OVER-THE-COUNTER (OTC) CATALOG. Meridian Complete (Medicare-Medicaid Plan) H6080_16032OTCMMP_Approved

Transcription

1 2015 OVER-THE-COUNTER (OTC) CATALOG Meridian Complete (Medicare-Medicaid Plan) H6080_16032OTCMMP_Approved

2 Being a Meridian Member Has Its Benefits! As a Meridian Complete (Medicare-Medicaid Plan) member, you receive a monthly Over-the-Counter (OTC) benefit amount of $10! Your OTC benefit allows you to purchase items such as cold and cough medicines, vitamins, dental care items, vision care items and much more. Just remember these items are for your purchase and use only. You can get this document in Spanish or speak with someone about this information in other languages for free. Call (TTY users call 711), Monday Sunday from 8 a.m. to 8 p.m. The call is free. Usted puede obtener este documento en Español o hablar con alguien acerca de está información en otros idiomas de forma gratuita. Llame Esta llamada es gratis. What is covered with this benefit? Eligible items include OTC remedies or medicines to alleviate or treat illness or injury, dental care items, vision and ear care items and incontinence supplies (adult diapers). These items do not require a prescription from a health care provider. Dual-purpose items are items that may serve more than one purpose. These items are sometimes used to alleviate or treat a medical condition or they may be used to promote general health and well-being. These items do not require a prescription from your doctor to purchase, however Meridian strongly recommends that you discuss these items with your doctor prior to ordering or using. For your convenience, we ve identified dual-purpose items in this catalog with a * symbol. How do I use my Meridian Complete OTC Benefit? Your monthly benefit can be used anytime during the month to order OTC items from the approved catalog. There is no limit on the amount of items you may order, but the total cost of the items cannot be greater than your monthly benefit amount. Unused benefits do not roll over each month, so be sure to order each month. You can place an order easily and quickly by giving us a call! Call toll-free: (TTY users should call 711), Monday Friday from 8 a.m. 8 p.m. Let us know you are calling about your OTC benefit! Please have your Meridian Member ID card ready. Having a copy of the OTC catalog handy is also helpful. Items will be shipped directly to your home at no cost to you. You will be asked to verify your address when placing your order. Meridian will not reimburse for items that are purchased at the store, so make sure to call us when you would like to place an order. 2

3 Important Information to Remember: You may not purchase products from a retail store with this benefit, only from the Meridian OTC Catalog If you disenroll from Meridian Advantage Plan, your OTC benefit will end Returns are not accepted, except in the event the incorrect item was received Your benefit does not rollover. Make sure to use your benefit each month don t lose it! Keep Track of Your Orders Fill this out each time you place an order so you can be sure you get the right supplies. It will also make it easy for you to find the item number if you need to order more supplies the next month. Order Date Name of Item Item Number Price 3

4 Meridian OTC Catalog Name Item Number Price Acetaminophen Acetaminophen (325mg) - 100ct 1001 $5.10 Acetaminophen (500mg) - 100ct 1600 $6.20 Allergy & Sinus Afrin Severe Congestion Nasal Spray fl. oz $6.20 Afrin Sinus Nasal Spray fl. oz $5.70 Benadryl Extra Strength Itch Stopping Cream - 1 oz $3.85 Benadryl Ultratab - 48ct 1607 $9.69 Cetirizine HCI (Generic Zyrtec) 10mg - 14ct 1090 $3.85 Diphenhydramine (Generic Benadryl) 50mg Capsules 1610 $3.40 Loratadine (Generic Claritin) 10mg - 30ct 1612 $6.20 Saline Nasal Spray oz $6.20 Antacids & Acid Reducers Alka-Seltzer Gold - 36ct 1615 $5.45 Calcium Antacid Chewables - Assorted Flavors (500mg) - 150ct 1346 $4.60 Gas-X Thin Strips Antigas Peppermint - 18ct 1616 $4.60 Maximum Strength Acid Control 150mg - 24ct 1722 $5.09 Natural Vegetable Laxative- Orange Flavor (Compare to Metamucil Fiber Supplement)-13 oz 1340 $8.00 Phillips Milk of Magnesia (Original) - 12 oz $6.45 Tums Assorted Fruit Smoothies - 60ct 1621 $4.85 Antidiarrheal and Laxatives Anti-diarrheal Loperamide HCI (2mg) - 24ct 1625 $5.10 Ex-Lax Regular Strength - 30ct 1627 $5.95 Imodium Multi-Symptom Relief - 12ct 1629 $7.45 Pepto Bismol Chewable (Cherry) - 30ct 1631 $4.35 Pepto Bismol Original Liquid - 8 oz $3.85 Aspirin Aspirin Enteric Coated (325mg) - 100ct 1096 $2.10 Aspirin Low Dose Enteric Coated (81mg) - 120ct 1002 $2.35 Chewable Aspirin (81mg) - 36ct 1632 $2.10 Cold & Flu Alka-Seltzer Cold and Cough Effer Tab Citrus Blend - 20ct 1633 $6.45 Max Strength Diabetic Tussin DM Expectorant Cough Suppressant - 4 fl. oz $7.45 Tussin Expectorant Cough Syrup - 4 fl. oz $3.60 Zicam Cold Remedy Chewables (Citrus) - 25ct 1637 $9.70 Cough Drops Cherry Cough Drops 1056 $1.40 Fishermans Brand Menthol - 20ct 1641 $3.25 Halls Defense Supplement Drops Harvest Cherry - 25ct 1639 $2.35 Honey Lemon Cough Drops 1638 $ Call to place your order.

5 Name Item Number Price Cough Drops Ricola C Drop Lemon Mint - 24ct 1640 $2.39 Dental Care Colgate 360 Deep Clean Toothbrush (Medium) 1644 $4.10 Colgate 360 Extra Soft Toothbrush 1717 $3.82 Colgate Wave Toothbrush Full Head Medium 1718 $3.32 Crest Toothpaste Regular oz $3.35 Crest Sensivity Toothpaste Extra Whitening oz $4.30 Johnson & Johnson Dental Floss Waxed Mint Yards 1647 $4.10 Orajel Maxmium Strength fl. oz $5.95 Oral B Toothbrush Cross Action (Large) 1649 $3.99 Ultrabrite Advanced Whitening Toothpaste - 6 oz $3.60 Denture Care Efferdent Denture Cleanser - 90ct 1651 $7.45 Efferdent Plus Anti-Bacterial Denture Cleanser Minty Fresh 36ct 1653 $6.20 Effergrip Denture Cream Adhesive oz $7.19 Polident Dentu-Creme oz $4.50 Poli-Grip Free Denture Adhesive Cream oz $5.35 Sea Bond Denture Adhesive Lower - 15ct 1656 $3.60 Sea Bond Denture Adhesive Upper - 15ct 1657 $3.60 Ear Care Ear Drops Earwax Removal Aid oz $2.35 Eye Care & Contact Solution Bausch & Lomb Advanced Eye Relief (15 ml) 1613 $5.10 Health Eyes (Now with Lutein) - 60ct 1658 $5.09 Visine Tears Drops oz $5.45 First Aid & Medical Supplies ACE Elastic Bandage $8.20 ACE Elastic Bandage Velcro $4.60 Band-Aid Adhesive Pad Large - 10ct 1664 $3.60 Band-Aid Bandage Comfort Flex Sheer Assorted - 60ct 1665 $4.10 Band-Aid Bandages Finger Care Water Block Plus Assorted Sizes - 20ct 1666 $3.10 Band-Aid Clear Comfort-Flex Bandage Assorted Sizes - 45ct 1667 $2.85 Cotton Tipped Applicator, 6 (15.2cm) ct 1669 $9.70 Johnson & Johnson First Aid Hurt Free Wrap 2 x 2.3 Yards 1675 $4.35 Johnson & Johnson Gauze Pad 2 x 2-25ct 1676 $3.35 Johnson & Johnson Gauze Pad 3 x 3-25ct 1677 $4.85 Johnson & Johnson Tape Cloth 1 x 10 Yards 1678 $3.09 Nexcare Adhesive Fabric Bandages, Comfort bandages assorted - 30 ct 1719 $5.10 Nexcare Bandages Waterproof Clear Assorted Sizes - 20ct 1680 $3.35 Rubbing Alcohol, 70% - 16 oz $4.75 Triple First Aid Antibotic Ointment - 1 oz $4.75 Call to place your order. 5

6 Name Item Number Price Foot Care Compound W One Step Plantar Pads - 20ct 1681 $7.69 Dr. Scholls Corn/Callus Remover oz $3.85 Incontinence Quick Sorb Pull On Reusable Extra Large 1686 $8.89 Quick Sorb Pull On Reusable Large 1685 $8.89 Quick Sorb Pull On Reusable Medium 1684 $8.89 Quick Sorb Pull On Reusable Small 1683 $9.95 Menstrual Pain Advil (Ibuprofen 200mg) - 24ct 1710 $5.70 Pamprin Multi-Symptom - 40ct 1688 $5.95 Muscle & Body Pain Advil (Ibuprofen 200mg) - 50ct 1689 $6.70 Bayer Back & Body Pain - 24ct 1720 $3.75 Bengay Greaseless Cream 2 oz $4.09 Doan s Backache Pain Relief Extra Strength - 24ct 1708 $6.19 Generic Advil- Ibuprofen (200mg) - 100ct 1004 $3.60 Icy Hot Cream -3 oz $5.45 Skin Creams & Ointments Cortizone-10 Creme 2 oz $7.19 Cortizone-10 Intensive Healing Lotion Eczema and Itchy Dry Skin oz $9.20 Vaseline Petroleum Jelly oz $4.50 Thermometer Thermometer Digital 10 seconds 1697 $8.70 Vitamins & Nutrition 21st Century One Daily Women s Vitamin - 100ct* 1704 $ st Century Women s Active Metabolism Vitamin - 50ct* 1703 $7.50 Calcium 600+D - 60ct* 1373 $3.60 Daily Multivitamin Formula - 100ct* 1393 $4.10 Ferrous Gluconate 324mg - 100ct* 1699 $6.70 Folic Acid 400mcg - 100ct* 1715 $4.50 Magnesium Oxide (400mg) - 120ct* 1700 $6.70 Men s Multi Vitamin with Lycopene - 100ct* 1709 $7.20 Nature s Bounty Fish Oil 1000mg Soft Gels - 50ct* 1701 $5.45 Nature s Bounty Vitamin B-6 100mg - 100ct* 1702 $7.19 Poly Vitamin Chewables* (100 ct) 1705 $6.20 Prenatal Multivitamin Supplement - 100ct* 1274 $6.70 Vitamin B-12 (1000mcg) - 100ct* 1381 $4.60 Vitamin B-6 (50mg) - 100ct* 1380 $3.10 Vitamin C 1000mg - 110ct* 1706 $7.95 Vitamin E 400 IU Soft Gels - 100ct* 1384 $5.95 Zinc (50mg) - 100ct* 1419 $3.10 *Dual-Purpose Item Call to place your order. 6 These items may be, under certain circumstances, covered under Part B

7 Meridian Complete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. The benefit information provided is a brief summary, not a complete description of benefits. Limitations and restrictions may apply. Benefits may change on January 1 of each year. For more information please contact Member Services at (TTY users should call 711), Monday Sunday from 8 a.m. to 8 p.m. The health information provided in this catalog is general in nature and is not medical advice or a substitute for professional health care. It is provided for your information and convenience only. Meridian Advantage Plan (HMO SNP) cannot guarantee the accuracy or completeness of the information, and does not recommend or endorse any product shown in the catalog. Images are for your convenience only and may not exactly reflect the item received. Call to place your order. 7

8 BK05 MCOM IL