone Scar Sheets 8/Ct922-10418$29.00

Vaseline Healing Jelly 13 oz.922-10472$7.50

Skin Care - SunscreenCoppertone Sport Sunscreen SPF 30 7 oz.922-10411$15.00

Coppertone Sport Sunscreen SPF 50 7 oz.922-10428$15.75

Coppertone Sunscreen SPF 30 8 oz.922-90058$13.75

Eligible Items


Rest Simply Night Time Sleep Aid Caplets 24/Ct922-10505$5.25

Skin Care - SunscreenNeutrogena Sheer Zinc Sunscreen 3 oz. SPF 30 922-10426$14.00

Neutrogena Sheer Zinc Sunscreen 3 oz. SPF 50 922-10412$15.00

Sunscreen SPF 50 8 oz.922-90063$8.50

Sleep Aid Melatonin 3mg Tablets 120/Ct922-00331$9.75

Melatonin Soothers 30/Ct922-10430$3.00

Sleep Aid - Generic Sominex 32/Ct922-90925$3.25

Sleep Aid - Generic Unisom 16/Ct922-90927$5.00

Melatonin 3mg Tablets 100/Ct922-00316$7.50

Unisom Sleep Gels 32/Ct922-10225$13.00

ZZZQuil LiquiCaps 48/Ct922-10474$23.00

Eligible Items


Smoking Cessation (Dual Purpose)Nicotine Gum 2mg 40/Ct922-99913$34.00

Nicotine Gum 4mg 40/Ct922-99914$35.00

Nicotine Lozenges 2mg 72/Ct922-99915$54.00

Nicotine Lozenges 4mg 72/Ct922-99916$55.00

Nicotine Patch Step 1 21mg 7/Ct922-99918$29.00



Nicotine Patches Step 1 21mg 14/Ct922-10407$39.00




Eligible Items


Stomach - Antacids and Acid ReducersStomach - Antacids and Acid ReducersAlka-Seltzer Heartburn Relief Chews Assorted 36/Ct922-99025$8.00

Alka-Seltzer Original Foil Tablets 36/Ct922-91048$8.00

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

Famotidine Acid Reducer 10mg Tablets - Generic Pepcid 30/Ct922-90648$7.75

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

Omeprazole 20mg Tablets Generic Prilosec 14/Ct922-91070$18.00

Omeprazole 20mg Tablets Generic Prilosec - 28/Ct922-90982$31.00

Omeprazole Disolving Tablets Strawberry Flavor 42/Ct922-10439$27.00

Pepcid Complete Cool Mint Chewable Tablets 25/Ct922-00206$14.00

Pepto Bismol 4 fl. oz.922-90923$5.00

Prelief Dietary Supplement Caplets 120/Ct922-00334$14.00

Prilosec 20mg OTC Tablets 14/Ct922-91075$19.00

Prilosec 20mg OTC Tablets 28/Ct922-99105$28.00

Rolaids Advanced Antacid Plus Anti-Gas Chewable Tablets 60/Ct922-99154$7.00

Rolaids Softchews Antacid Flavors Vary 12/Ct922-99155$3.50

Eligible Items


Stomach - Antacids and Acid Reducers Rolaids Ultra Antacid Chewable Tablets Fruit 72/Ct922-99156$7.00

Tums 96/Ct Flavors Vary922-90466$7.50

Tums Chewy Delights Cherry 32/Ct922-00336$8.50

Ultra Strength Antacid Calcium Chewable Tablets Flavors Vary 72/Ct922-99144$4.50

Stomach and LaxativesAnti-Diarrheal/Anti-Gas 2mg Caplets 30/Ct922-10438$6.00

Anti-Diarrheal Tablets 2mg 24/Ct922-90120$4.75

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

Beano Tablets 30/Ct922-11824$8.00

Clearlax 17.9 oz.922-10483$22.00

Clearlax 8.3 oz.922-10480$13.50

Anti-Diarrheal 2mg Caplets 12/Ct922-10504$4.50

Eligible Items


Stomach and Laxatives Enema Adult 4.5 oz.

922-90918$2.25

Equalactin Chews 48/Ct922-00333$9.75

Ex-Lax Chocolate 24/Ct922-91053$8.25

Gas Relief And Prevention Caplets 20/Ct922-91054$6.25

Gas-X Extra Strength Softgels 10/Ct922-91052$3.75

Generic Tums 96/Ct922-90919$4.50

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

Imodium AD Caplets 24/Ct922-00836$16.00

Imodium Liquid 4 fl. oz.922-90657$8.00

Laxative Bisacodyl 25/Ct922-90589$2.50

Miralax OTC 7 Dose 4.1 oz.922-90883$10.50

Phillips Stool Softner 30/Ct922-99035$6.75

Senna Laxative Tablets 100/Ct922-90644$4.50

Stomach Relief Tablets 30/Ct922-10429$4.25

Clearlax 4.1 oz.922-10477$7.00

Eligible Items


Supports - Ankle Adjustable Ankle Support922-10007$11.50

Procare Elastic Ankle Support Large922-90618$6.25

Procare Elastic Ankle Support Medium922-90619$6.25

Procare Elastic Ankle Support Small922-90620$6.25

Procare Elastic Ankle Support XL922-90621$6.25

Procare Elastic Ankle Support XXL922-90629$7.00

Supports - BackBack Stabilizer Large 39 in. - 50 in.922-90208$45.00

Back Stabilizer Small/Medium 29 in. - 39 in.922-90449$45.00

Mueller Adjustable Back Brace 28 in. - 50 in.922-90209$26.00

Mueller Adjustable Back Brace with Lumbar Pad 28 in. - 50 in. 922-90210$35.25

Neoprene Elbow Support One Size Fits All922-10790$18.50

Procare Elastic Elbow Support Small 8 in. - 9 in.922-90627$7.00

Procare Elbow Support Large 10 in. - 11.5 in.922-90626$7.00

Supports - Elbow

Eligible Items


Procare Elbow Support XL 11.5 in. - 13 in.922-90628$7.00

Tera-Prene Tennis Elbow Sleeve XL 12 in. - 14 in.922-99089$22.25

Supports - Elbow

Supports - KneeDJ Orthopedics Reddie Brace Large 15 in. -17 in.922-99922$53.00

DJ Orthopedics Reddie Brace Medium 14 in. - 15 in.922-99921$53.00

DJ Orthopedics Reddie Brace Small 13 in. - 14 in.922-99920$53.00

DJ Orthopedics Reddie Brace XL 17 in. - 19 in.922-99923$53.00

Extra Large Scott Specialties Tera-Prene Knee Support 21.75 in922-99088$33.50

Procare Support - Knee Large 20.5 in. - 23 in.922-90622$6.25

Procare Support - Knee Medium 18 in. - 20.5 in.922-90623$6.25

Procare Support - Knee Small 15.5 in. - 18 in.922-90624$6.25

Procare Support - Knee X-Large 23 in. - 25.5 in.922-90625$6.25

DJ Orthopedics Reddie Brace 2XL 19 in. - 22 in. 922-99084$53.00

Eligible Items


Supports - StockingsAnti-Embolism Stocking with Inspection Toe$14.00

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$22.00 922-00366 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$31.00

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$30.00


Womens Beige Light Support$20.00


Eligible Items


Supports - Wrist Adjustable Wrist Support Unisize 922-91095$10.50

Quick-Fit Wrist Support Left Unisize922-91096$22.00

Quick-Fit Wrist Support Right Unisize922-99119$22.00

Wristlet922-91097$4.00

Vitamins, Minerals and Special Supplements (Dual Purpose)

Vitamin B-6 50mg Tablets 100/Ct 922-90577 $4.25 B-12 1000mcg Melts 100/Ct 922-00294 $9.75 Vitamin B-12 250mcg Tablets 100/Ct 922-11864 $5.75 Vitamin B-12 500mcg Tablets 100/Ct 922-91083 $10.50 B-Complex Softgels 100/Ct *DOES NOT CONTAIN B-12 922-90298 $8.75 Sustain Release B-Complex Tablets 60/Ct 922-11863 $9.00 Vitamin C Chewables Wafers 500mg 60/Ct 922-00350 $11.75 Vitamin C-500 Tablets 100/Ct 922-11861 $4.50 Vitamin C 1000mg Tablets 100/Ct 922-00349 $17.25 Calcium 500mg + D Tablets 130/Ct 922-00339 $13.00 Calcium 600mg + D 200 IU Tablets 60/Ct 922-90230 $3.00 Chocolate Calcium Chews 60/Ct 922-90966 $7.25 Oyster Shell 500mg Plus D Tablets 150/Ct 922-90237 $6.00 Vitamin D 400 IU Tablets 100/Ct 922-90309 $3.00 Vitamin D 5000 IU Softgels 100/Ct 922-99073 $22.00 Vitamin E 100 IU Dl-Alpha Softgels 100/Ct 922-90316 $4.00 Vitamin E-400 IU Dl-Alpha Softgels 90/Ct 922-11862 $7.75 Folic Acid 400mcg Tablets 250/Ct 922-00343 $7.50 Ferosul 5 Iron Tablets 100/Ct 922-90245 $3.00 Iron 65mg Tablets 180/Ct 922-00346 $11.25 K 100mcg Tablets 100/Ct 922-99069 $4.50

Eligible Items


Vitamins, Minerals and Special Supplements (Dual Purpose) Magnesium 500mg Tabs 100/Ct 922-90240 $4.75 Magnesium Citrate 250mg Softgels 60/Ct 922-00347 $15.00 Centrum Men MultiGummies 70/Ct 922-00833 $12.25 Centrum Women MultiGummies 70/Ct 922-00832 $12.25 Daily Men/Women Maximum Vitamin Pak 30/Ct 922-00361 $24.00 Daily One Multivitamin For Women 100/Ct 922-90961 $11.00 Generic Centrum Silver 125/Ct 922-00345 $8.00 Multi-Vitamin with Iron 100/Ct 922-90257 $4.00 One A Day Men's 50plus Advantage 65/Ct 922-90664 $12.00 One A Day Proactive 65plus For Men And Women 150/Ct 922-99033 $14.75 One A Day Women's 50plus Advantage 65/Ct 922-90663 $12.00 Potassium Gluconate 595mg Tablets 100/Ct 922-99076 $6.75 Airborne Gummies Berry/Citrus 21/Ct 922-00837 $9.50 Co Q10 100mg Softgels 40/Ct 922-00360 $31.25 Co Q10 100mg Gummies 60/Ct 922-00341 $23.00 Fish Oil Cholesterol Free 1000mg Softgels 120/Ct 922-90964 $8.00 Mega Red Omega 3 Krill Oil 500 mg 40/Ct 922-10471 $46.00 Glucoflex Glucosamine and Chondroitin Caplets 60/Ct 922-11869 $17.00

Weight Loss - Kitchen Scales Digital Kitchen Scale 922-01080$21.00

Digital Stainless Steel Food Scale 922-01081$26.00

Weight Loss (Dual Purpose)Alli Weight Loss 60/Ct922-10402$68.00

Notes

Notes

Documents

2020 Over-the-Counter (OTC) Benefit Catalog - AmeriHealth ......Fieldtex Products, Inc. does not guarantee the accuracy or completeness of the information, and does not recommend or