Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Over-The-Counter (OTC) Product Catalog

 2023

           For more information, contact Valor Health Plan (HMO-SNP) from
            8:00 a.m. to 8:00 p.m., 7 days a week at 1-800-485-3793 TTY: 711
                                          or visit www.valorhealthplan.com

                                                                 H1119_OTCClg23_M
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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
How do I order?

    Contact your RN Case Manager or Nurse Practitioner to place your order.

                                  What is my allowance?

    •	With your Valor Health membership, you can get up to $107worth of healthcare
       products every quarter.
    •	Allow 7 to 10 business days for your product(s) to arrive.
    • Your order will be applied to the quarter that your order is received in.•
    • You must use your quarterly benefit amount in one order.

                                     Useful Information

    •	Your order total may not exceed your quarterly benefit amount. Cash, checks, credit
       cards or money orders are not accepted under this OTC benefit.
    •	We strive to maintain sufficient stock of all items, however if your item is not in stock,
       a similar item of equal or greater value may be substituted in your order.
    •	OTC products are intended for member use only to help with a health or medical
       need. Valor Health prohibits the use of this benefit to order OTC items for family
       members and friends.
    • Due to the personal nature of these products, returns are not accepted.
    • If you receive a damaged item, please call OTC Benefit Services within 30 days.
    •	Products may be substituted throughout the year and pricing may vary. For the most
       up to date product catalog please refer to athome.medline.com/valor
    •	OTC items are available through home delivery only. Products ma ynot be purchased
       at a local retail pharmacy or through any source other than the Valor Health benefit
       channels listed above.

                                              Notices

    •	Please check with your physician before ordering some items in the catalog.
    •	Additionally, some items may be covered by the Plan, or original Medicare if you are
       not enrolled in the Plan, and if the item is determined to be medically necessary.

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Table of contents

Apparel���������������������������������������������������������������������������������������������������������������������������������������������������������������4
Braces & Supports�������������������������������������������������������������������������������������������������������������������������������������������4
First Aid������������������������������������������������������������������������������������������������������������������������������������������������������������� 6
Home Diagnostics������������������������������������������������������������������������������������������������������������������������������������������� 7
Home Health Care�������������������������������������������������������������������������������������������������������������������������������������������8
Incontinence����������������������������������������������������������������������������������������������������������������������������������������������������� 9
Mobility & Accessibility������������������������������������������������������������������������������������������������������������������������������� 12
Personal Care������������������������������������������������������������������������������������������������������������������������������������������������� 13
Physical Therapy������������������������������������������������������������������������������������������������������������������������������������������� 17
Respiratory Care������������������������������������������������������������������������������������������������������������������������������������������� 18

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Apparel

Patient Apparel
Item No.   Description                                                           Pkg.     Price
1774       Medline Single-Tread Slippers Blue One Size 1Pr                       1 Pair   $2.00

    Braces & Supports

Back & Waist Support
Item No.   Description                                                           Pkg.     Price
4166       CURAD Back Supports with Dual-Pulley System Black Size S/M 1Ct        Each     $18.50
4165       CURAD Back Supports with Dual-Pulley System Black Size L/XL 1Ct Each           $20.00
3925       DMI Relax-A-Bac Lumbar Cushion                                        Each     $30.00

DVT & Compression Therapy
Item No.   Description                                                           Pkg.     Price
2153       Jobst Sensifoot Diabetic Crew Socks 8-15 mmHg Size M 1Pr              1 Pair   $16.00
2152       Jobst Sensifoot Diabetic Crew Socks 8-15mmHg Bk L 1Pr                 1 Pair   $16.50
3917       Dr. Scholl's Diabetic and Circulatory Crew Socks, Black, Size Men's   1 Pair   $14.00
           M/L
3918       Dr. Scholl's Diabetic and Circulatory Crew Socks, Black, Size         1 Pair   $13.50
           Women's M/L
2141       Sensifoot Diabetic Crew Sock Unisex 8-15mmHg White M 1Pr              1 Pair   $16.00
2140       Sensifoot Diabetic Crew Sock Unisex 8-15mmHg White L 1Pr              1 Pair   $16.50
2143       Sensifoot Diabetic Crew Socks Unisex 8-15mmHg White XL 1Pr            1 Pair   $17.00
2155       Sensifoot Diabetic Crew Sock Unisex 8-15mmHg Black XL 1Pr             1 Pair   $17.00
1434       CURAD Knee Compression Dress Sock 8-15mmHg Black Sm 1Pr               1 Pair   $15.00
1435       CURAD Knee Compression Dress Sock 8-15mmHg Black M 1Pr                1 Pair   $15.50
1436       CURAD Knee Compression Dress Sock 8-15mmHg Black Lg 1Pr               1 Pair   $16.00

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
1129       CURAD Knee Compression Hosiery 8-15mmHg Tan M Regular 1Pr         1 Pair   $16.50
1128       CURAD Knee Compression Hosiery 8-15mmHg Blk M Reg 1Pr             1 Pair   $16.50
2133       Jobst Sensifoot Over-the-Calf Diabetic Sock White M 1Pr           1 Pair   $17.00
2132       Jobst Sensifoot Over-the-Calf Diabetic Sock White L 1Pr           1 Pair   $17.50
2135       Jobst Sensifoot Over-the-Calf Diabetic Sock White XL 1Pr          1 Pair   $18.00
2157       Jobst Sensifoot Over-the-Calf Diabetic Sock Black M 1Pr           1 Pair   $17.00
2156       Jobst Sensifoot Over-the-Calf Diabetic Sock Black L 1Pr           1 Pair   $17.50
2159       Jobst Sensifoot Over-the-Calf Diabetic Sock Black XL 1Pr          1 Pair   $18.00
1472       Medline Plantar Fasciitis Relief Sleeve M 1Ct                     Each     $8.00
1471       Medline Plantar Fasciitis Relief Sleeve L 1Ct                     Each     $8.50
1470       Medline Plantar Fasciitis Relief Sleeve XL 1Ct                    Each     $8.50
3983       Jobst UltraSheer Thigh-High Stocking 8-15mmHg Beige M 1Pr         1 Pair   $52.50
3982       Jobst UltraSheer Thigh-High Stocking 8-15mmHg Black M 1Pr         1 Pair   $52.50

Elbow & Knee Support
Item No.   Description                                                       Pkg.     Price
1176       Medline Neoprene Slip-On Elbow upport, Black, S, 1Ct              Each     $6.00
1175       Medline Neoprene Slip-On Elbow Support, Black, M, 1Ct             Each     $6.50
1174       Medline Neoprene Slip-On Elbow Support, Black, L, 1Ct             Each     $6.50
1512       Medline Neoprene Slip-On Elbow Support, Black, XL, 1Ct            Each     $7.00
4159       CURAD Performance Elastic Pull-Over Knee Support Black Size M     Each     $4.00
           1Ct
4157       CURAD Performance Elastic Pull-Over Knee Support Black Size L     Each     $4.50
           1Ct
4158       CURAD Performance Elastic Pull-Over Knee Support Black Size XL    Each     $4.50
           1Ct
1741       CURAD Adjustable Knee Support Patella Cutout, Black 1Ct           Each     $25.00

Foot & Ankle Support
Item No.   Description                                                       Pkg.     Price
4161       CURAD Performance Series Figure 8 Elastic Ankle Wrap Black 7.5-   Each     $5.50
           11in 1Ct

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Hand & Wrist Support
Item No.   Description                                                       Pkg.     Price
1993       CURAD Arthritis Relief Compression Gloves S, Gray 1Pair           1 Pair   $14.00
1702       CURAD Arthritis Relief Compression Gloves M, Gray 1Pair           1 Pair   $14.50
1701       CURAD Arthritis Relief Compression Gloves L, Gray 1Pair           1 Pair   $15.00
1705       Medline Carpal Tunnel Glove with Flexible Splint, Black, S, 1Ct   Each     $16.00
1704       Medline Carpal Tunnel Glove with Flexible Splint, Black, M, 1Ct   Each     $16.50
1703       Medline Carpal Tunnel Glove with Flexible Splint, Black, L, 1Ct   Each     $16.50
1508       CURAD Universal Thumb Brace Retail 1Ct                            Each     $7.00
4164       CURAD Performance Series Elastic Pull-Over Wrist Support Black    Each     $6.00
           Size S 1Ct
4163       CURAD Performance Series Elastic Pull-Over Wrist Support Black    Each     $6.50
           Size M
4160       CURAD Performance Series Elastic Pull-Over Wrist Support Black    Each     $6.50
           Size L 1Ct
4162       CURAD Performance Series Elastic Pull-Over Wrist Support Black    Each     $7.00
           Size XL 1Ct

    First Aid

Bandages
Item No.   Description                                                       Pkg.     Price
1439       Firm-Wrap Short Stretch Bandage 3.15in x 5.47yd, Beige 1Ct        Each     $7.00

Protective Sleeves
Item No.   Description                                                       Pkg.     Price
1513       Medline Protective Armsleeve White 18inL 1Pair                    1 Pair   $18.50
1514       Medline Protective Leg Sleeve White 15inL 1Pair                   1 Pair   $28.50

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Home Diagnostics

Blood Pressure & Accessories
Item No.    Description                                                           Pkg.     Price
3704        Medline Deluxe Digital Wrist Blood Pressure Monitor 1Ct               Each     $20.00

Oximeters
Item No.    Description                                                           Pkg.     Price
3698        Soft Touch Fingertip Pulse Oximeter, Digital Display, Adult, Orange   Each     $28.00

Thermometers & Accessories
Item No.    Description                                                           Pkg.     Price
1100        Medline Infrared Talking Ear / Forehead Thermometer, 1sec Read        Each     $35.00
            Time
1094        Medline Infrared No-Touch Forehead Thermometer 1Ct                    Each     $50.00
3465        30-Second Flex-Tip Oral Digital Stick Thermometer 1Ct                 Each     $6.00

                                             3704                                                  1100

Medline Deluxe Digital Wrist Blood Pressure           Medline Infrared Talking Ear / Forehead
Monitor 1Ct                                           Thermometer
Easy-to-use monitor with memory provides kPA          Takes fast, accurate body temperature readings
or mmHg readings and pulse rate. Fits 5.3”-8.5”       via the ear or forehead. 6 languages. 2 AAA
wrist. Includes 2 AAA batteries.                      batteries included.

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Home Health Care

Linens & Bedding
Item No.       Description                                                               Pkg.       Price
2311           Thermalux Cotton/Poly Blanket Beige 74x110 1Ct                            Each       $39.00
3945           Hypoallergenic Pillow 20x26in                                             Each       $20.00

Medical Bracelets
Item No.       Description                                                               Pkg.       Price
1093           Medline Stainless Medical Alert Bracelet Diabetic, 7.5in 1Ct              Each       $10.00
1092           Medline Stainless Medical Alert Bracelet Heart, 7.5in 1Ct                 Each       $10.00

Scales
Item No.       Description                                                               Pkg.       Price
1648*          SlimTALK Talking Digital Floor Scale, 400lb Capacity 1Ct                  Each       $54.50

*Available to members with CHF or liver disease only

                                                       1093                                                 1648

Medline Stainless Medical Alert                               SlimTALK Talking Digital Floor Scale 400lb
Bracelet Diabetic 1Ct                                         Capacity 1Ct
Unisex 7.5” link-style bracelet with clasp                    Low-profile platform with large display. English/
closure has charm with medical emergency                      Spanish voice option. 12.3”L x 14.3”W x 1.4”H.
symbol on front and “DIABETIC” on back.                       3AAA batteries included.

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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Incontinence
                  2. Select the Size
                  Selecting
                  Select thethe
                            Sizeright size is critical for containment.
                  Selecting the right size is critical for containment.

                  Bladder ControlPads
                  Bladder Control Padsand
                                       and  Liner
                                          Liner    Sizing
                                                Sizing
                  One
                   Onesize fitsfits
                        size     all. all.
                                      Continue to Step 3.

                                                                                                                           }    Measure
                                                                                                                                largest area
                  Briefs, ProtectiveUnderwear
                  Briefs, Protective Underwear,
                                              andand
                                                  KnitKnit
                                                       PantPant Sizing
                                                            Sizing
                  For briefs, underwear, and pants measure the hips or waist
                   For briefs, underwear and pants, measure the hips or
                  (select the larger of the two) as follows:
                  waist (select the larger of the two) as follows:
CONTINENCE CARE

                   Easy Product Sizing
                   Step 1:                                  Step 2:                                      Step 3:
                   Measure the largest area                 Double the measurement in                    Using this number, select
                   from hip bone to hip bone                Step 1 and add two inches.                   the product size from
                   and over the abdomen                                                                  the chart below.
                   (see illustration above).                Example:
                                                                                                         Example:
                                                            19 inches (48.3 cm) x 2 = 38 inches
                   Example:                                 (96.5 cm)                                    40 inches (102 cm) = Medium or
                   Hip bone to hip bone =                   38 inches (96.5 cm) + 2 inches                                    Regular brief
                   19 inches (48.3 cm)                      (5 cm) = 40 inches (102 cm)

                  Brief Size Selection                                             Protective Underwear Size Selection
                  Brief Size
                    Small     Selection
                          = 20–33” (51–81 cm)                                      Protective   Underwear
                                                                                     Small = 20–32” (51–81 cm) Size Selection
                     Small
                     Medium= 20–33" (51–81
                              = 32–44”      cm)cm)
                                       (81–112                                         Small = 20–28"
                                                                                       Medium  =24–48”(51–71 cm)cm)
                                                                                                        (71–102
                     Medium   = 32–42"
                     Large = 44–56”    (81–107
                                    (112–142   cm)
                                             cm)                                       Medium
                                                                                       Large    = 28–40"
                                                                                             = 40–56”    (71–102
                                                                                                      (102–142 cm)cm)
                     Regular = 40–50" (102–127 cm)                                     Large = 40–56" (102–142 cm)
                      X-Large = 56–64” (142–163 cm)                                    X-Large = 56–68” (142–173 cm)
                     Large = 48–58" (122–147 cm)                                       X-Large = 56–68" (142–173 cm)
                      XX-Large = 60–70” (152–178 cm)                                   XX-Large = 68–80” (173–203 cm)
                     X-Large = 57–66" (150–168 cm)                                     XX-Large = 68–80" (173–203 cm)
                     XX-Large = 60–69" (152–175 cm)

                     Bariatric = 65–90" (165–229 cm)
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Over-The-Counter (OTC) Product Catalog 2023 - For more information, contact Valor Health Plan (HMO-SNP) from 8:00 a.m. to 8:00 p.m., 7 days a week ...
Briefs
Item No.   Description                                                Pkg.        Price
1416       Medline Men's FitRight Underwear Heavy Absorb S/M 20Ct     Bag of 20 $12.00
1417       Medline Men's FitRight Underwear Heavy Absorb L/XL 20Ct    Bag of 20 $12.50
1604       Medline FitRight Bariatric Incontinence Brief 4XL 8Ct      Bag of 8    $18.00
1803       Medline Ext Wear High-Capacity Disposable Brief S 30Ct     Bag of 30 $38.50
1802       Medline Ext Wear High-Capacity Disposable Brief M 15Ct     Bag of 15   $21.50
1801       Medline Ext Wear High-Capacity Disposable Brief L 15Ct     Bag of 15   $25.50
1804       Medline Ext Wear High-Capacity Disposable Brief XL 15Ct    Bag of 15   $31.50
1425       Medline FitRight OptiFit Ultra Disposable Brief S 20Ct     Bag of 20 $12.50
1113       Medline FitRight OptiFit Ultra Disposable Brief M 20Ct     Bag of 20 $14.00
1112       Medline FitRight OptiFit Ultra Disposable Brief L 20Ct     Bag of 20 $15.00
1114       Medline FitRight OptiFit Ultra Disposable Brief XL 20Ct    Bag of 20 $16.00
1423       Medline FitRight OptiFit Ultra Disposable Brief 2XL 20Ct   Bag of 20 $16.50
1408       Medline FitRight OptiFit Stretch Ultra Brief M/Reg 20Ct    Bag of 20 $16.00
1409       Medline FitRight OptiFit Stretch Ultra Brief L/XL 20Ct     Bag of 20 $19.00
1791       Medline FitRight OptiFit Extra Disposable Brief S 20Ct     Bag of 20 $12.00
1789       Medline FitRight OptiFit Extra Disposable Brief M 20Ct     Bag of 20 $12.50
1788       Medline FitRight OptiFit Extra Disposable Brief L 20Ct     Bag of 20 $13.00
1792       Medline FitRight OptiFit Extra Disposable Brief XL 20Ct    Bag of 20 $13.50
1793       Medline FitRight OptiFit Extra Disposable Brief 2XL 20Ct   Bag of 20 $14.00

Liners & Pads
Item No.   Description                                                Pkg.        Price
1104       Medline Bladder Pads Light Absorbency 20Ct                 Bag of 20 $7.00
1817       Medline ContourPlus Bladder Pad Moderate 5.5x10.5 28Ct     Bag of 28 $9.00
1816       Medline ContourPlus Bladder Pad Maximum 6.5x13.5 28Ct      Bag of 28 $10.00
1105       Medline ContourPlus Bladder Pad Ultimate 8x17 28Ct         Bag of 28 $15.00
1412       Medline FitRight Bladder Pads 3.5x9 Light 20Ct             Bag of 20 $5.00
1413       Medline FitRight Bladder Pad 4.3x11 Moderate 16Ct          Bag of 16   $5.50
1414       Medline FitRight Bladder Pad 5.5x13.75 Maximum 10Ct        Bag of 10   $5.50
1415       Medline FitRight Bladder Pad 5.5x15.75 Ultimate 10Ct       Bag of 10   $6.00
1411       Medline FitRight ActivEdge Guards for Men Maximum 52Ct     Bag of 52   $16.50
1108       Medline FitRight Plus Incontinence Liner 13x30 20Ct        Bag of 20 $15.50

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Protective Underwear
Item No.   Description                                                Pkg.        Price
1832       Medline Men's Reusable Bladder Control Brief S 1Ct         Each        $18.50
1831       Medline Men's Reusable Bladder Control Brief M 1Ct         Each        $19.00
1830       Medline Men's Reusable Bladder Control Brief L 1Ct         Each        $19.00
1833       Medline Men's Reusable Bladder Control Brief XL 1Ct        Each        $19.00
1834       Medline Men's Reusable Bladder Control Brief 2XL 1Ct       Each        $19.00
1845       Medline Protection Plus Overnight Underwear M 16Ct         Bag of 16   $21.00
1843       Medline Protection Plus Overnight Underwear L 14Ct         Bag of 14   $21.00
1856       Medline Protection Plus Overnight Underwear XL 12Ct        Bag of 12   $21.50
3716       Medline FitRight Bariatric Disposable Underwear 2XL 20Ct   Bag of 20 $22.00
1606       Medline FitRight Super Disposable Underwear M 20Ct         Bag of 20 $15.00
1607       Medline FitRight Super Disposable Underwear L 20Ct         Bag of 20 $15.50
1608       Medline FitRight Super Disposable Underwear XL 20Ct        Bag of 20 $16.00
3561       Medline FitRight Bariatric Disposable Underwear 3XL 20Ct   Bag of 20 $29.50
1852       Medline FitRight Ultra Disposable Underwear M 20Ct         Bag of 20 $12.50
1850       Medline FitRight Ultra Disposable Underwear L 20Ct         Bag of 20 $13.00
1854       Medline FitRight Ultra Disposable Underwear XL 20Ct        Bag of 20 $14.00
1827       Medline Women's Reusable Bladder Control Panty S 1Ct       Each        $12.50
1826       Medline Women's Reusable Bladder Control Panty M 1Ct       Each        $13.00
1825       Medline Women's Reusable Bladder Control Panty L 1Ct       Each        $13.50
1828       Medline Women's Reusable Bladder Control Panty XL 1Ct      Each        $14.00
1829       Medline Women's Reusable Bladder Control Panty 2XL 1Ct     Each        $14.50
1418       Medline Women's FitRight Underwear Heavy Absorb S/M 20Ct   Bag of 20 $16.00
1419       Medline Women FitRight Underwear Heavy Absorb L/XL 20Ct    Bag of 20 $17.00

Underpads
Item No.   Description                                                Pkg.        Price
1119       Medline Pro Plus Best Polymer Underpad 23x36 10Ct          Bag of 10   $5.00
1427       Premium Disposable Polymer Underpads 30x30 10Ct            Bag of 10   $6.00
3635       Medline Disp Fluff/Polymer Underpad Deluxe 36x36 50Ct      Case of     $50.50
                                                                      50
1528       Medline Skinfold Dry Sheets 6x14 10Ct                      Bag of 10   $9.00
1619       Medline FitRight Underpad Heavy Absorbency 30x36 10Ct      Bag of 10   $7.00

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1406       Ultrasorbs Premium Underpads 23x36 10Ct                            Bag of 10   $11.00
1407       Ultrasorbs Premium Underpads 30x36 5Ct                             Bag of 5    $7.00
1614       Medline Sofnit 300 Reusable Underpad 34x36 Pink 1Ct                Each        $10.00
1838       Medline Sofnit 300 Reusable Underpad 34x48 Pink 1Ct                Each        $14.50

     Mobility & Accessibility

Canes & Accessories
Item No.   Description                                                        Pkg.        Price
1145       Medline Folding T-Handle Aluminum Cane 250lb Black 1Ct             Each        $14.00
1990       Medline Aluminum Quad Cane Sm Base 300lb Cap Black 1Ct             Each        $20.00
4168       Medline Aluminum Quad Cane Black 1Ct                               Each        $27.50
1146       Medline Steel Bariatric Quad Cane Lg Base 500lb Black 1Ct          Each        $42.00

Cushions, Pads & Mats
Item No.   Description                                                        Pkg.        Price
3377       Medline Invalid Foam Ring Contoured Cushion 16in Dia 1Ct           Each        $26.50

Rollators & Accessories
Item No.   Description                                                        Pkg.        Price
3955       Medline Basic Steel Rollator W/ 6in Wheels Burgundy, 350lb         Each        $79.00
           Capacity 1Ct

                                                   Medline Folding T-Handle Aluminum Cane 250lb
                                                   Black 1Ct
                                                   Compact, lightweight aluminum design folds for
                                                   travel. Contoured handle for a better grip. 23”-26”
                                                   height adjustable.

                                            1145

12
Walkers & Accessories
Item No.   Description                                                      Pkg.       Price
3956       Medline 2-Button Aluminum Folding Walker w 5in Wheels, 300lb     Each       $49.50
           1Ct

                                                   Medline 2-Button Folding Walker w 5in Wheels
                                                   300lb 1Ct
                                                   Sturdy aluminum tubing folds easily to slim 4.5
                                                   inches for easy transport. 32.5”-38.5” height
                                                   adjustable.

                                            3956

  Personal Care

Bath & Body Care
Item No.   Description                                                      Pkg.       Price
1429       Remedy Phytoplex Hydrating Body Lotion Cleanser 8oz 1Ct          Each       $9.50
1428       Remedy Phytoplex No-Rinse Foam Cleanser 8oz 1Ct                  Each       $9.50

Ear Care
Item No.   Description                                                      Pkg.       Price
3731       Medline Digital Hearing Amplifier 1Ct                            Each       $24.50

Eye Care
Item No.   Description                                                      Pkg.       Price
1920       Medline Eye Pillow, Black                                        Each       $11.50

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Feminine Care
Item No.    Description                                                    Pkg.        Price
1815        Fiore Light Daily Panty Liners Long 40Ct                       Box of 40 $7.50

Foot Care
Item No.    Description                                                    Pkg.        Price
1440        Medline Gel Hallux Bunion Guard 1Ct                            Each        $6.50
1432        Podiatrists' Choice Callus Control Cream 4oz 1Ct               Each        $15.50
1433        GoodSense Corn Cushions 9Ct                                    Pack of 9   $3.50
3685        Scott Foot Care Medicated Corn Removers 9Ct                    Pack of 9   $3.50
3364        Diabetic Defense Daily Foot Moisturizer 4oz 1Ct                Each        $15.50
1469        GoodSense Moleskin Plus Sheet 4-1/8 x 3-3/8 4Ct                Pack of 4   $5.00
1441        Medline Gel Hammer Toe Crest 1Ct                               Each        $7.50
1468        GoodSense Lamb's Wool Toe Padding 3/8oz 1Ct                    Each        $7.50
1974        Silipos Therastep Gel Toe Protector 1Ct                        Each        $7.50
1442        Medline Gel Toe Straighteners 4Ct                              Each        $10.50

Hand Sanitizers & Wipes
Item No.    Description                                                    Pkg.        Price
1071        Medline Spectrum Advanced Hand Sanitizer Wipes 6x6.75 160Ct    Each        $11.50

Lip Balms & Treatments
Item No.    Description                                                    Pkg.        Price
1491        GoodSense Lip Balm Regular, 0.15oz, 1Ct                        Each        $3.00

Oral Care
Item No.    Description                                                    Pkg.        Price
1487        GUM Proxabrush Go-Betweens Teeth Cleaners 10Ct                 Pack of 10 $9.50
1152        Medtech Oral BrushPicks 275Ct                                  1 Pack      $7.50
1485        Extra Strength Denture Adhesive Mint 2oz 1Ct                   Each        $4.00
1876        Denture Brush With Easy-Grip Handle Medium 1Ct                 Each        $4.00
1879        Polident 3 Minute Antibacterial Daily Denture Cleanser 240Ct   Pack of     $21.00
                                                                           240
1873        Waxed Dental Floss Mint 100yd 2Ct                              Pack of 2   $6.00

14
1157        GoodSense Mint Flossers 90Ct                                        Bag of 90 $5.00
1492        Medline Mouth Moisturizer Oral Gel 3g Pkt 1Ct                       Each        $1.00
1482        Biotene Dry Mouth Moisturizing Spray 1.5oz 1Ct                      Each        $15.00
1480        Biotene Alcohol-Free Dry Mouth Mouthwash 16oz 1Ct                   Each        $11.50
1880        Disposable Tongue Scraper with Brush Twin-Pack                      Pack of 2   $4.00
3684        Colgate Sonic Adult Battery Powered Toothbrush 1Ct                  Each        $16.00
1149        Conair InterPlak Rechargeable Cordless Toothbrush 1Ct               Each        $33.50
1883        Medline Premium Wrapped Adult Toothbrush 1Ct                        Each        $1.50
1882        Adult Toothbrush with Soft Bristles Twin-Pack                       Pack of 2   $2.50
1151        Colgate 360 Sonic Replacement Brush Heads Soft 2Ct                  Each        $9.50
1488        InterPlak Rechargeable Toothbrush Replacement Heads 2Ct             Pack of 2   $20.00
1483        Biotene Dry Mouth Fluoride Toothpaste 4.3oz 1Ct                     Each        $10.50
1494        Fresh Mint Sensitive Teeth Toothpaste 4.3oz 1Ct                     Each        $4.00
1479        Aim Cavity Protection Mint Gel Toothpaste 5.5oz 1Ct                 Each        $5.50
1161        Pepsodent Complete Care Toothpaste 5.5oz 1Ct                        Each        $4.00
1874        Conair Interplak Dental Water Jet and Tips 1 Kit                    Each        $36.50

                                             3684                                                    1874

Colgate Sonic Adult Battery                           Conair Interplak Dental Water Jet and Tips 1 Kit
Powered Toothbrush 1Ct                                Compact, cordless, battery-powered cleaner
Premium toothbrush has replaceable                    flushes out plaque and food. Includes 2 tips and
brush head that cleans teeth and hard-to-             3ft. coil hose.
reach areas. Easy push-button on/off.

                                                                                                         15
Skin Care
Item No.    Description                                                         Pkg.       Price
2045        MyDerm Aloe Gel 16oz 1Ct                                            Each       $11.00
1246        Remedy Phytoplex Skin Cream Moisturizer Scented 8oz 1Ct             Each       $9.00
2198        Remedy Phytoplex Skin Cream Moisturizer Scented 32oz 1Ct            Each       $21.50
1404        CareAll Petroleum Jelly 4oz 1Ct                                     Each       $5.50
1076        CareAll Petroleum Jelly 13oz 1Ct                                    Each       $9.00
1521        Remedy Phytoplex Hydraguard Silicone Skin Cream 2oz 1Ct             Each       $6.50
1517        Remedy Phytoplex Hydraguard Silicone Skin Cream 4oz 1Ct             Each       $9.00
1247        Medline Remedy Intensive Skin Therapy Repair Cream 4oz 1Ct          Each       $6.50
2046        Remedy Intensive Skin Hydraguard-D Barrier Cream 4oz 1Ct            Each       $6.50
1529        Tri Derma Vein Defense Healing Cream 4oz 1Ct                        Each       $24.50
1716        Gentell Vitamin A&D+E Ointment 13oz 1Ct                             Each       $9.00
2054        SPF 50 Sunscreen Sport Stick 0.65oz 1Ct                             Each       $8.50
1527        SPF 50 Sunscreen Lotion 8oz Bottle 1Ct                              Each       $10.00
1115        Remedy Phytoplex Z-Guard Skin Protectant Paste 4oz 1Ct              Each       $9.00
1605        Gentell Zinc Oxide Skin Protectant Ointment 16oz 1Ct                Each       $12.50

                                               1247                                                2046

Medline Remedy Intensive Skin Therapy Repair          Remedy Intensive Skin Hydraguard-D Barrier
Cream 4oz 1Ct                                         Cream 4oz 1Ct
Premium botanical moisturizer with jojoba esters,     Hospital-quality formula with 12.5% dimethicone
Manuka honey and natural oils to nourish dry skin.    creates water-resistant, moisturizing film over
Orange vanilla scent.                                 skin. Unscented.

16
Wipes & Cloths
Item No.   Description                                                         Pkg.      Price
1723       Medline Ultrasoft Disposable Dry Cleansing Cloth 12x14in 90Ct       Pack of   $6.50
                                                                               90
1103       Medline FitRight Aloe Personal Wipes Scented, Soft Pack with Flip   Pack of   $9.50
           Top 100Ct                                                           100
1858       Medline FitRight Aloe Personal Wipes Unscented, Soft Pack with      Pack of   $9.50
           Flip Top 100Ct                                                      100
1116       ReadyFlush Biodegradable Flushable Wipes Scented, Soft Pack         Pack of   $3.50
           24Ct                                                                24
1117       ReadyFlush SELECT Biodegradable Flushable Wipes, Soft Pack with Pack of       $6.50
           Flip Top 48Ct                                                   48
2316       Remedy Phytoplex Barrier Cream Cloth 8x12 Scented, Soft Pack        Pack of   $7.00
           48Ct                                                                48

   Physical Therapy

Daily Living Aids
Item No.   Description                                                         Pkg.      Price
3412       Tube Squeezer, White 1Ct                                            Each      $16.50
1477       Medline Sock Dressing Aid with Foam Grips, White 1Ct                Each      $8.50
1767       Medline Steel Shoehorn 18in 1Ct                                     Each      $7.00
2188       Medline Pistol Grip Reacher 26in 1Ct                                Each      $9.00
2126       Medline Pistol Grip Reacher 32in 1Ct                                Each      $22.00

Wearable Technology
Item No.   Description                                                         Pkg.      Price
4153       Deluxe Pedometer with Steps, Distance, and Calories                 Each      $17.00
3920       Baseline Deluxe Pedometer, Steps, Distance, Calories                Each      $28.50
1938       Medline Slim Heart Rate Monitor Pedometer Watch, Gray 1Ct           Each      $28.00
1651       Medline Heart Rate Monitor Pedometer Watch, Black 1Ct               Each      $34.00

                                                                                                  17
Respiratory Care

Oxygen Therapy
Item No.   Description                                  Pkg.   Price
3384       Compressed Memory Foam CPAP Pillow 24x14in   Each   $46.00

18
Notes

        19
Contact Valor Health Plan
     8:00 a.m. to 8:00 p.m., 7 days a week
        1-800-485-3793 TTY: 711

          www.valorhealthplan.com

20                                           MKT19W3846729 / e20678 / 89   070921-GRA
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