SAVE AND ENJOY MORE FLEXIBILITY! - OVER THE COUNTER ITEMS AND DRUGS GUIDE (OTC) 2021 - Receive them wherever you want or find them at your ...
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OVER THE COUNTER ITEMS AND DRUGS GUIDE (OTC) 2021 SAVE AND ENJOY MORE FLEXIBILITY! Receive them wherever you want or find them at your preferred pharmacy. ADVANTAGE
Make your order and receive it wherever you want! With the mobile app you can order OTC items and receive them at your doorstep, without a prescription! You can also add your prescription drugs and receive them with your order. DOWNLOAD the mobile app available for Android and IPhone. CHOOSE the items you want to order RECEIVE them within 48 hours Easy and convenient! If in doubt, call 1.888.525.4842. Download the mobile app by scanning this QR Code *For free shipping you must have a minimum of $25 on your OTC order. Limited variety of items. The items identified with this icon are available for delivery through Triple-S en casa.
BUY AND SAVE MORE ON YOUR OTC Find them at your favorite pharmacy with more than 1,400 products available No prescription Choose brand-name and generic items • Items for common injuries and symptoms • Adult diapers • Nutritional drinks such as Glucerna, Ensure, Boost • Masks • Hand sanitizer • And much more In all its formats and variations Same day at your favorite pharmacy Benefit varies by coverage. Y0082_21CI042E_C
OVER THE COUNTER ITEMS AND DRUGS GUIDE OTC Pain relief •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1 Pain relief at night ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1 Urinary analgesics •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1 Insomnia relief ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1 Motion sickness ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1 Congestion relief ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1 Cough, cold, and allergy relief •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 2 Sugar free •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 2 Nauseas relief •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3 Antifungals for foot and nails ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3 Femenine care items •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3 Nutritional drinks ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3 Dandruff shampoo ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3 Weight control ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3 Diabetes care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Skin care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Wound care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Moisturizers••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Sunscreens •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Others ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Ear care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Eye care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4 Digestive/colorectal care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 5 Oral care •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 5 Products to stop smoking •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 5 Urinary incontinence ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6 Miscellaneous •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6 Blood pressure monitor•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6 First aid ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6 Orthopedic braces and supports •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 7 Vitamins and minerals •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 7 Frequently ask questions•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 9
DRUG NAME TRADE NAME PAIN RELIEF Acetaminophen Tylenol / Panadol ______________________________________________________________________________________ Advil Capsule, Tablet & Liquid ______________________________________________________________________________________ Aspirin Bayer / Ecotrin ______________________________________________________________________________________ Arthricream External Cream 10 % Aspercream ______________________________________________________________________________________ Biofreeze ______________________________________________________________________________________ Capzasin Cream & Lotion ______________________________________________________________________________________ Dragon Pain Relief Cream ______________________________________________________________________________________ Heat Wrap Pad Miscellaneous Thermacare ______________________________________________________________________________________ Ibuprofen Motrin / Advil ______________________________________________________________________________________ Ice Blue 2 % Gel Icy Hot ______________________________________________________________________________________ Motrin ______________________________________________________________________________________ Muscle Rub External Cream Bengay ______________________________________________________________________________________ Naproxene Aleve ______________________________________________________________________________________ Panadol ______________________________________________________________________________________ Tension Headache Excedrin ______________________________________________________________________________________ Tylenol Tablet, Capsule & Liquid ______________________________________________________________________________________ Salonpas Pad ______________________________________________________________________________________ Voltaren Transdermal Gel 1 % PAIN RELIEF AT NIGHT Advil PM ______________________________________________________________________________________ Aleve PM ______________________________________________________________________________________ Bayer PM ______________________________________________________________________________________ Diphenhydramine-Apap (Sleep) Tablet Tylenol PM ______________________________________________________________________________________ Excedrin PM Tablet URINARY ANALGESICS Cranberry Oral Capsule ______________________________________________________________________________________ Urinary Pain Relief Azo INSOMNIA RELIEF Melatonin Tablet, Capsule, Oral Liquid, Tablet Sublingual, Melatonin & Oral Tablet Disintegrating ______________________________________________________________________________________ Sleep Aid 25 mg Tablet Unisom MOTION SICKNESS Anti-Nausea 1.87-1.87-21.5 Solution Emetrol CONGESTION RELIEF Oxymetazoline HCL Nasal Solution Afrin Nasal Spray Nasal Solution ______________________________________________________________________________________ Allergy Spray 24 Hour Nasal Aerosol Nasacort Allergy 24hr ______________________________________________________________________________________ Saline Nasal Spray Nasal Mist Ayr Nasal Solution ______________________________________________________________________________________ Budesonide Nasal Suspension Rhinocort Aqua ______________________________________________________________________________________ Fluticasone Propionate Nasal Suspension Flonase & Flonse Sensimist ______________________________________________________________________________________ Saline Nasal Spray Nasal Solution Ocean AVAILABLE THROUGH TRIPLE-S EN CASA. *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 1
DRUG NAME TRADE NAME COUGH, COLD, AND ALLERGY RELIEF Allergy Multi-Symptom Tablet Tylenol Multi-Symptom / Mucinex / Sudafed PE ______________________________________________________________________________________ Af-Apap Allergy Sinus Tablet Tylenol Allergy Sinus ______________________________________________________________________________________ Af-Pseudoephedrine Sinus Capsule Robitussin Severe Congestion ______________________________________________________________________________________ Benadryl Allergy 25 mg Capsule ______________________________________________________________________________________ Chlorphen-Phenyleph-Ibuprofen Tablet Advil Allergy & Congestion ______________________________________________________________________________________ Chlorpheniramine-Pse-Ibuprofen Tablet Advil Allergy Sinus ______________________________________________________________________________________ Pseudoephedrine-Ibuprofen Capsule Advil Cold & Sinus ______________________________________________________________________________________ Phenylephrine-Ibuprofen Tablet Advil Sinus Congestion & Pain ______________________________________________________________________________________ Phenyleph-Cpm-Dm-Apap Alka-Seltzer Plus Cold & Cough ______________________________________________________________________________________ Phenyleph-Doxylamine-Dm-Apap Alka-Seltzer Plus Cold & Flu ______________________________________________________________________________________ Biobron SF Syrup Brontuss SF ______________________________________________________________________________________ Biodesp DM Syrup Despec DM ______________________________________________________________________________________ Cough & Cold HBP (Chlorpheniramine - Dextromethorphan) Coricidin HBP ______________________________________________________________________________________ Coricidin D 2-30-325 mg Tablet ______________________________________________________________________________________ Coricidin HBP 10-325-2 mg Tablet ______________________________________________________________________________________ Coricidin HBP Cold/Flu 2-325 mg Tablet ______________________________________________________________________________________ Cold/Flu Relief Day/Night Oral Miscellaneous Vicks Dayquil/Nyquil Cold & Flu ______________________________________________________________________________________ Cough & Cold (Chlorpheniramine-Acetaminophen) Tablet ______________________________________________________________________________________ Cough Drops Lozenges Halls / Cepacol ______________________________________________________________________________________ Day Time Multi-Symptoms Cold/Flu Capsules Mucinex / Robitussin ______________________________________________________________________________________ Dextromethorphan Polistirex Suspension Extended Release Delsym ______________________________________________________________________________________ Dextromethorphan-Guaifenesin Tablet Zyncof / Broncotron-S ______________________________________________________________________________________ Guaifenesin Extended Release Mucinex ER ______________________________________________________________________________________ Guaifenesin-Dextromethorphan Syrup Robitussin DM / Trispec DMX ______________________________________________________________________________________ Mucus Relief DM Extended Release Mucinex DM ______________________________________________________________________________________ Pseudoephedrine-Guaifenesin Extended Release Mucinex D ______________________________________________________________________________________ Robitussin DM ______________________________________________________________________________________ Sore Throat Oral Liquid Chloraseptic ______________________________________________________________________________________ Vicks Vaporub Ointment SUGAR FREE Coditussin AC Liquid Diabetic Tussin C ______________________________________________________________________________________ Robitussin DM Sugar Free Syrup ______________________________________________________________________________________ Cough Drops Sugar Free Lozenges Halls Sugar Free ______________________________________________________________________________________ Diabetic Tussin Cold & Flu ______________________________________________________________________________________ Dextromethorphan-Guaifenesin-Phenylephrine Oral Giltuss / Panatuss Dxp / Broncotron D/ Tablet & Liquid Deconex AVAILABLE THROUGH TRIPLE-S EN CASA. *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 2
DRUG NAME TRADE NAME NAUSEAS RELIEF Anti-Nausea 1.87-1.87-21.5 Solution Emetrol ANTIFUNGALS FOR FOOT AND NAILS Clotrimazole Cream, External Solution, & Ointment Fungicure / Lotrimin AF / Mycelex ______________________________________________________________________________________ Miconazole Nitrate Cream Neosporin AF / Secura ______________________________________________________________________________________ Scholls Fungal Nail Management Ext Kit ______________________________________________________________________________________ Terbinafine Cream Silka ______________________________________________________________________________________ Tolnaftate External Cream 1 % Tinactin Cream FEMENINE CARE ITEMS Anti-Itch Vaginal Cream Vagisil Vaginal Cream / Vagisil Feminine Moisturizer Vagina Lotion ______________________________________________________________________________________ Clotrimazole Vaginal Cream Lotrimin ______________________________________________________________________________________ Complete Menopause Health Tab Estroven ______________________________________________________________________________________ Miconazole 1 Combo Pack Monistat 1 Day ______________________________________________________________________________________ Feminease Vaginal Cream ______________________________________________________________________________________ Miconazole Cream & Vaginal Suppository Monistat / Monistat 3 / Monistat 7 ______________________________________________________________________________________ Norforms Vaginal Suppository ______________________________________________________________________________________ Poise Body Cooling Towelettes ______________________________________________________________________________________ Replens Vaginal Gel ______________________________________________________________________________________ Tioconazole Vaginal Ointment Monistat 1 ______________________________________________________________________________________ Vagisil Yeast-Control Vaginal Suppository NUTRITIONAL DRINKS Boost Liq ______________________________________________________________________________________ Ensure Liq ______________________________________________________________________________________ Glucerna Liq ______________________________________________________________________________________ Preprotein Liq DANDRUFF SHAMPOO Head & Shoulders Shampoo ______________________________________________________________________________________ Nizoral A-D Shampoo ______________________________________________________________________________________ Selsun Blue Shampoo WEIGHT CONTROL Alli 60 mg Capsule ______________________________________________________________________________________ Slim-Fast Liquid AVAILABLE THROUGH TRIPLE-S EN CASA. *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 3
DRUG NAME TRADE NAME DIABETES CARE Glucose Tablets Trueplus ______________________________________________________________________________________ Gold Bond Ultimate Diabetics Cream ______________________________________________________________________________________ Diabetic Socks Ankle Black Medium & Large ______________________________________________________________________________________ Diabetic Socks Ankle White Medium & Large SKIN CARE WOUND CARE Pedi-Pre Tape Spray MOISTURIZERS A & D Zinc Oxide Cream ______________________________________________________________________________________ Aloe Vera Gel Banana Boat ______________________________________________________________________________________ Ammonium Lactate Lac-Hydrin ______________________________________________________________________________________ Moisturizing Cream Cerave ______________________________________________________________________________________ Zinc Oxide Desitin / Cozima SUNSCREENS Sunscreen Spf 30 Lotion Coppertone ______________________________________________________________________________________ Sunscreen Spf 50 Lotion Coppertone OTHERS Advanced Hand Sanitizer Purell ______________________________________________________________________________________ Agua Maravilla Agua Hamamelis ______________________________________________________________________________________ Insect Repellent External Liquid Off EAR CARE Ear Dry Otic Liquid Auro-Dri ______________________________________________________________________________________ Ear Wax Removal Drops Otic Solution Debrox ______________________________________________________________________________________ Ear Wax Removal System Otic Oil Murine EYE CARE Artificial Tears Ophthalmic Solution Genteal Tears ______________________________________________________________________________________ Eye Wash Irrigation Solution Boraqua ______________________________________________________________________________________ Lubricant Eye Drops Ophtalmic Solution Refresh Tears / Systane / Systane Balance / Retaine / Theratears ______________________________________________________________________________________ Naphazoline Ophthalmic Solution Naphcon-A ______________________________________________________________________________________ Redness Relief Ophthalmic Solution Visine ______________________________________________________________________________________ Sodium Chloride Ophtalmic Ointment 5% Muro 128 AVAILABLE THROUGH TRIPLE-S EN CASA. *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 4
DRUG NAME TRADE NAME DIGESTIVE/COLORECTAL CARE Acid Reducer 10 mg Tablet Pepcid Ac ______________________________________________________________________________________ Antacid Anti-Gas Suspension Maalox ______________________________________________________________________________________ Antacid Extra Strength Chewable & Oral Suspension Gaviscon ______________________________________________________________________________________ Antacid Maximum Chewable Tums ______________________________________________________________________________________ Bisacodyl Rectal Suppository & Tablet Dulcolax / Ex-Lax ______________________________________________________________________________________ Bismuth Subsalicylate Kaopectate / Pepto-Bismol ______________________________________________________________________________________ Bismuth 262 mg Tablet Chew Pepto-Bismol ______________________________________________________________________________________ Castor Oil Stimulant Laxative 100% Oral Oil Castor Oil ______________________________________________________________________________________ Clear Soluble Fiber Oral Powder Benefiber ______________________________________________________________________________________ Dairy Digestive Supplement Fast Act ______________________________________________________________________________________ Docusate Sodium Capsule, Tablet, Liquid, & Syrup Colace ______________________________________________________________________________________ Fiber Oral Poder Juven ______________________________________________________________________________________ Fiber Laxative Capsule & Tablet Citrucel / Konsyl / Metamucil ______________________________________________________________________________________ Gas Relief Extra Strength Capsule Gas-X ______________________________________________________________________________________ Glycerin (Adult) Rectal Suppository Glycerin ______________________________________________________________________________________ Hemorrhoidal Rectal Suppository, Ointment, Cream & Gel Preparation H ______________________________________________________________________________________ Lidocaine-Glycerin External Pads Recticare 5-20 % Pad ______________________________________________________________________________________ Loperamide Hcl Tablet And Liquid Imodium A-D ______________________________________________________________________________________ Lactase Enzyme Lactaid ______________________________________________________________________________________ PEG 3350 Oral Powder Miralax ______________________________________________________________________________________ Phillips Milk Of Magnesia ______________________________________________________________________________________ Mineral Oil Roberts ______________________________________________________________________________________ Natural Fiber Laxative Oral Powder Metamucil / Konsyl ______________________________________________________________________________________ Senna Oral Capsule, Syrup & Powder Senna / Senokot / Agoral ORAL CARE Anbesol Maximum Strength ______________________________________________________________________________________ Biotene Dry Mouth ______________________________________________________________________________________ Cepacol Sore ______________________________________________________________________________________ Dental Floss Waxed Miscellaneous Colgate / Oral-B ______________________________________________________________________________________ Efferdent Denture Cleanser ______________________________________________________________________________________ Finafta ______________________________________________________________________________________ Fixodent Original Cream ______________________________________________________________________________________ Orajel 10 % M/T Gel, 20 % M/T Gel, 20 % M/T Liq ______________________________________________________________________________________ Soft Toothbrush Miscellaneous Colgate / Oral-B ______________________________________________________________________________________ Toothpaste Miscellaneous Biotene / Colgate / Sensodyne PRODUCTS TO STOP SMOKING Nicotine Patch Nicoderm CQ ______________________________________________________________________________________ Nicotine Polacrilex Gum Nicorette AVAILABLE THROUGH TRIPLE-S EN CASA. *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 5
DRUG NAME TRADE NAME URINARY INCONTINENCE Poise Incontinence Liners ______________________________________________________________________________________ Diapers Certainty/Depend ______________________________________________________________________________________ Disposable Underpads Miscellaneous Curity / Prevail MISCELLANEOUS Cotton Balls Miscellaneous ______________________________________________________________________________________ Digital Thermometer Miscellaneous ______________________________________________________________________________________ Ear, Oral, Rectal Thermometer Miscellaneous ______________________________________________________________________________________ Food Scales Miscellaneous ______________________________________________________________________________________ Heating Pad Moist/Dry Pad Miscellaneous ______________________________________________________________________________________ Ice Bag Miscellaneous ______________________________________________________________________________________ 7 Days Pill Box Miscellaneous ______________________________________________________________________________________ Pill Cutter Miscellaneous BLOOD PRESSURE MONITOR Blood Pressure Cuff Miscellaneous ______________________________________________________________________________________ Blood Pressure Monitor dev, kit FIRST AID Adhesive Bandages Miscellaneous Band-Aid ______________________________________________________________________________________ Adhesive Paper Tape Band-Aid ______________________________________________________________________________________ Agua De Azahar Eko ______________________________________________________________________________________ Alcoholado Superior 70 ______________________________________________________________________________________ Anti-Itch Maximum Strength Cream Benadryl ______________________________________________________________________________________ Bacitracin Ointment ______________________________________________________________________________________ Pramoxine-Calamine External Lotion Caladryl ______________________________________________________________________________________ Calamine-Zinc Oxide External Lotion Calamine ______________________________________________________________________________________ Curity Gauze Sponge Pads ______________________________________________________________________________________ Curity Non-Adherent Strip ______________________________________________________________________________________ Elastic Bandage Miscellaneous ______________________________________________________________________________________ Epsom Salt Epsom Salt ______________________________________________________________________________________ Exoderm 10-3 % Bar ______________________________________________________________________________________ Face Masks ______________________________________________________________________________________ First Aid Kit ______________________________________________________________________________________ Hydrocortisone Cream, Lotion, & Ointment Cortizone-10 / Ala-Cort / Cortaid ______________________________________________________________________________________ Hydrocortisone-Aloe Cream & Ointment Ala-Cort ______________________________________________________________________________________ Hydrogen Peroxide External Solution 3 % Agua Oxigenada ______________________________________________________________________________________ Isopropyl Alcohol (Rubbing) ______________________________________________________________________________________ Lice Killing Shampoo Rid ______________________________________________________________________________________ Lice Treatment Nix / Rid ______________________________________________________________________________________ Petroleum Jelly Oint Vaseline *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 6
DRUG NAME TRADE NAME FIRST AID cont. Remove Adhesive Remover External Liquid Band-Aid / Nexcare ______________________________________________________________________________________ Restore Contact Layer 8"x12" Pad ______________________________________________________________________________________ Restore Duo Dressing 2"x4" Pad, 4"x5" Pad ______________________________________________________________________________________ Restore Foam Dressing 2.5"x2.5" Pad, 6"x8" Pad, 8"x8" Pad ______________________________________________________________________________________ Restore Foam Heel Dressing 4.7"x7.5" Pad ______________________________________________________________________________________ Restore Odor Absorbing Dress 6"x10" Pad ______________________________________________________________________________________ Sterile Gauze Pad ______________________________________________________________________________________ Stretch Gauze Bandage ______________________________________________________________________________________ Triple Antibiotic Neosporin ORTHOPEDIC BRACES AND SUPPORTS Ankle Support Adjustable Miscellaneous ______________________________________________________________________________________ Arm Sling Miscellaneous ______________________________________________________________________________________ Back Support Miscellaneous ______________________________________________________________________________________ Knee Stabilizer Small, Medium and Large Sizes Miscellaneous ______________________________________________________________________________________ Knee Wrap Open Patella Miscellaneous ______________________________________________________________________________________ Tennis Elbow Strap Miscellaneous ______________________________________________________________________________________ Thigh Wrap Miscellaneous ______________________________________________________________________________________ Wrist Splint/Reversible Miscellaneous ______________________________________________________________________________________ Wrist Support Miscellaneous ______________________________________________________________________________________ Wrist Wrap Miscellaneous VITAMINS AND MINERALS Airborne Lozenge & Tablet ______________________________________________________________________________________ Apetex Oral Elix ______________________________________________________________________________________ Apetigen-Plus Solution ______________________________________________________________________________________ Ascorbic Acid Oral Tablet Vitamin C ______________________________________________________________________________________ B Complex Oral Capsule & Tablet B Complex ______________________________________________________________________________________ B-12 (Cynocobalamin) Oral Tablet Vitamin B12 ______________________________________________________________________________________ Biotin Caspules & Tablet ______________________________________________________________________________________ Body/Hair/Skin/Nails Oral Capsule Actical ______________________________________________________________________________________ Calcium Oral Tablet Caltrate ______________________________________________________________________________________ Calcium /Vitamin D3 Oral Tablet Caltrate D ______________________________________________________________________________________ Calcium-Magnesium-Vitamin D Oral Capsule, Tablet & Liquid ______________________________________________________________________________________ Calcium-Magnesium-Zinc Oral Tablet ______________________________________________________________________________________ Cinnamon Oral Tablet ______________________________________________________________________________________ Citracal +D3 ______________________________________________________________________________________ Citracal Calcium Gummies ______________________________________________________________________________________ Citracal Plus Heart Health Oral Tablet ______________________________________________________________________________________ Co Q10 Oral Capsules *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 7
DRUG NAME TRADE NAME VITAMINS AND MINERALS cont. Emergen-C Vitamin C Oral Package ______________________________________________________________________________________ Ferrous Aspartate Oral Tablet ______________________________________________________________________________________ Ferrous Fumarate Oral Tablet ______________________________________________________________________________________ Ferrous Gluconate Oral Tablet ______________________________________________________________________________________ Ferrous Sulfate Oral Tablet ______________________________________________________________________________________ Folic Acid 400 mcg Tablet, 800 mcg Tablet Folic Acid ______________________________________________________________________________________ Garlic Oral Tablet & Capusle ______________________________________________________________________________________ Ginkgo Biloba Oral Tablet & Capsule ______________________________________________________________________________________ Ginger Oral Capsule ______________________________________________________________________________________ Glucosamine-Chondroitin Oral Capsule ______________________________________________________________________________________ Icaps Lutein & Zeaxanthin Oral Tablet Ocuvite ______________________________________________________________________________________ Iron Oral Tablet Feosol ______________________________________________________________________________________ Lipoflavonoid Tablet ______________________________________________________________________________________ Magnesium Oxide Oral Tablet Mag-Ox ______________________________________________________________________________________ Multivitamin Capsule, Liquid, & Tablet Centrum / One-A-Day ______________________________________________________________________________________ Multi-Vitamin/Minerals Oral Tablet Centrum / Ocusoft / Ocuvite-Eye ______________________________________________________________________________________ Omega 3 Oral Capsule Fish Oil ______________________________________________________________________________________ Oyster Shell Calcium +Vitamin D Oral Tablet Os-Cal + D ______________________________________________________________________________________ Pyridoxine Hcl Oral Tablet Vitamin B6 ______________________________________________________________________________________ Preservision Areds Oral Tablet ______________________________________________________________________________________ Renal Vitamin Oral Tablet Nephro-Vite ______________________________________________________________________________________ Saw Palmetto ______________________________________________________________________________________ Vitamin C/Bioflavonoids Oral Tablet Vasoflex / Ester-C ______________________________________________________________________________________ Vitamin D3 Maximum D3 ______________________________________________________________________________________ Vitamin E ______________________________________________________________________________________ Vitamins For Hair Oral Tablet Centrum ______________________________________________________________________________________ Wee Care Suspension Icar AVAILABLE THROUGH TRIPLE-S EN CASA. *This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 8
F R EQ U E N T LY AS K Q U E ST I O N S What are Over the Counter (OTC) drugs and Items? OTC drugs are non-prescription drugs that are not normally covered by the Medicare Part D prescription drug benefit. OTC drugs are used for the treatment of medical symptoms such as cough, cold, pain, diarrhea and upset stomach, among others. When can I begin to use my OTC drugs and Items benefit and what does it include? You can begin to use your OTC benefit, once your enrollment is effective with the plan. This guide includes OTC drugs and items for the health and wellness over the counter. It contains a list of some common-use drugs. The guide does not include the drugs and brands in all variations, formats and trade names. What are the rules for getting OTC drugs and items? You will be able to obtain OTC drugs and items without a medical order. The following rules apply for getting OTC drugs and items: 1. Triple-S Advantage will provide the maximum amount of money set forth in your Evidence of Coverage every 3 months for the purchase of OTC drugs and items. After the maximum dollar amount is reached, Triple-S Advantage will not cover these drugs until the following three months, when the maximum quarterly coverage starts again. The quarters are according to calendar year, for example: January-March, April-June, July-September and October-December, with a total of four quarters per year. The amounts must be used in full as they do not accumulate from quarter to quarter. 2. If the quantity of the products you wish to purchase is greater than the maximum quarterly amount set out in your Evidence of Coverage, you must assume payment of the difference. 3. OTC drugs must be obtained through the Triple-S Advantage network, and they may only be purchased and used by the enrollee. 4. The categories of OTC drugs and items must be included in this guide, to be covered. The availability of brands and costs may vary depending on the network pharmacy you visit. Y0082_21CI043E_C 9
F R EQ U E N T LY AS K Q U E ST I O N S cont.cont. What are the advantages of using OTC drugs? The use of OTC drugs allows the patient to have greater access to a variety of drugs available in the market for the treatment of some common symptoms. Consult your physician or pharmacist and remember to always read the package labeling for specific instructions on how to take them, as well as any warnings or precautions you should consider when taking them. How do I use this OTC Drugs and Items Guide? This guide classifies OTC drugs and items by category, according to the most common symptoms they are used for. For example, drugs to treat cough and congestion are classified under the category Cough, cold, and allergy relief. If you know what your OTC drug is used for, look for the category name in the Table of Contents. Then look for your OTC drug under that category. How can I know the available amount that I have for OTC drugs or medications? The available amount of the benefit varies by coverage. For more information regarding the available amount you can call us at our Member Service Center or visit the nearest service center. How does the barcode on my plan card work? The barcode on the back of your plan card allows you access to your OTC in an easier and more convenient way in those merchants that have the system available. If your preferred pharmacy is one of these merchants you will be able to make the purchase of your OTC, at the cash register without having to go through the pharmacist. Ask your pharmacy if this service is available Where I should contact in case of doubts and questions? For more information, contact our Member Service Center at 1-888-620-1919, toll free. Hearing impaired with TTY should call 1-866-620-1919, Monday through Sunday from 8:00 A.M. to 8:00 P.M., or visit our website www.sssadvantage.com. Y0082_21CI043E_C 10
MY OTC LIST _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ NOTES ____________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 11
CALL US TODAY! 1.888.620.1919 1.866.620.2520 Toll free TTY (hearing impaired) MONDAY THROUGH SUNDAY FROM 8 A.M. TO 8 P.M. ADVANTAGE Guide is subject to changes. Independent licensee of BlueCross BlueShield Association. Triple-S Advantage, Inc. cumple con las leyes federales aplicables de derechos civiles y no discrimina por razón de raza, color, origen de nacionalidad, edad, discapacidad, o sexo. Triple-S Advantage Inc. Triple-S Advantage, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. 遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障或性 別而歧視任何人ATENCIÓN: Si usted habla español, servicios de asistencia lingüística están disponibles libre de cargo para usted. Llame al: 1-888-620-1919 (TTY: 1-866-620-2520). ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call: 1-888-620-1919 (TTY: 1-866-620-2520).注意:如 果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-620-1919 (TTY: 1-866-620-2520).
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