Over-the-Counter (OTC)
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. You can also find a copy of this catalog at medicareplans
Over-the-Counter (OTC)
| 2020 ITEM CATALOG
Y0140_2020OTC_M Accepted
Paramount Elite is an HMO plan/PPO plan with a Medicare contract. Enrollment in Paramount Elite HMO/Paramount Elite PPO depends on contract renewal.
How to place an order.
Online:
The fastest, easiest, and most convenient way to order 24/7 is to visit otchs/paramount
Please Note: ? Multiple purchases are allowed each calendar quarter.
You can order: Quarter 1 (January, February or March) Quarter 2 (April, May or June) Quarter 3 (July, August or September) Quarter 4 (October, November or December)
? Your order/purchase cannot go over your benefit limit for the quarter (see your Evidence of Coverage for your plan's benefit limit).
? Unused OTC balances will not roll forward to the next quarter or the next year. ? There is no limit on the number of items you may order. There is a quantity limit of fifteen (15)
per any single item, per quarter. With the exception of the Blood Pressure Monitors, which are limited to one per year. ? Online orders must be submitted by 11:59 p.m. ET 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. ? In order to purchase certain items, your physician must recommend them to you for a specific diagnosed condition. These are known as Dual Purpose items which are marked with a "u". Please speak with your physician before ordering these types of items. ? Please check with your physician before ordering over the counter medications, vitamins, or supplements on this list. ? In this catalog you will find SKU numbers that can be used at to search for product images and obtain additional product information such as ingredients. You do not need the SKU to order online or by phone. ? Products in this catalog may be ordered only for the enrolled member. ? The price of an item may not exceed the amount of your benefit amount.
If you have not received your order within 7-10 business days after ordering or would like to place an order by phone, please call: 1-888-628-2770 (TTY: 711) We experience high call volume the first and last weeks of the month. Your OTCHS order can be placed at any time during the quarter. Monday to Friday 9:00 a.m. to 8:00 p.m. ET.
3
CODE
A2 A10 A20 A53 A59 A60 A61
SKU
477066 232641 477072 444236 238246 994279 370783
Allergy
PRODUCT
COMPARE TO
Allergy relief tablets
Benadryl
Loratadine 10mg
Claritin
Child Allergy Elixir
Children's Benadryl
Allergy cetirizine 10mg tablets
Zyrtec
Fluticasone Nasal Spray
Flonase
Adult Allergy Relief Liquid
Benadryl
Fexofenadine 60mg Tablet
Allegra
AMOUNT
24 CT 10 CT 4 OZ 14 CT 0.34 OZ 4 OZ 24 CT
PRICE
$4.49 $7.99 $4.99 $10.99 $12.99 $5.99 $13.49
CODE
C3 C7 C8 C11 C12 C13 C16 C19 C24 C40 C41 C52 C54 C56 C57 C58 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
688783 Cold Remedy Sugar Free
Zicam
891465
Saline Nasal Spray
Ocean
890411 Nighttime cold/flu soft gels
Vicks Nyquil
408566
Sinus acetaminophen
Tylenol Sinus (Daytime)
316620
Sore throat spray
Chloraseptic
181059 Child's Cold Multi Symptom
Children's Mucinex
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 25 CT 1.5 OZ 16 CT 24 CT 6 OZ 4 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 $9.99 $3.99 $5.99 $6.49 $4.49 $9.99 $6.99 $1.49 $6.99
You will receive the generic equivalent of all items. 4
CODE
D1 D2 D4 D5 D6 D10 D11 D12 D13 D15 D17 D21 D22 D23 D24 D25 D40 D48 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
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
864324
Childrens Suppositiories
No comparable
713639
Purelax Powder
Miralax
AMOUNT
36 CT 100 CT 30 CT 30 CT 25 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 25 CT 8.3 OZ
PRICE
$4.49 $11.99 $5.49 $5.49 $3.49 $7.99 $6.49 $5.99 $4.99 $5.99 $11.99 $6.49 $5.99 $8.99 $5.99 $6.49 $4.99 $3.49 $10.99
CODE
E1 E2 E17 E18 E19 E20 E21
SKU
317914 317912 337097 695753 976354 457496 973866
Eye and Ear Care
PRODUCT
COMPARE TO
Dry Eye Relief
Visine Tears
Eye Drops Redness Relief
Visine Red Eye
Eye Wash
No comparable
Contact Solution
No comparable
Eye Health 50+ Vitamins
Ocuvite
Swimmer's Ear Solution
Swim-ear
Ear Wax Removal Kit
Debrox
AMOUNT
0.5 OZ 0.5 OZ 4 OZ 4 OZ 90 CT 1 OZ 0.5 OZ
PRICE
$5.49 $4.49 $5.99 $4.99 $19.99 $4.49 $7.99
You will receive the generic equivalent of all items. 5
CODE
F3 F4 F9 F11 F31 F32 F33 F44 F45 F47 F48 F62 F68 F69 F73 F74
SKU
875957 109405 383505 550749 864765 482649 351170 164177 219642 337274 444797 964606 531343 259370 373092 219634
First Aid
PRODUCT
COMPARE TO
AMOUNT
Fabric Anti-Bacterial Bandages
No comparable
20 CT
Calamine Lotion
Caladryl
6 OZ
Clear bandages
No comparable
45 CT
Anti-itch cream
Benadryl Anti-itch cream 1 OZ
Antiseptic Skin Cleanser
Hibiclens
8 OZ
Epsom Salt
No comparable
22 OZ
Wart removal
Compound W
0.5 OZ
First Aid Kit
No comparable
30 PC
Zinc Oxide Ointment
No comparable
1 OZ
Finger Injury Kit
No comparable
KIT
Rubbing Alcohol Wipes
No comparable
40 CT
First Aid tape
No comparable
1 CT
Petroleum Jelly
Vaseline
2.5 OZ
Butterfly Closures
No comparable
12 CT
Hydrocortisone Cream 1%
Cortisone
1 OZ
Bacitracin
No comparable
1 OZ
PRICE
$3.99 $6.49 $3.99 $5.49 $9.99 $4.99 $7.99 $2.99 $3.99 $6.99 $5.49 $1.99 $3.49 $3.49 $5.49 $6.99
CODE
T2 T4 T5 T35 T36 T37 T38 T39 T40
SKU
521682 334566 894580 139231 893272 893270 658593 658582 229790
Foot Care
PRODUCT
Tolnaftate Antifungal Cream Odor Control Spray Powder
Moleskin Padding Liquid Corn & Callus Remover
Diabetic Socks S/M Diabetic Socks L/XL Firm Compression Socks S/M Black Firm Compression Socks L/XL Black
Foot Powder
COMPARE TO
Tinactin Cream Odor-Eaters Dr Scholl's Dr. Scholl's
No comparable No comparable No comparable No comparable
Gold Bond
AMOUNT
1 OZ 4 OZ 2 CT 0.5 OZ 2 Pair 2 Pair 1 Pair 1 Pair 10 OZ
PRICE
$8.49 $5.99 $3.99 $5.99 $8.99 $8.99 $11.99 $11.99 $8.99
Could be covered under Part B or Part D. You will receive the generic equivalent of all items.
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