medications and health products - cigna · pdf fileand health products that medicaid does not...
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MY OVER-THE-COUNTER ALLOWANCE
MEDICATIONS AND HEALTH PRODUCTS
2018 catalog
MCDTX_18_56852 10102017
$10monthly allowance toward OTC items
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All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2017 Cigna
MY OVER-THE-COUNTER (OTC) ALLOWANCEUse your $10 monthly allowance to help pay for many over-the-counter medicines and health products that Medicaid does not cover – and enjoy delivery right to your home at no cost.
5 STEPS TO SAVE MONEY
Use your rollover $10 allowance toward OTC items once a month.STEP 1
Choose OTC items from the list that begins on page 7.STEP 2
Order by calling 1-866-575-3744 (TTY: 7-1-1) Monday to Friday, 7 a.m. to 8 p.m. Central Time.
STEP 3
Check that your address is correct while you’re on the phone.STEP 4
Get your OTC items delivered to your door at no cost.STEP 5
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What can I use my $10 monthly allowance toward?You can use your allowance to help pay for medicine and health items such as aspirin, vitamins, dental care, bandages and much more. See page 7.
Can I use my $10 OTC allowance toward prescription drugs?No. Your $10 monthly allowance is for items that can be bought without a prescription.
Can a family member use my $10 OTC allowance?No. An OTC allowance can only be used by a Member. If 2 people in a house are Members, each will have their own OTC allowance.
Does my allowance add up if I don’t use it?Yes. Unused funds will roll over from month to month beginning September 1, 2017 and end on August 31, 2018.
Can I use parts of my allowance to order at different times throughout a month?No. You can use your $10 monthly allowance once a month.
Can my total order be more than $10?The total cost of your order should be equal to or less than your roll over allowance amount.
How long will my order take?Your order will take up to 2 weeks to arrive. If you have any questions about your order, call 1-866-575-3744 (TTY: 7-1-1), Monday to Friday, 7 a.m. to 8 p.m. Central Time.
Can I return my items?No. Received items cannot be returned.
Common questions about myQA over-the-counter allowance&
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Brand Catalog Item Page
21st Century Glucosamine / Chondroitin
11
Glucosamine Joint/Muscle
11
Abreva Abreva 7
Ace Ankle Support 8
Elastic Bandage 2 in x 5 yd
9
Elastic Bandage 3 in x 5 yd
9
Elastic Bandage 4 in x 5 yd
9
Elastic Bandage 6 in x 5 yd
9
Anbesol Oral Pain Relief 8
Band-Aid Sheer Adhesive Bandages
8
BD Digital Thermometer
Thermometer, Digital 10
BenadrylAnti-Itch
Diphenhydramine HCL / Zinc Acetate
7
Bengay Pain Relieving Muscle Rub
10
Braun Thermometer, Digital Ear
10
Breathe Right Nasal Strips, Small / Medium
11
Nasal Strips, Medium / Large
11
Carex Bath Tub Safety Rail 9
Cepacol Sore Throat Lozenges 7
ChloesTrak Home Access Cholesterol Test
10
Citrucel Methlcellulose Fiber Therapy
7
Colace Docusate Sodium 7
Colgate Toothbrush, Colgate, Adult Soft
8
Brand Catalog Item Page
Compound W Wart Remover (liquid) 11
Coppertone Sunscreen Lotion SPF 30
11
Curad Alcohol Pads 8
First Aid Kit, 48 pcs 9
First Aid Kit, 175 pcs 9
Dr. Scholls Callus Remover Pads 10
Corn Remover Pads 10
Diabetic Socks, White, Medium
8
Diabetic Socks, White, Large
8
Diabetic Socks, Black, Medium
8
Diabetic Socks, Black, Large
8
Dramamine Dramamine Chewables, Orange
10
Drive Medical Cushion, Gel / Foam Seat
9
Efferdent Denture Cleaning Tablets
7
Essential Shower Bench
Bath Bench with Back 9
Bath Bench without Back
9
Fibercon Fiber Tablets 11
Fixodent Fixodent 7
Fruit of the Earth
Aloe Vera Cream 10
Hall’s Cough Drops, Cherry 7
Herpecin-L Herpecin-L Lip Balm 7
Hydrogen Peroxide
Hydrogen Peroxide 9
Lactaid Lactase Capsules 7
Metamucil Natural Vegetable Laxative
7
Nature’s Bounty Fish Oil Tablets 11
BRAND NAME INDEX
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BRAND NAME INDEX
Brand Catalog Item Page
Nexcare Hot/Cold Packs 1 small and 1 large
9
Nix Permethrin Lice Treatment
10
Ocean Nasal Spray, Saline 7
Omron Desktop Blood Pressure Monitor Replacement Cuff
10
Wrist Blood Pressure Monitor
10
Orajel Orajel Pain Relief 8
Oral-B Interdental Flossups 7
Toothbrush, Rechargeable
8
Pepsodent Toothpaste - Pepsodent 8
ProCheck Thermometer, Flexible Tip, Digital 10-seconds
10
Purell Hand Sanitizer 11
Q-Tips Cotton Tipped Swabs 8
Quick-Lock Raised Toilet Seat 10
Brand Catalog Item Page
Reach Dental Floss
Reach Waxed Dental Floss - Mint
8
Releev Cold Sore Treatment 7
Renu Multi-PurposeContact Lens Solution
8
Reveal EZ Detect Colon Cancer Test Kit
10
Rid Lice Treatment Shampoo
10
Robitussin Guaifenesin Cough Expectorant
7
Salonpas Pain Relief Patches 10
Tek-Pro Toothbrush, Tek Pro, Straight Soft
8
Tucks Pre-Moist Hemorrhoidal Pads
10
Vicks® NyQuil All-Nite Cold/Flu 7
Vitamin D Vitamin D 11
1-866-575-3744 (TTY: 7-1-1)
You can place your order Monday to Friday, 7 a.m. to 8 p.m. Central Time
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Category Product Item # Brand/Description Cost
Allergy, Cold, Flu Decongestant and Sinus
All-Nite Cold/Flu 1361 Compare to Vicks® NyQuil® Cough, 6 oz per bottle; A registered trademark of Procter & Gamble
$7
Cough Drops, Cherry
1056 Compare to Hall’s Cough Drops, 30 ct per bottle; A registered trademark of Mondelēz International, Inc.
$6
Guaifenesin Cough Expectorant
1180 Compare to Robitussin®, 60 ct per bottle; A registered trademark of Pfizer-Wyeth Consumer Healthcare
$9
Nasal Spray, Saline 1052 Compare to Ocean® Premium Saline Nasal Spray, 1.5 oz spray; A registered trademark of Fleming Pharmaceuticals
$5
Sore Throat Lozenges
1360 Compare to Cepacol®, 16 ct per box; A registered trademark of Rickett Benckiser
$7
Anti-diarrheal, Laxatives, and Digestive Health
Docusate Sodium 1126 Compare to Colace®, 100 mg capsules, 100 ct per bottle; A registered trademark of Purdue Products
$6
Lactase Capsules 1067 Compare to Lactaid®, 9000 ICC, 60 tablets;A registered trademark of McNeil Nutritionals, LLC
$10
Methylcellulose Fiber Therapy
1354 Compare to Citrucel®, 16 oz per bottle;A registered trademark of GlaxoSmithKline
$12
Natural Vegetable Laxative
1340 Compare to Metamucil®, 13 oz powder per bottle; A registered trademark of Procter & Gamble
$10
Anti-fungal and Anti-itch
Diphenhydramine HCL / Zinc Acetate
1140 Compare to Benadryl® Anti-Itch, 1 oz per tube; A registered trademark of Pfizer Consumer Healthcare
$5
Cold Sore and Medicated Lip Products
Abreva 1152 Compare to Abreva®, 10%, 2 gm per tube;A registered trademark of GlaxoSmithKline
$26
Herpecin-L Lip Balm
1153 Compare to Herpecin-L® Lip Balm, 0.1 oz per stick; A registered trademark of Chattem, Inc.
$8
Releev Cold Sore Treatment
1359 Releev® Cold Sore Treatment, Strength0.13%, Quantity 6 ml; A registered trademarkof Merix Pharmaceutical Corporation
$25
Dental and Denture Care
Denture Cleaning Tablets
1032 Compare to Efferdent® Anti-Bacterial Denture Cleanser, 40 ct per box; A registered trademark of Medtech Products
$7
Fixodent 1187 Compare to Fixodent, 0.75 oz per tube; A registered trademark of Procter & Gamble
$7
Interdental Flossups
1751 Compare to Oral-B®, Complete Floss Picks, 90 ct; A registered trademark of Procter & Gamble
$8
MEDICATIONS AND PRODUCTSBefore ordering any of the items below, you should talk with your doctor.
Brand Catalog Item Page
Reach Dental Floss
Reach Waxed Dental Floss - Mint
8
Releev Cold Sore Treatment 7
Renu Multi-PurposeContact Lens Solution
8
Reveal EZ Detect Colon Cancer Test Kit
10
Rid Lice Treatment Shampoo
10
Robitussin Guaifenesin Cough Expectorant
7
Salonpas Pain Relief Patches 10
Tek-Pro Toothbrush, Tek Pro, Straight Soft
8
Tucks Pre-Moist Hemorrhoidal Pads
10
Vicks® NyQuil All-Nite Cold/Flu 7
Vitamin D Vitamin D 11
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Category Product Item # Brand/Description Cost
Dental and Denture Care(continued)
Orajel Pain Relief 1454 Compare to Orajel®, 7 gm tube;A registered trademark of Church & Dwight Co., Inc.
$11
Oral Pain Relief 1286 Compare to Anbesol®, .5 oz; A registered trademark of American Home Products Corporation
$6
Reach Waxed Dental Floss - Mint
1455 Compare to Reach® Dental Floss 55 Yards,Quantity 1; A registered trademark ofJohnson & Johnson Consumer Products Co.
$5
Toothpaste - Pepsodent
1414 Compare to Pepsodent® Toothpaste, 6 oz per tube; A registered trademark of Church & Dwight Co., Inc.
$6
Toothbrush, Rechargeable
1450 Compare to Oral B® Vitality 1 ct;A registered trademark of Procter & Gamble
$40
Toothbrush, Tek Pro, Straight Soft
1412 Compare to Tek-Pro Toothbrush 1 ct; A registered trademark of Dr. Fresh
$4
Toothbrush, Colgate, Adult Soft
1413 Compare to Colgate® Toothbrush 1 ct; A registered trademark of Procter & Gamble
$5
Diabetes Diabetic Socks, White, Medium
1489 Compare to Dr. Scholls®, White, Size Medium, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.
$8
Diabetic Socks, White, Large
1490 Compare to Dr. Scholls®, White, Size Large, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.
$8
Diabetic Socks, Black, Medium
1491 Compare to Dr. Scholls®, Black, Size Medium, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.
$8
Diabetic Socks, Black, Large
1492 Compare to Dr. Scholls®, Black, Size Large, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.
$8
Ear Care Cotton Tipped Swabs
1742 Compare to Q-Tips® Cotton Swabs, 300 ct; A registered trademark of Unilever
$7
Eye Care Multi-Purpose Contact Lens Solution
1468 Compare to Renu® Multi-Purpose Solution, 4 oz per bottle; A registered trademark of Bausch & Lomb
$6
First Aid and Medical Supplies
Adhesive Bandages*
1344 Compare to Band-Aid® Sheer, 60 ct per box; A registered trademark of Johnson & Johnson Consumer Products
$7
Alcohol Pads* 1200 Compare to Curad® Alcohol Swabs, 100 ct per box; A registered trademark of Medline Inc.
$6
Ankle Support 1225 Compare to Ace Elastic Ankle Support, 1 ct per pack; A registered trademark of 3M Consumer Healthcare
$8
MEDICATIONS AND PRODUCTS
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1-866-575-3744 (TTY: 7-1-1)
You can place your order Monday to Friday, 7 a.m. to 8 p.m. Central Time
Category Product Item # Brand/Description Cost
First Aid and Medical Supplies(continued)
Bath Bench with Back
1728 Compare to Essential® Shower Bench with back; A registered trademark of Essential Medical Supply
$65
Bath Bench without Back
1727 Compare to Essential® Shower Bench;A registered trademark of Essential Medical Supply
$55
Bath Tub Safety Rail 1730 Compare to Carex® Bathrub Rail with chrome finish; A registered trademark of Carex Health Brands
$37
Cushion, Gel / Foam Seat
1466 Compare to Drive Medical®; A registered trademark of Drive Medical Design and Manufacturing
$42
Elastic Bandage - 2 in x 5 in*
1207 Compare to Ace® Elastic Bandage, 1 ct per pack; A registered trademark of 3M Consumer Healthcare
$4
Elastic Bandage - 3 in x 5 in*
1209 Compare to Ace® Elastic Bandage, 1 ct per pack; A registered trademark of 3M Consumer Healthcare
$4
Elastic Bandage - 4 in x 5 in*
1211 Compare to Ace® Elastic Bandage, 1 ct per pack; A registered trademark of 3M Consumer Healthcare
$5
Elastic Bandage - 6 in x 5 in*
1213 Compare to Ace® Elastic Bandage, 1 ct per pack; A registered trademark of 3M Consumer Healthcare
$5
First Aid Kit, 48 Pieces
1215 Compare to Curad, 1 ct; A registered trademark of Medline Industries
$10
First Aid Kit, 175 Pieces
1738 Compare to Curad® First Aid Kit, 175 pieces;A registered trademark of Medline Industries.
$19
Hot / Cold Pack, 1 small and 1 large
1062 Compare to Nexcare®, 1 ct per pack; A registered trademark of 3M Consumer Healthcare
$7
Hydrogen Peroxide 1228 Compare to Hydrogen Peroxide, 8 oz / 236 ml $5
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Category Product Item # Brand/Description Cost
First Aid and Medical Supplies(continued)
Raised Toilet Seat 1729 Compare to Quick-Lock® Raised Toilet Seat;A registered trademark of Carex Health Brands
$35
Thermometer, Digital
1063 Compare to BD® Digital Thermometer, 1 ct per pack; A registered trademark of Becton Dickinson and Company
$5
Thermometer, Digital Ear
1285 Compare to Braun® ThermoScan Compact Ear Thermometer, 1 per pack; A registered trademark of Procter & Gamble
$24
Thermometer, Flexible Tip, Digital 10-seconds
1697 Compare to ProCheck®;A registered trademark of Microlife Corporation
$12
Foot Care Callus Remover Pads
1238 Compare to Dr. Scholls® 6 ct; A registered trademark of Schering-Plough Healthcare Products, Inc.
$7
Corn Remover Pads 1236 Compare to Dr. Scholls® 9 ct; A registered trademark of Schering-Plough Healthcare Products, Inc.
$7
Hemorrhoidal Preparations
Pre-Moist Hemorrhoid Pads
1364 Compare to Tucks®, 100 ct per box; A registered trademark of Johnson & Johnson Consumer
$8
In-Home Diagnostics
Desktop Blood Pressure Monitor Replacement Cuff ‡
1504 Compare to Omron®;A registered trademark of Omron Healthcare, Inc.
$19
EZ Detect Colon Cancer Test Kit ‡
1416 Compare to Reveal Colon Disease Test®;A registered trademark of American Screening Corp.
$13
Home Access Cholesterol Test ‡
1251 Compare to CholesTrak®, 1 piece;A registered trademark of AccuTech, LLC
$35
Wrist Blood Pressure Monitor ‡
1501 Compare to Omron®;A registered trademark of Omron Healthcare, Inc.
$40
Motion Sickness Dramamine Chewables, Orange
1264 Compare to Dramamine®, 8 ct per pack; A registered trademark of Medtech Products
$7
Pain Relievers and Fever Reducers
Pain Relief Patches 1739 Compare to Salonpas® Pain Relief Patch, 5 per box; A registered trademark of Hisamitsu America, Inc.
$14
Pain Relieving Muscle Rub
1475 Compare to Bengay, 2 oz bottle;A registered trademark of Johnson &Johnson Consumer Companies, Inc.
$6
Pediculicide (lice treatment)
Lice Treatment Shampoo
1271 Compare to Rid®, 4 oz per bottle; A registered trademark of Pfizer Consumer Healthcare
$9
Permethrin Lice Treatment
1269 Compare to Nix®, 1%, 59 ml per bottle; A registered trademark of Insight Pharmaceuticals Corporation
$14
Personal Care Aloe Vera Cream 1070 Compare to Fruit of the Earth®, 8 oz per tube; A registered trademark of Fruit of the Earth, Inc.
$6
MEDICATIONS AND PRODUCTS
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Category Product Item # Brand/Description Cost
Personal Care(continued)
Hand Sanitizer 1065 Compare to Purell®, 8 oz per bottle; A registered trademark of GOJO Ind.
$6
Sunscreen Lotion SPF 30
1284 Compare to Coppertone®, 3.5 oz per bottle; A registered trademark of Bayer AG
$6
Sleep Aids Nasal Strips, Small / Medium
1724 Compare to Breathe Right®, 30 ct per box; A registered trademark of Glaxo Smith Kline
$12
Nasal Strips, Medium / Large
1725 Compare to Breathe Right®, 30 ct per box; A registered trademark of Glaxo Smith Kline
$12
Vitamins and Minerals
Fiber Tablets ‡ 1155 Compare to Fibercon®, 500 mg tablets, 60 ct per bottle; A registered trademark of Pfizer-Wyeth Consumer Healthcare
$10
Fish Oil Tablets 1741 Compare to Nature’s Bounty®, 1000 mg tablets, 60 per bottle; A registered trademark of Nature’s Bounty, Inc.
$12
Glucosamine / Chondroitin ‡
1003 Compare to 21st Century Glucosamine & Chondroitin Original Formula, 250-200 mg capsules, 60 per bottle; A registered trademark of 21st Century HealthCare, Inc.
$11
Glucosamine Joint / Muscle ‡
1114 Compare to 21st Century; 60 ct per bottle; A registered trademark of 21st Century Healthcare, Inc.
$10
Vitamin D ‡ 1383 Compare to Vitamin D 400 iu 100, 100 ct per bottle $5
Wart Remover Wart Remover (Liquid)
1075 Compare to Compound W® Wart Remover, 9 ml; A registered trademark of Medtech Products, Inc.
$9
1-866-575-3744 (TTY: 7-1-1)
You can place your order Monday to Friday, 7 a.m. to 8 p.m. Central Time
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Notice of Nondiscrimination: Discrimination is Against the LawCigna-HealthSpring complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Cigna-HealthSpring does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.Cigna-HealthSpring:
� Provides free aids and services to people with disabilities to communicate effectively with us, such as:
§ Qualified sign language interpreters § Written information in other formats (large print, audio, accessible electronic formats, other formats)
� Provides free language services to people whose primary language is not English, such as:
§ Qualified interpreters § Information written in other languages
If you need these services, contact Member Services.If you believe that Cigna-HealthSpring has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Cigna-HealthSpring Attention: Appeals, Complaints, and Grievances Department P.O. Box 211088 Bedford, Texas 76095
1-877-653-0327 (TTY: 7-1-1) 7 days a week 8 a.m. to 8 p.m. Central Time Fax: 1-877-809-0783
You can file a grievance in writing by mail or fax. If you need help filing a grievance, Member Services is available to help you.You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH BuildingWashington, D.C. 202011-800-368-1019, 800-537-7697 (TDD)Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
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