Over-the-counter Drugs and Other Health Care Items
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1 Over-the-counter Drugs and Other Health Care Items Expense Eligibility Acetaminophen (e.g., Tylenol) Acne treatments (e.g., Clearasil, Proactiv) Allergy medicine (e.g., Actifed, Benadryl, Claritin, Zyrtec) Antacids and acid relievers (e.g., AXID AR, Gas-X, Maalox, Mylanta, Pepcid AC, Prilosec OTC, Tagamet HB, TUMS, Zantac 75) Antidiarrheal and laxatives (e.g., Ex-Lax, Imodium A.D., Kaopectate, Pepto-Bismol) Antifungal (e.g. Fenstat 3, Gyne-Lotrimin, Lamisil AT, Lotrimin AF, Micatin, Monistat 3, Vagistat-1) Antihistamine (e.g., Actifed, Allerest, Chlor- Trimeton, Contac, Dimetane, Drixoral, NyQuil, Tavist-1, Triaminic) Anti-itch lotions and creams (e.g., for bug bites and poison ivy: Benadryl Cream, Calamine Lotion, Caldecort, Cortaid, Aspirin (e.g., Bayer, Excedrin) Bandages Yes No Blood pressure monitoring devices Yes No Burn garment Yes No Carpal tunnel wrist supports Yes No Cold medicines and decongestants (e.g., Advil Cold and Sinus, Afrin, Aleve Cold and Sinus, Children s Advil Cold, Neo- Synephrine-12 Hour, Sudafed, Tavist-D, Tylenol Cold and Flu, Theraflu) Cold sore remedies (e.g., Abreva, Campho- Phenique, Releev, Zicam) Condoms and other contraceptive devices Yes No Contact lens solution (e.g., Aosept, Allergan, Bausch & Lomb, Boston, Opti-Free, Renu) Yes Yes CX Copyright 2010 CONEXIS Benefits Administrators, LP. All Rights Reserved. 1
2 Cough suppressants (e.g., Chloraseptic, Delsym, Mucinex, Robitussin, Triaminic, Vicks 44) Diabetic supplies, test kits, and strips Yes No Diaper rash ointments and creams (e.g., Balmex, Desitin) Diarrhea medicine (e.g., Ex-Lax, Imodium A.D., Kaopectate, Pepto-Bismol Ear plugs Potentially No Eye drops for allergy and cold relief (e.g., OcuHist, Visine) Feminine antifungal and anti-itch creams (e.g., Fenstat 3, Gyne-Lotrimin, Vagistat-1) Fiber supplements (e.g., Benefiber, Metamucil) First aid cream, ointment, and spray (e.g., Bactine, Neosporin) First aid kits and supplies (e.g., ACE bandages, BAND-AIDS, bandage tape, gauze, medical gloves) Potentially No Yes No Gauze pads Yes No Glucosamine Potentially No Glucose monitoring equipment Yes No Glucose tablets and gel Hearing aids and hearing aid batteries Yes No Hemorrhoid treatments (e.g., Preparation H, Tronolane) CX Copyright 2010 CONEXIS Benefits Administrators, LP. All Rights Reserved. 2
3 Herbs and Herbal Supplements (e.g., St. John s Wort) Potentially No Hot and cold packs Yes No Ibuprofen (e.g., Advil, Motrin) Incontinence supplies (e.g., Depends, Serenity) Yes No Insect bite creams and ointments (e.g., Benadryl cream, Calamine lotion, Cortaid, cortisone cream) Insulin (over-the-counter) Yes No Lactose intolerance products (e.g. Lactaid) Laxatives (e.g., Correctol, Dulcolax, Ex-Lax, MiraLAX, Senokot) Liniments (e.g., BENGAY, Flexall, Tiger Balm) Mastectomy-related special bras Yes No Medic Alert bracelet or necklace Yes No monitoring and testing devices Yes No Medicated shampoo (to treat a specific medical condition like psoriasis; e.g., Dermarest shampoo) Potentially No Menstrual pain relievers (e.g., Midol, Pamprin, Premsyn PMS) Migraine pain relievers (e.g., Advil Migraine Liqui-gels, Excedrin Migraine) Motion sickness pills (e.g., Dramamine, Marzine) Nasal sprays Nasal strips (nose strips) Potentially No CX Copyright 2010 CONEXIS Benefits Administrators, LP. All Rights Reserved. 3
4 Nicotine gum or patches (Commit, NicoDerm CQ, Nicorette, Nicotrol, Nicodin) Occlusal guards Yes Yes Over-the-counter supplies Yes No Pain relievers (e.g., Advil, acetaminophen, aspirin, ibuprofen, Motrin, Tylenol) Pedialyte and other oral electrolytes Pediculicide (head lice treatment; e.g., Nix, RID) Poison ivy protection (e.g., Ivy Block) Pregnancy test kits Yes No Prenatal vitamins Reading glasses Yes Yes Rubbing alcohol and alcohol pads Sinus medicines (see decongestants) Sleep aids (e.g., Sominex, Sleepinal, Tylenol P.M., Unisom Sleep Tabs) Snoring cessation aids and medications (e.g, Breathe Right Spray, Snoreeze) Potentially No letter of medical necessity Spermicidal foam Sunburn creams and ointments (e.g., Aloe Vera Gel, Solarcaine) Sunscreen and sunblock Potentially No Supplies to treat medical condition Yes No Thermometers Yes No Throat lozenges and cough drops (e.g., Cepacol, Chloraseptic, Halls, Sucrets) CX Copyright 2010 CONEXIS Benefits Administrators, LP. All Rights Reserved. 4
5 Toothache and teething pain relievers (e.g., Orajel) Vitamins (to treat a specific medical condition, e.g., calcium to treat osteoporosis; iron to treat anemia) Potentially No Walker, wheelchair, cane Yes No Wart remover treatments (e.g., Tinamed) Potentially No CX Copyright 2010 CONEXIS Benefits Administrators, LP. All Rights Reserved. 5
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