| Over-the-Counter Drugs Used Primarily for Medical Care. These are reimbursable with only a third-party receipt. No recommendation from a health care provider is required. |
| Type of Drug |
Examples[1] |
| Allergy Prevention & Treatment |
Benadryl, Sudafed, Actifed, Claritin, Chlora Trimaton, and Nasalcrom |
| Antacids and Acid Reducers |
Gas-X, Maalox, Mylanta, Tums, AXID AR, Pepcid AC, Prilosec OTC, Tagamet HB, and Zantac 75AXID AR, Prilosec OTC, Tagamet HB, and Zantac 75; |
| Anticandial |
Femstat 3, Gyne-Lotrimin, Mycelrx-7, Monistat 3, 7, and Vagistat-1 |
| Antihistamines |
Actidil Syrup and Capsules, Actifed, Allerest, Benadryl, Claritin, Chlor-Trimeton, Contac, Dimetane, Drixoral, Nyquil, Sudafed, Tavist-1, and Triaminic |
| Antidiarrheal and Laxatives |
Ex-Lax, Pepto-Bismol, Immodium A.D. and Kaopectate |
| Anti-fungal |
Lamisil AT, Lotramin AF, and Micatin, |
| Anti-itch Lotions and Creams (e.g., for athletes foot, jock itch, bug bites, poison ivy) |
Bactine, Caldecort, Cortaid, Hydrocortisone, and Lanacort, Calamine Lotion, Benadryl Cream, Caladryl, Cortaid, Lamisil AT, Lotramin AF, and Micatin |
| Asthma |
Primatene Mist |
| Cold Sore/Fever Blister |
Abreva Cream, Carmex |
| Condoms and other contraceptive devices |
Trojans, Magnum, VGF Film and Delfen Contraceptive Foam |
| Contact Lenses Solutions |
Bausch & Lomb, Renu, Aosept, Allergan, Boston and Opti-Free |
| Cough Suppressants |
Robitussin, Vicks 44, Chloraseptic |
| Decongestant/ Nasal Decongestant and Cold Remedies |
Advil Cold and Sinus, Afrin, Afrinol, Aleve Cold and Synus, Children's Advil Cold, Duration, Dristan Long Lasting, Neo-Synephrine- 12 Hour, Orrivin, Sudafed, Tavist-D, Tylenol Cold and Flue, Thera-flu, Alka Seltzer Cold and Flu, Nyquil, Actidil Syrup and Capsules, Actifed, Allerest, Benadryl, Claritin, Chlor-Trimeton, Contac, Dimetane, Drixoral, Sudafed, Tavist-1, and Triaminic |
| Diaper Rash Ointments |
Balmax and Desitin |
| Eye Drops for Allergy/Cold Relief |
Ocu Hist |
| First Aid Supplies |
Ace Bandages, Band-Aids, Bandage Tape, Thermometers, Medical Gloves, Gauze, Neosporin, Rubbing Alcohol and Visine |
| Hemorrhoid Treatments |
Preparation H, Hemorid, and Tronolane |
| Internal Analgesic/antipyretic |
Advil, Aleve, Children's Motrin, Nuprin, Excedrin, Tylenol and Bayer |
| Incontinence Supplies |
Depends |
| Liniments |
BenGay, Tiger Balm and Flexall |
| Medical Monitoring |
Services and Bracelets specifically for medical information. |
| Medical Products and Devices |
Blood Pressure Monitor, Glucose Tester, HIV Test, Cholesterol Test, Diabetic Supplies, Crutches, Ovulation Monitor and Pregnancy Testing Kits |
| Menstrual Cycle Medications |
Midol, Pamprin, and Premysyn PMS |
| Migraine |
Advil Migraine Liqui-gels, Excedrin Migraine, Motrin Migraine Pain, |
| Motion Sickness Medication |
Dramamine and Marizine |
| Nicotine Gum or Patches and Smoking Cessation Aids |
Nicorette, Nicotrol, and Nicodin |
| Pediculicide (head lice) |
Nix |
| Poison Ivy Protection |
Ivy Block |
| Smoking Cessation |
Commit, Nicoderm CQ, Nicorette, Nicotrol, |
| Toothache and teething pain relievers |
Orajel |
| Wart removal medications |
Tinamed |
| Dual Purpose OTC Drugs. These require a third-party receipt and a note from the Health Care Provider listing the diagnosis of the medical condition and the recommendation of the OTC Drug. |
| Anti-baldness/hair loss/ hair replacement/ such as Rogaine, but only if to replace hair loss due to a medical condition (e.g. cancer treatment) and not for balding due to age. |
| Fiber supplements such as Benefiber and Metamucil |
| Glucosamine/Chondrotin for arthritis or other medical condition (not reimbursable if taken for overall joint health) |
| Herbal supplements used to treat a specific disease such as St. John's Wort for depression |
| Hormone Therapy Drugs |
| Medicated shampoos' to treat a specific medical condition like psoriasis and only the amount in excess of the cost of normal shampoo. |
| No Doz (and other sleep prevention drugs) |
| Nose strips for proper breathing or other medical conditions |
| Pedialyte for a child's dehydration |
| Retin-A and other acne medicines (not reimbursable if used for cosmetic purposes such as wrinkle reduction) |
| Sleep-Aids |
| Snoring cessation aids and medications such as Breathe Right Spray, Snorezz |
| Sunscreen and Sunblock |
| Vitamins are not an eligible expense, unless prescribed by a physician to treat a specific medical condition. (i.e. Iron to treat, not prevent, anemia; Calcium Supplements to treat, not prevent, Osteoporosis). A doctor's note detailing the specific medical condition will be required for reimbursement. |
| Weight loss/dietary supplements must be for a specific medical condition such as obesity |
| OTC Items Not Reimbursable. These OTC drugs or other products are not considered medical care and therefore would not be reimbursable through the plan. |
| Chap Stick |
Eye Creams |
Deodorants |
Toothpaste |
Mouth Washes |
| Cosmetics |
Face Creams |
Soap |
Moisturizers |
Cotton Balls |
| Antiseptics and Oral Anesthetics |
Vitamins taken to improve overall-health |
| Food Items (i.e.: Slim Fast) |
Feminine Hygiene Products such as tampons and maxi pads |
| Shaving Cream and Razors |
Hair Removal Treatments and Waxes |
| Teeth Whitening Kits and Powders |
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