OVER-THE-COUNTER (OTC) MEDICATIONS AND PRODUCTS

OVER-THE-COUNTER (OTC) MEDICATIONS AND PRODUCTS

Your 2018 catalog

INT_18_57481 09112017

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-668-3813 (TTY 711), 8 a.m. ? 8 p.m. Monday ? Friday and 8 a.m. ? 6 p.m. on Saturday. ATENCI?N: Si habla espa?ol, tiene a su disposici?n servicios gratuitos de asistencia ling??stica. Llame al 1-800-668-3813. / 1-800-668-3813 (TTY 711). All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Tennessee, Inc., HealthSpring of Alabama, Inc., HealthSpring of Florida, Inc., Bravo Health Mid Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. Cigna-HealthSpring complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Cigna-HealthSpring cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Cigna-HealthSpring is contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs. Enrollment in Cigna-HealthSpring depends on contract renewal. ? 2017 Cigna

YOUR OVER-THE-COUNTER (OTC) MEDICATIONS AND PRODUCTS

1

Check your Cigna-HealthSpring Evidence of Coverage to see your monthly OTC allowance.

2

Choose from the list of covered medications and products in this catalog

Call to order.

3

1-866-851-1579 (TTY 711)

Monday ? Friday, 8 a.m. ? 9 p.m. EST.

4

Ask us to double-check your mailing address. We want to make sure you get your items.

SAVE MONEY AND TIME.

You can get over-the-counter items sent right to your door ? with FREE delivery.

3

Q&A

Common questions about your OTC benefit

Q. What can I order?

A: You can order from the list of covered items in this catalog. Covered items may include:

OTC medications ? Aspirin ? Acetaminophen ? Vitamins ? Cold and flu medicine

Health-related products ? Nicotine patches ? Disposable underpads ? Compression socks ? Nasal strips

Q: How much is my quarterly allowance?

A: The dollar value of your quarterly allowance depends on your plan. Check your Cigna-HealthSpring Evidence of Coverage to see your quarterly OTC allowance.

Q. When can I spend my quarterly allowance?

A: Your allowance goes into your account quarterly on January 1, April 1, July 1 and October 1. You can:

? Spend your full quarterly allowance as soon as it is in your account

? Save up your allowances to order higher priced items later in the year

? Order once a month up to 12 times a year

Unused balances roll forward each quarter. However, balances do not carry over to the next year.

Q: Who can get items through my OTC benefit?

A: You can order items that help you with a medical need every month you are a Cigna-HealthSpring customer. Cigna-HealthSpring prohibits the purchase of OTC items for family members or friends.

1-866-851-1579 (TTY 711)

You can place your OTC order Monday ? Friday, 8 a.m. ? 9 p.m. EST.

Q: How do I get my order?

A: The cost of your order must be less than or equal to the account balance for items to ship. OTC medications are only available for home delivery. Covered items are sent to you free of delivery charge. Please allow two weeks for home delivery.

4

BRAND EQUIVALENT INDEX

Please use the index below for ease in locating available OTC items.

Brand Equivalent 21st Century 3M Tape

3M Tape

3M Tape

3M Tape

3M Tape

3M Tape

A&D Abreva Ace Ace Ace Ace Ace Advil Afrin

After Bite Relief Aleve AmLactin Alka-Seltzer Anbesol Antiseptic Towelettes Arthritis Gloves Arthritis Gloves Arthritis Gloves Aspercreme Attends

Catalog Item

Page

Glucosamine / Chondroitin

10

Tape, Paper Surgical

18

- 1 in x 10 yd

Tape, Paper Surgical

19

- 2 in x 10 yd

Tape, Silk Surgical

19

- 1 in x 10 yd

Tape, Silk Surgical

19

- 2 in x 10 yd

Tape, Transparent

19

Surgical - 1 in x 10 yd

Tape, Transparent

19

Surgical - 2 in x 10 yd

A & D Ointment

19

Abreva

15

Ankle Support

23

Elastic Bandage - 2 in x 4.5 yd 17 Elastic Bandage - 3 in x 5 yd 17

Elastic Bandage - 4 in x 5 yd 17

Elastic Bandage - 6 in x 5 yd 18

Ibuprofen

21

Nasal Decongestant

12

Spray - 12 Hour

After Bite Relief

17

Naproxen

22

Ammonium Lactate

22

Effervescent Pain Reliever

13

Oral Pain Relief

15

Antiseptic Towelettes

17

Arthritis Gloves, Small

23

Arthritis Gloves, Medium

23

Arthritis Gloves, Large

23

Lidocaine Patch

22

Bladder Control Shaped

20

Pad, Moderate Absorbency

Brand Equivalent Attends

Attends

Attends

Attends

Attends

Attends

Attends

Attends

Bacitracin Band-Aid Bath Mat, Non-Skid Bausch & Lomb Bayer Bayer

Benadryl Benadryl

Benadryl

Bengay Ben's Biofreeze Bonine Braun Breathe Right Breathe Right Caltrate Caltrate-D

Catalog Item

Page

Bladder Control Shaped Pad, 20 Heavy Absorbency

Bladder Control Shaped Pad, 20 Maximum Absorbency

Disposable Underwear,

20

Medium

Disposable Underwear,

20

Large

Disposable Underwear,

20

X-Large

Underpad, Disposable

20

- 23" x 24"

Underpad, Disposable

20

- 23" x 36"

Underpad, Disposable

20

- 30" x 30"

Bacitracin Ointment

17

Adhesive Bandages

17

Bath Mat, Non-Skid

17

Eye Wash Solution

16

Aspirin

21

Aspirin, Low Dose,

21

Chewables

Diphenhist (Antihistamine)

12

Diphenhydramine HCL

12

(Antihistamine)

Diphenhydramine HCL / Zinc 14 Acetate Anti-itch Cream

Pain Relieving Muscle Rub

22

Insect Repellant Spray (Deet) 18

Fast Freeze, Pain Relief Spray 18

Meclizine HCL Antiemetic

21

Thermometer, Digital Ear

19

Nasal Strips, Small / Medium 22

Nasal Strips, Medium / Large 22

Calcium + Vitamin D

10

Calcium Carbonate Tablets

10

5

BRAND EQUIVALENT INDEX

Brand Equivalent Capzasin Carex Carex Carex Carpal Tunnel Brace Carpal Tunnel Brace Carpal Tunnel Brace Centrum

Centrum SIlver Cepacol Cepacol Chlor-Trimeton

Chloraseptic CholesTrak

Citrucel Claritin Clean and Clear

Colace

Colgate Colgate

Commit Compound W Conair Conair Coppertone Coricidin HBP

Cortaid Cotton Balls Curad

Catalog Item

Capsaicin Bath Tub Safety Rail Cushion, Foam Ring Cushion, Lumbar Carpal Tunnel Brace, Small

Page

21 17 17 17 23

Carpal Tunnel Brace, Medium 23

Carpal Tunnel Brace, Large 23

Daily Multiple Vitamin

10

Tablets with Minerals

Senior Multivitamin

11

Sore Throat Lozenges

13

Sore Throat Lozenges, Cherry 13

Chlorpheniramine Maleate

12

(Antihistamine)

Sore Throat Spray, Cherry

13

Home Access

11

Cholesterol Test

Methylcellulose Fiber Therapy 14

Loratadine (Generic Claritin) 12

Acne Gel 10%

22

Benzoyl Peroxide

Docusate Sodium

14

Stool Softener

Rechargeable Toothbrush

15

Toothbrush, Colgate,

15

Adult Soft

Nicotine Lozenges

23

Wart Remover (liquid)

25

Water Jet

16

Water Jet Replacement Tips 16

Sunscreen Lotion SPF 30

25

Cough & Cold for High

12

Blood Pressure

Hydrocortisone 1% Cream

14

Cotton Balls

17

Alcohol Pads

17

Brand Equivalent Curad

Curad

Curad DHEA Depends Depends Depends

Depends

Depends

Depends

Depends

Dr. Scholls Dr. Scholls Dr. Scholls Dr. Scholls Dr. Scholls Dr. Scholls Dramamine

Dramamine Drive Medical Drive Medical Drive Medical Drive Medical Dulcolax

Ecotrin Ecotrin Efferdent Essential

Catalog Item

Page

Rib Belt - Female

24

(one size fits most)

Rib Belt - Male

24

(one size fits most)

First Aid Kit

18

DHEA

19

Attends Discreet Men's Guard 20

Attends Discreet Men's Shield 20

Attends Discreet

20

Women's Maximum

Bladder Control Pad

Attends Discreet

20

Women's Moderate

Bladder Control Pad

Attends Discreet

20

Women's Panty Liner

Attends Discreet Women's

20

Ultimate Bladder Control Pad

Attends Discreet

20

Women's Ultrathin Pad

Callus Remover Pads

19

Corn Remover Pads

19

Diabetic Sock, Black, Medium 16

Diabetic Sock, Black, Large 16

Diabetic Sock, White, Medium 16

Diabetic Sock, White, Large 16

Dramamine Chewables,

21

Orange

Driminate Antiemetic

21

Adjustable Transfer Bench

17

Cushion, Gel / Foam Seat

17

Quad Cane, Small Base

18

Quad Cane, Large Base

18

Bisacodyl Enteric

14

Coated Laxative

Aspirin, Enteric Coated

21

Aspirin, Low Dose

21

Denture Cleaning Tablets

15

Bath Bench with Back

17

6

Brand Equivalent Essential Excedrin Feosol

Feosol Fibercon First Aid Only Fixodent Fleet Fleet Fruit of the Earth Futuro Futuro

Futuro

Futuro

Futuro

Futuro

Futuro

Futuro

Futuro Futuro Futuro

Futuro

Futuro

Futuro Futuro

Futuro

Futuro

Catalog Item

Page

Bath Bench without Back

17

Migraine Relief

22

Ferrous Gluconate

10

(Iron Supplement)

Ferrous Sulfate

10

Polycarbophil Fiber Tablets

14

First Aid Kit , 75 pieces

18

Fixodent

15

Glycerin Suppository

14

Hemorrhoidal Suppository

19

Aloe Vera Cream

25

Back Support Elastic

23

Back Support Elastic

23

with Lumbar

Compression Knee High

23

Socks, Women's Black, Small

Compression Knee

23

High Socks, Women's

Black, Medium

Compression Knee High

23

Socks, Women's Black, Large

Compression Knee High

23

Socks, Women's Nude, Small

Compression Knee

24

High Socks, Women's

Nude, Medium

Compression Knee High

24

Socks, Women's Nude, Large

Elbow Support

24

Knee Support, Elastic, Small 24

Knee Support, Elastic,

24

Small with Stays

Knee Support,

24

Elastic, Medium

Knee Support, Elastic,

24

Medium with Stays

Knee Support, Elastic, Large 24

Knee Support, Elastic,

24

Large with Stays

Night Wrist Support

24

Smart Glove

Wrist Splint

25

Brand Equivalent

Futuro

Catalog Item Wrist Support

Page 25

Gold Bond

Medicated Foot Powder

19

Gold Bond

Moisturizing Body

25

Lotion with Aloe

Gyne-Lotrimin Clotrimazole 7-Day

13

Treatment Vaginal Cream

(with applicator)

HALLS

Cough Drops, Cherry

12

HealthSmart

Finger Pulse Oximeter

11

Herpecin-L

Herpecin-L Lip Balm

15

Hip Protector Hip Protector, Small

24

Hip Protector Hip Protector, Medium

24

Hip Protector Hip Protector, Large

24

Hip Protectorw Hip Protector, X-Large

24

Hydrogen Peroxide Hydrogen Peroxide

18

Hyland's

Ear Pain Relief Ear Drops

16

Hyland's

Leg Cramps Pain

10

Relief Caplets

Imodium A-D Loperamide HCL

14

Anti-Diarrheal

Isopropyl

Isopropyl Alcohol,

18

Wintergreen

Lactaid

Lactase Capsules

14

Lamisil AT

Terbinafine HCL

15

Antifungal Cream

Lantiseptic

Barrier Cream

20

Lotrimin AF

Clotrimazole Antifungal

14

Athlete's Foot Cream

Lotrimin AF

Medicated Antifungal

15

Foot Powder Spray

Ludens

Cough Drops, Sugar

12

Free, Cherry

Maalox

Antacid / Anti-Gas Liquid

13

Metamucil

Natural Vegetable Laxative

14

Micatin Monistat 1 Monistat 3

Miconazole Nitrate 2%

15

Antifungal Cream

Tioconazole 1-Day Treatment 13 Vaginal Cream (with applicator)

Micanozole 3-Day Treatment 13

7

BRAND EQUIVALENT INDEX

Brand Equivalent Murine Murine

Mucinex DM

NasalCrom

Nature Made Nature Made Nature Made

Nature's Bounty Nature's Bounty Nature's Bounty Nature's Bounty Nature's Bounty Nature's Bounty Nature's Bounty Nature's Bounty Neosporin Neosporin Nexcare

Nexcare

Nicoderm Nicoderm Nicoderm Nicorette Nix Nova

Ocean Omron

Omron

Omron

Omron

Catalog Item

Page

Ear Wax Removal Drops

16

Ear Wax Removal System

16

with Rubber Bulb

Mucus Relief DM Expectorant 12 & Cough Suppressant

Cromolyn Sodium

12

(Allergy Nasal Spray)

Magnesium Oxide

10

Niacin

11

Stress Formula

11

Tablets with Zinc

Coenzyme Q-1

10

Folic Acid

10

Iron

10

Magnesium

10

Melatonin

10

Vitamin B-6

11

Vitamin D

11

Fish Oil Tablets

10

Neosporin Plus

18

Triple Antibiotic Ointment

19

Hot/Cold Pack,

18

1 small & 1 large

Thermometer,

19

Digital 60 seconds

Nicotine Patch, Step 1

23

Nicotine Patch, Step 2

23

Nicotine Patch, Step 3

23

Nicorelief Gum

23

Permethrin Lice Treatment

22

Folding Cane

18

Ergonomic Handle

Nasal Spray, Saline

13

Desktop Automatic Blood

11

Pressure Monitor

Desktop Talking Blood

11

Pressure Monitor

(8.7" to 13.4")

Desktop Blood Pressure

11

Monitor Replacement Cuff

Wrist Blood Pressure Monitor 11

Brand Equivalent Omron

One A Day

One A Day

Orajel

Catalog Item

Wrist Talking Blood Pressure Monitor (9" to 14.6") One Daily Men's Multivitamin One Daily Women's Multivitamin Orajel Pain Relief

Oral B

Rechargeable Toothbrush

Oral-B

Interdental Flossups

Pepcid

Famotidine Acid Reducer

Pepsodent

Toothpaste - Pepsodent

Pepto-Bismol Bismatrol Chewable Tablets

Pepto-Bismol Pink Bismuth

Phillips'

Milk of Magnesia

Povidone Preparation H

Povidone Iodine Solution Antiseptic

Hemorrhoidal Ointment

Prevail

Adult Briefs, Medium

Prevail

Adult Briefs, Large

Prevail

Adult Briefs, X-Large

Prilosec OTC Omeprazole Acid Reducer

ProCheck Purell

Thermometer, Flexible Tip, Digital 10 seconds

Hand Sanitizer

Q-Tips

Cotton Tipped Swabs

Quick-Lock

Raised Toilet Seat

Reach Refresh PM

Reach Waxed Dental Floss, Mint

Artificial Tears Ointment

Releev

Releev Cold Sore Treatment

Renu Multipurpose Multi-Purpose Contact

Solution

Lens Solution

Reveal

EZ Detect Colon Cancer Test Kit

Rid

Lice Treatment Shampoo

Robitussin

Cough Syrup, Expectorant

Robitussin

Guaifenesin Cough Expectorant

Page 11

11

11

15

15 13 16 14 14 14 18

19 19 20 20 13 19

22 16 18 15

16 15 16

11

22 12 12

8

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