2019 OTC Product Catalog
2019
Over-the-Counter Catalog
Y0041_HM_C_19_70839
As a member of Independence Blue Cross, you have a $30 Over-the-Counter (OTC) benefit every quarter.
This benefit allows you to get OTC items you may need. Be sure to use your benefi before the end of every quarter. Simply call 1-844-271-8565 (TTY: 711), or go online at otc, or mail your completed order form. Your order will be shipped directly to your door.
Quarter 1: January 1 - March 31, 2019 Quarter 2: April 1 - June 30, 2019 Quarter 3: July 1 - September 30, 2019 Quarter 4: October 1 - December 31, 2019
Remember to keep this catalog.
You will want to reference this catalog each time you place your order. Information on how to place your order can be found in the back of the catalog.
Item # Product
Packaging Allergy, Cold, Flu, Decongestant & Sinus
1361 All-Nite Cold/Flu
4 oz
1360 Cepacol Sore Throat Lozenges 1090 Cetirizine HCL Allergy Relief 1008 Chlorpheniramine Maleate Antihistamine 1166 Cough & Cold for High Blood Pressure 1056 Cough Drops, Cherry 1182 Cough Drops, Sugar Free, Cherry 1833 Cough Drops, Honey Lemon 1834 Cough Drops, Menthol 1054 Cough Syrup, Expectorant 1323 Diabetic Tussin DM 1009 Diphenhydramine Antihistamine 1308 Diphenhydramine Antihistamine 1180 Guaifenesin Cough Expectorant 1806 Irritation Relief Eye Drops 1611 Loratadine Allergy Relief 1178 Mucus Relief DM Expectorant & Cough Suppressant
16 ct 14 ct 100 ct 16 ct 30 ct 25 ct 30 ct 30 ct 4 oz 4 oz 24 ct 100 ct 60 ct 15 ml 100 ct 30 ct
1357 Multi-Symptom Cold Formula
24 ct
1881 Nasacort
60 spray
1091 Nasal Decongestant Spray, 12 Hour
1 oz
1931 Nasal Rinse Kit, Saline
1 kit
1052 Nasal Spray, Saline
1.5 oz
1176 Sore Throat Lozenges, Cherry
18 ct
1904 Sore Throat Spray, Cherry
6 oz
1164 Vapor Rub
3.5 oz
Antacids & Acid Reducers
1313 Alka-Seltzer
36 ct
1006 Antacid / Anti-Gas Liquid
12 oz
1346 Antacid Chewables
150 ct
1314 Effervescent Pain Relieve
36 ct
1108 Famotidine Acid Reducer *
30 ct
Strength
Price
12.5 mg, 30 mg, 650 mg
10 mg 4 mg
5.8 mg 5.8 mg
200 mg / 10 ml 25 mg 25 mg 200 mg 10 mg 400 mg, 20 mg 10 mg, 5 mg, 325 mg 0.05% 0.65% 4.7%, 1%
$6.50
$8.00 $7.00 $8.00 $7.00 $3.00 $4.00 $3.00 $3.00 $6.00 $9.50 $6.00 $10.00 $10.00 $9.50 $14.50 $10.00
$8.00
$24.00 $6.00 $18.00 $5.50 $5.00 $7.00 $7.00
500 mg 10 mg
$11.00 $7.50 $7.00 $7.00 $7.50
* ? See Page 12 3
Item # Product
Packaging
1970 Omeprazole Acid Reducer *
42 ct
1900 Ranitidine Acid Reducer
30 ct
1800 Simethicone Anti-Gas Chewables
100 ct
Anti-diarrheal, Laxatives & Digestive Health
1316 Beano
30 ct
1128 Bisacodyl Enteric Coated Laxative
100 ct
1045 Bismatrol Chewable Tablets
30 ct
1126 Docusate Sodium Stool Softener
100 ct
1733 Enema
4.5 oz
1124 Ex-Lax
8 ct
1125 Glycerin Suppository
25 ct
1067 Lactase Capsules
60 ct
1133 Loperamide HCL Anti-Diarrheal *
12 ct
1354 Methylcellulose Fiber Therapy
16 oz
1011 Milk of Magnesia
12 oz
1340 Natural Vegetable Laxative
13 oz
1317 Pepto-Bismol Cherry
12 oz
1318 Pink Bismuth
8 oz
1012 Polycarbophil Fiber Tablets
90 ct
1130 Senna Plus Stool Softener Plus Laxative
60 ct
Anti-fungal & Anti-itch
1142 Bactine Solution
4 oz
1144 Caldyphen Clear Lotion Local Analgesic
6 oz
1047 Clotrimazole Antifungal Athlete's Foot Cream
1.5 oz
1140 Diphenhydramine HCL / Zinc Acetate Anti-Itch Cream
1 oz
1074 Hydrocortisone 1% Cream
1 oz
1874 Medicated Antifungal Foot Powder Spray
4.6 oz
1135 Miconazole Nitrate 2% Antifungal Cream
1 oz
1046 Terbinafine HC Antifungal Cream
.5 oz
1064 Tolnaftate Antifungal Cream
1.25 oz
Cold Sore & Medicated Lip Products
1152 Abreva
2 gm
1256 Blistex Lip Ointment
6 gm
Strength 20 mg 75 mg 80 mg
Price $26.00 $7.50 $8.00
5 mg 262 mg 100 mg
15 mg 2 gm 9000 FCC units 2 mg
400 mg
525 mg / 30 ml 525 mg / 30 ml
625 mg 8.6 mg, 50 mg
$9.00 $6.50 $7.50 $8.00 $5.50 $8.00 $7.00 $10.00 $6.00 $17.00 $6.50 $10.00 $11.00 $7.00 $12.00 $7.00
-
$10.00
1%
$8.00
1%
$9.50
-
$6.00
1%
$6.00
-
$10.50
2%
$9.00
1%
$11.50
1%
$7.00
10% -
$24.00 $5.00
4 2019 Over-the-Counter Benefit Catalo
Item # Product
Packaging
1153 Herpecin-L Lip Balm
.1 oz
1359 Releev Cold Sore Treatment
6 ml
1817 1747
Biotene Dry Mouth Oral Rinse Denture Brush
Dental & Denture Care
16 oz 1 ct
1032 Denture Cleaning Tablets
40 ct
1653 Efferdent Plus Mint Tablets
36 ct
1843 Effergrip Denture Cream Adhesive
2.5 oz
1187 Fixodent
.75 oz
1751 Interdental Flossups
90 ct
1454 Orajel Pain Relief
7 gm
1286 Oral Pain Relief 1324 Polident Denture Cream
.5 oz 3.9 oz
1892 Polident Overnight 1455 Reach Waxed Dental Floss - Mint
84 ct 55 yd
1746 Tongue Cleaner
1 ct
1413 Toothbrush, Colgate, Adult Soft
1 ct
1412 Toothbrush, Tek Pro, Angled Soft
1 ct
1831 Toothpaste, Colgate
4 oz
1838 Toothpaste, Crest Sensi-Relief
4.1 oz
1414 Toothpaste, Pepsodent
5.5 oz
1903 Toothpaste, Sensitive Teeth
4.3 oz
1716 Toothpaste, Ultrabrite Advanced Whitening
6 oz
1839 Diabetic Skin Relief Foot Cream
Diabetes
3.4 oz
1956 Diabetic Socks, Black, Medium 3-pack
3 pair
1957 Diabetic Socks, Black, Large 3-pack
3 pair
1958 Diabetic Socks, Black, X-Large 3-pack
3 pair
1953 Diabetic Socks, White, Medium 3-pack 1954 Diabetic Socks, White, Large 3-pack
3 pair 3 pair
1955 Diabetic Socks, White, X-Large 3-pack
3 pair
1742 Cotton Tipped Swabs
Ear Care
300 ct
Strength 1%
0.13%
Price $10.00 $22.50
20% 20% -
$13.00 $6.00 $7.00 $9.00 $9.00 $6.50 $5.50 $11.00 $7.00 $9.00 $12.00 $4.00 $6.00 $3.00 $3.00 $6.00 $9.50 $4.00 $5.00 $6.00
-
$12.00
-
$9.00
-
$9.00
-
$9.00
-
$9.00
-
$9.00
-
$9.00
-
$5.50
* ? See Page 12 5
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