Over-the-Counter (OTC)Item Catalog - CVS Pharmacy
[Pages:12]2020
Over-the-Counter (OTC)
Item Catalog
Keep this booklet handy where you can easily get to it. You'll need it to look up the OTC items you want to order. H3706_OTCCATALOG_2020_C
GlobalHealth is pleased to provide its members with the Over-the-Counter (OTC) Program. This is a convenient way to get OTC drugs and supplies by mail through your GlobalHealth Medicare Advantage plan.
As a member of GlobalHealth, you are eligible to receive a quarterly allowance for specific OTC products. Please check your Evidence of Coverage for your plan's quarterly benefit allowance. To get started, simply use this catalog to select the item(s) you want, then order online or by phone, and we'll ship your order directly to your door. The OTC Benefit is reset once every three months (quarterly). You can only place one order per quarter. Any unused benefit does not roll over to the next quarter. Your order total cannot exceed your allowable benefit, and we cannot accept payment to purchase items over your benefit. Please note, if you exceed the allowable benefit, your order cannot be processed.
This information is available for free in other languages. Please contact OTC Health Solutions customer service at 1-888-628-2770 and for TTY/TTD assistance please dial 1-877-672-2688. Monday to Friday 9:00 a.m. to 8:00 p.m. E.S.T.
What can I order with my OTC benefit?
Eligible Items On pages 5 through 10, you'll find a list of products that you can order from us and have shipped to your home. These products include non-prescription drugs, also known as OTC drugs, and health-related items. Generally, you can order any of the items listed in this catalog. However, some Dual-Purpose items may require additional information in order to purchase through your OTC benefit.
Dual-Purpose Items These are medicines and products that can be used for either a medical condition or for general health and well-being. In order to purchase these items, your personal physician must recommend them to you for a specific diagnosed condition. These items are marked with a "u". Please speak to your physician before ordering these items.
Part B or Part D Coverage Items that could be covered under your Part B or Part D benefit are marked with a "". When an item is covered by Part B or Part D due to your particular circumstances, you would not use your OTC benefit to obtain the item because it is Medicare-covered under those circumstances, and not part of your OTC benefit. For example, gauze may be covered under Part B when it is being used as prescribed to perform surgical wound dressing changes.
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How to place an order.
Online:
The fastest, easiest, and most convenient way to order 24/7 is to visit otchs/globalhealth
Phone:
If you would like to place an order by phone, call: 1-888-628-2770 (TTY: 1-877-672-2688) Monday to Friday, 9:00 a.m. to 8:00 p.m. E.S.T. We experience high call volumes the first and last weeks of the month.
Please Note: ? You can only place one order per quarter. Any unused benefit does not roll over to the next
quarter. ? Your order total cannot exceed your allowable benefit, and we cannot accept payment to
purchase items over your benefit. Please note, if you exceed the allowable benefit, your order cannot be processed. ? There is a quantity limit of fifteen (15) per any single item, per order, with the exception of the Blood Pressure Monitors, which are limited to one (1) per year. ? Online orders must be submitted by 11:59 p.m. E.S.T. to be processed that day. ? Orders will be shipped to your home at no extra charge. Please allow 7-10 business days for delivery. ? Return Policy: If you receive a damaged item, please call OTC Health Solutions within 30 days after receiving your order. An identical replacement item will be shipped. No other returns or exchanges are allowed. ? OTC products on this list are intended for member use only to help with a health or medical need. The use of this benefit to order OTC items for family members and friends is prohibited. ? In this catalog you will find SKU numbers that can be used at to obtain additional product information such as ingredients. You do not need the SKU to order online or by phone. ? This product list is subject to change. ? If you disenroll from GlobalHealth, your OTC benefit will automatically terminate. ? A copy of this catalog is also available on the GlobalHealth website at
If you have not received your order within 7-10 business days after ordering, please call: 1-888-628-2770 (TTY: 1-877-672-2688) Monday to Friday 9:00 a.m. to 8:00 p.m. E.S.T.
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CODE
A2 A10 A53 A59 A60 A61
SKU
477066 232641 444236 238246 994279 370783
Allergy
PRODUCT
Allergy relief tablets Loratadine 10mg
Allergy cetirizine 10mg tablets Fluticasone Nasal Spray
Adult Allergy Relief Liquid Fexofenadine 60mg Tablet
COMPARE TO
Benadryl Claritin Zyrtec Flonase Benadryl Allegra
AMOUNT
24 CT 10 CT 14 CT 0.34 OZ 4 OZ 24 CT
PRICE
$4.49 $7.99 $10.99 $12.99 $5.99 $13.49
CODE
C3 C7 C8 C11 C12 C13 C16 C19 C24 C40 C52 C54 C56 C57 C60 C65 C66
Cold Remedies
SKU
PRODUCT
COMPARE TO
895139 Cold flu & sore throat max
Mucinex Fast-max
587618
Medicated chest rub
Vicks vaporub
155912
Digital Thermometer
No comparable
707032
Sore Throat lozenges
Cepacol
971824
Tussin CF Max Strength
Robitussin CF
707516
Tussin DM
Robitussin DM
297625
Nasal decongestant tabs
Sudafed PE
297885 Chest congestion relief 400mg
Humibid e
890425 Daytime cold/flu soft gels
Vicks Dayquil
477060
Tussin DM Sugar Free
Robitussin DM
891465
Saline Nasal Spray
Ocean
890411 Nighttime cold/flu soft gels
Vicks Nyquil
408566
Sinus acetaminophen
Tylenol Sinus (Daytime)
316620
Sore throat spray
Chloraseptic
244956
Cough and Cold HBP
Coricidin
382414 Honey Lemon SF Cough Drops
Halls
858828
Nasal Mist
Afrin
AMOUNT
6 OZ 3.5 OZ 1 CT 18 CT 4 OZ 4 OZ 18 CT 60 CT 16 CT 8 OZ 1.5 OZ 16 CT 24 CT 6 OZ 16 CT 25 CT 0.5 OZ
PRICE
$10.99 $5.99 $7.99 $3.99 $6.49 $5.99 $4.49 $9.49 $5.99 $7.49 $3.99 $5.99 $6.49 $4.49 $6.99 $1.49 $6.99
You will receive the generic equivalent of all items. 5
CODE
D1 D2 D4 D5 D6 D14 D8 D10 D11 D12 D13 D15 D17 D21 D22 D23 D24 D25 D40 D49
Digestive Health
SKU
PRODUCT
COMPARE TO
150391
Effervescent Pain Relief
Alka seltzer
310425
Stool softener
Colace
206805
Gas relief E/S soft gel
Gas X Extra strength
878020
BeanAid Capsules
Beano
108530 Glycerin suppositories Adult
Fleet Glycerin
690256
Acid Controller Tabs
Pepcid AC
860849
Heartburn relief tablets
Gaviscon
958326
Daily Fiber SF
Metamucil
348639
Bisacodyl laxatives tabs
Dulcolax
672550
Anti-Diarrheal tablets
Imodium A-D
703368 Pink Bismuth Chewable Tabs
Pepto-Bismol
139139
Motion sickness tabs
No Comparable
252794
Fiber capsules
Metamucil
401472 Medicated Hemorrhoidal Wipes
Preparation H
961468 Hemorrhoidal suppositories Preparation H suppositories
144212
Hemorrhoidal ointment
Preparation H ointment
305623
Milk of Magnesia
Phillips'
480996 Laxative Bisacodyl Suppositories
Dulcolax
836320 Antacid calcium ES tablets
Tums E-X
713639
Purelax Powder
Miralax
AMOUNT
36 CT 100 CT 30 CT 30 CT 25 CT 30 CT 100 CT 10 OZ 25 CT 12 CT 30 CT 12 CT 160 CT 48 CT 12 CT 2 OZ 12 OZ 4 CT 96 CT 8.3 OZ
PRICE
$4.49 $11.99 $5.49 $5.49 $3.49 $6.99 $8.49 $7.99 $6.49 $5.99 $4.99 $5.99 $11.99 $6.49 $5.99 $8.99 $5.99 $6.49 $4.99 $10.99
CODE
E1 E2 E19 E20 E21
SKU
317914 317912 976354 457496 973866
Eye and Ear Care
PRODUCT
COMPARE TO
Dry Eye Relief
Visine Tears
Eye Drops Redness Relief
Visine Red Eye
Eye Health 50+ Vitamins
Ocuvite
Swimmer's Ear Solution
Swim-ear
Ear Wax Removal Kit
Debrox
AMOUNT
0.5 OZ 0.5 OZ 90 CT 1 OZ 0.5 OZ
PRICE
$5.49 $4.49 $19.99 $4.49 $7.99
You will receive the generic equivalent of all items. 6
CODE
F3 F4 F9 F11 F21 F22 F31 F33 F44 F45 F47 F49 F50 F51 F52 F53 F62 F68 F69 F73 F74
CODE
T2 T4 T5 T35 T38 T39 T40
First Aid
SKU
PRODUCT
COMPARE TO
875957 Fabric Anti-Bacterial Bandages
No comparable
109405
Calamine Lotion Plus
Caladryl
383505
Clear bandages
No comparable
550749
Anti-itch cream
Benadryl Anti-itch cream
602441
Iodine
No comparable
311533
Merthiolate
No comparable
864765 Antiseptic Skin Cleanser
Hibiclens
351170
Wart removal
Compound W
164177
First Aid Kit
No comparable
219642
Zinc Oxide Ointment
No comparable
337274
Finger Injury Kit
No comparable
946095
Witch Hazel Spray
T.N Dickinson's
935683 Gauze Pad Non Stick 2x3
No comparable
893121
Gauze Pad 4x4
No comparable
893120
Gauze Pad 3x3
No comparable
894104
Gauze Roll 4'' 2yds
No comparable
964606
First Aid tape
No comparable
531343
Petroleum Jelly
Vaseline
259370
Butterfly Closures
No comparable
373092 Hydrocortisone Cream 1%
Cortisone
219634
Bacitracin
No Comparable
Foot Care
SKU
PRODUCT
COMPARE TO
521682
Tolnaftate Antifungal Cream
Tinactin Cream
334566
Odor Control Spray Powder
Odor-Eaters
894580
Moleskin Padding
Dr Scholl's
139231
Liquid Corn & Callus Remover
Dr. Scholl's
658593 Firm Compression Socks S/M Black
No Comparable
658582 Firm Compression Socks L/XL Black
No Comparable
229790
Foot Powder
Gold Bond
Could be covered under Part B or D. You will receive the generic equivalent of all items.
AMOUNT
20 CT 6 OZ 45 CT 1 OZ 1 OZ 2 OZ 8 OZ 0.5 OZ 30 PC 1 OZ KIT 6 OZ 25 CT 25 CT 25 CT 1 CT 1 CT 2.5 OZ 12 CT 1 OZ 1 OZ
PRICE
$3.99 $6.49 $3.99 $5.49 $4.49 $5.49 $9.99 $7.99 $2.99 $3.99 $6.99 $7.49 $5.99 $7.49 $6.49 $3.99 $1.99 $3.49 $3.49 $5.49 $6.99
AMOUNT
1 OZ 4 OZ 2 CT 0.5 OZ 1 Pair 1 Pair 10 OZ
PRICE
$8.49 $5.99 $3.99 $5.99 $11.99 $11.99 $8.99
7
CODE
u H71 u H72
CODE
I83 I84 I85 I86 I87 I88
CODE
O10 O12 O35 O52 O71 O72 O73
CODE
P1 P2 P4 P8 P14 P19
Home Diagnostics
SKU
PRODUCT
COMPARE TO
708884 BP Monitor Upper Arm Semi Auto 8.7" x 16.5" No comparable
800232 BP Monitor Upper Arm Manual 8.7" x 12.6" No comparable
AMOUNT
EACH EACH
PRICE
$39.99 $17.99
SKU
383703 383182 203644 512509 795728 163093
Incontinence
PRODUCT
COMPARE TO
Unisex Overnight Underwear XL 58"-68"
Depend
Unisex Overnight Underwear L 44"-58"
Depend
Unisex Underwear S/M Adjustable 28''-40''
Depend
Underpads XL 23''x36''
No comparable
Women's Bladder Control Pads, Size Long
Poise
Men's Bladder Control Pads
Poise
AMOUNT
12 CT 14 CT 18 CT 18 CT 27 CT 52 CT
PRICE
$12.49 $12.49 $12.49 $9.49 $10.99 $12.49
SKU
230196 910693 102319 933834 454381 368775 213330
SKU
371948 200964 230268 547802 957604 299470
Oral Care
PRODUCT
COMPARE TO
Denture Adhesive Regular
Fixodent
Toothbrush (Soft)
Colgate
Dental Floss Waxed
J & J Dental Floss
Oral Pain Relief
Anbesol Gel
Flosser Picks
No Comparable
Toothpaste
Sensodyne
Denture Cleanser Tabs
Efferdent
AMOUNT
2.4 OZ 1 CT 100 YD 0.33 OZ 90 CT 3.4 OZ 40 CT
PRICE
$3.99 $0.99 $2.49 $5.99 $2.99 $4.49 $2.99
Pain Relievers
PRODUCT
COMPARE TO
AMOUNT
Ibuprofen 200mg
Advil
50 CT
Muscle rub
Bengay
3 OZ
Enteric Aspirin 81mg
Bayer Low Dose
120 CT
Chewable Aspirin 81mg
Bayer Low Dose Chewable 36 CT
Hot/Cold Patches
Icy Hot Medicated Patch 5 CT
Naproxen 220mg
Aleve
24 CT
PRICE
$4.49 $6.99 $5.49 $2.49 $5.99 $4.49
u Dual-Purpose item. In order to purchase a Dual-Purpose item, your personal physician must recommend them to you for a specifc diagnosed condition. Please speak to your physician before ordering these items. You will receive the generic equivalent of all items.
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