Over-the-Counter (OTC)

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glota orca e f .is c ersth ren rdep efe e oKe to r turfuOver-the-Counter (OTC)Medications and Products2020 Benefit Catalog and Order FormGet OTC items delivered to your doorstep at no additional cost!NationsOTC.comOTC Catalog 05112020

Save Money with Your OTC BenefitYou have an over-the-counter benefit of a certain amount that can save you money and help you staywell. This benefit allows you to purchase medications, health- and wellness-related items, first-aidsupplies and other qualifying items, and have them shipped directly to your home.How to Place an OrderOrdering the items you need is simple. Choose what you need by taking these steps.1DETERMINE ORDERING METHODSelect which option is best for you:PHONECall 833-746-7682 (TTY: 711)to speak with a MemberExperience Advisor Mondaythrough Friday, 8:00 a.m.to 8:00 p.m. ET. Languagesupport services are availableif needed.23MAIL ORDERComplete and send in theenclosed mail order formincluded in this catalog. If theend of your benefit periodis approaching and you’renot sure your order form willbe received prior to the lastbusiness day of the month,please call or order online.ONLINEVisit NationsOTC.com to placean order by selecting productsand completing the checkoutprocess.SELECT PRODUCTSChoose from the list of covered products by available category.PLACE ORDERProducts will be shipped and delivered to your home.If you have any questions or need help placing your order, we’re here for you. MemberExperience Advisors are available at 833-746-7682 (TTY: 711). We want to ensure you get theitems you need.2

Commonly Asked QuestionsQ: Can I return a product?A: Due to the personal nature of the products, returns are not accepted. If an item isdamaged during shipping, it will be exchanged or replaced for an identical item, at nocost, within 30 days of purchase.Q: When can I expect to receive my products?A: You can expect to receive your items within 2 to 5 business days after an order is placed,unless a change must be made to the order or for any reason.Q: How can I track my shipment?A: Members receive an order number along with a tracking ID when placing an orderthrough NationsOTC.com or over the phone. This information can be viewed underMy Account My Orders. The tracking ID is populated within 24-48 hours after theorder is processed and can be used to track shipments and view all tracking history.Q: What if I order more than my allotted allowance?A: If an order exceeds the benefit amount, you must include a credit card number orenclose a check along with your order form. Cash is not accepted. If you do not includea payment method when your total balance due is more than your available benefitallowance, some items may be removed from your order. If that is the case, our teamwill contact you to discuss the changes to your order.Q: Who do I contact with questions?A: If you have questions about your OTC order, please call NationsOTC at 833-746-7682(TTY: 711). Member Experience Advisors are available Monday through Friday, 8:00a.m. to 8:00 p.m. ET. For all other questions, please contact your health plan memberservice team for support.3

Product CategoriesThe items listed in this catalog are shown by category, making it easier for you to locate whatyou’re looking for. Available categories include:*‡§SeeAnticandidal (Yeast)Page 5Bathroom Safety & Fall PreventionPage 5Cold, Flu & AllergyPage 5Dental & Denture CarePage 7Diabetes CarePage 7Digestive HealthPage 8Eye & Ear CarePage 9Feminine CarePage 9First Aid & Medical SuppliesPage 10Foot CarePage 11Hemorrhoidal PreparationsPage 11Home Diagnostic & Patient AidsPage 11Incontinence SuppliesPage 12Pain ReliefPage 13Pediculicide (Lice Treatment)Page 14Skin CarePage 14Sleep AidsPage 14Smoking CessationPage 14Supports & BracesPage 15Vitamins & Dietary SupplementsPage 16Page 184

ITEM #DESCRIPTIONQTYPRICEANTICANDIDAL (YEAST)501652835850Miconazole Vaginal Cream 3-Day, 0.32 oz.Monistat Vaginal Cream 3-DayTioconazole (Vaginal Antifungal 1-Day Cream with Applicator), 6.5%1 ct.1 ct.1 ct. 13 24 171 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 6 16 33 25 13 17 18 34 19 35 10 29 58 47 381 ct.24 ct.1 ct.32 ct.1 ct.1 ct.30 ct.24 ct.10 ct.1 ct.20 ct.16 ct.30 ct.30 ct.30 ct.25 ct.1 ct.20 ct.1 ct.16 ct.1 ct.100 ct. 24 3 13 8 4 5 6 3 18 3 12 4 2 3 2 3 13 6 5 12 12 3BATHROOM SAFETY & FALL 58535533553652305032Anti-Slip Safety Tread TapeBath Mat, Non-SkidBath Safety Bench with BackBath Safety Bench without BackHandheld Shower HeadKnurled Chrome Grab Bar, 12"Knurled Chrome Grab Bar, 24"Knurled Chrome Grab Bar, 32"Raised Toilet SeatRaised Toilet Seat with ArmsShower Mat, Non-SkidToilet Safety RailsTransfer Bench, AdjustableTub Safety BarTub Safety Bar, SuctionCOLD, FLU & �SeeAbreva Cream, 2 gm.Acetaminophen Sinus Congestion CapletsAfrin Nasal Spray, 0.5 oz.Airborne Chew ‡Blistex OintmentCarmex Cetirizine Tablets, 10 mg.Chlorpheniramine Maleate Antihistamine (Allergy Tablets), 4 mg.Claritin Tablets, 10 mg.Cold & Allergy Liquid, 4 oz.Coricidin Cough & Cold for High Blood PressureCough Drops, CherryCough Drops, Honey LemonCough Drops, MentholCough Drops, Sugar-Free, CherryCromolyn Sodium Allergy Nasal Spray, 1.5 oz.Day & Night Cold & Flu CapletsDay Cold & Flu Liquid, 4 oz.Day Cold & Flu SoftgelsDayQuil Liquid, 8 oz.Diphenhydramine Antihistamine Allergy Tablets, 25 mg.Page 185

ITEM 015500855115426*‡§SeeDESCRIPTIONDiphenhydramine Antihistamine Allergy Tablets, 25 mg.Fexofenadine Allergy Tablets, 180 mg.Fluticasone Propionate (Allergy Nasal Spray, 24-hour),120 sprays, 50 mcg.Green Tea Flu & Cold Honey LemonGuaifenesin Cough Expectorant, 400 mg.Halls Cough DropsHumidifier, Ultra-SonicHumidifier, Ultra-Sonic, Crane Loratadine Allergy Tablets, 10 mg.Loratadine Allergy Tablets, 10 mg.Medicated Lip BalmMucinex Day/Night CapletsMucinex DM TabletsMucinex TabletsMucus Relief DM Expectorant & Cough Suppressant,Extended Release, 1,200 mg., 60 mg.Mucus Relief DM TabletsMucus Relief TabletsNasacort Allergy Relief 24-Hour, 10.8 ml.Nasal Decongestant Inhaler, Levmetamfetamine, 0.007 oz.Nasal Decongestion PE TabletsNasal Decongestion Spray, 1 oz.Nasal Rinse Kit, SalineNasoflow, Allergy Relief, 60 usesNeti PotNight Cold & Flu Liquid, 8 oz.Night Cold & Flu SoftgelsNyQuil Liquid, 8 oz.NyQuil Severe Caplet, Travel PacketNyQuil Softgels LiquiCaps Personal Steam InhalerRobitussin DM Syrup, 4 oz.Saline Nasal Spray, 1.5 oz.Snoring Nose StripsSore Throat Lozenges, CherrySore Throat Spray, Cherry, 6 oz.Thera-Flu Multi-Symptom, LemonTussin DM Sugar-Free Syrup, 4 oz.Tussin Syrup, 4 oz.Tylenol Sinus Congestion CapletVapor Rub, 3.5 oz.Zyrtec , 10 mg.Page 18QTY24 ct.30 ct.PRICE 3 111 ct. 216 ct.100 ct.30 ct.1 ct.1 ct.30 ct.100 ct.1 ct.30 ct.20 ct.20 ct. 8 9 5 42 58 4 8 2 27 16 1514 ct. 1030 ct.30 ct.1 ct.1 ct.36 ct.1 ct.1 kit1 ct.1 ct.1 ct.16 ct.1 ct.1 ct.16 ct.1 ct.1 ct.1 ct.10 ct.18 ct.1 ct.6 ct.1 ct.1 ct.24 ct.1 ct.14 ct. 4 4 22 8 4 4 18 14 15 6 5 12 3 12 53 11 3 9 5 8 14 4 3 14 3 226

ITEM #DESCRIPTIONQTYPRICE1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.40 ct.36 ct.20 ct.1 ct.1 ct.90 ct.1 ct.1 ct.84 ct.1 ct.1 ct.1 ct.1 ct.1 ct.2 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.5 ct. 14 3 4 3 4 2 4 9 3 4 8 3 3 7 12 2 2 3 2 28 17 7 3 3 10 3 3 3 2 4 41 17100 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.50 ct. 3 12 6 5 5 6 6 4 6DENTAL & DENTURE 58115102585954215530529456545703Biotene Dry Mouth Oral Rinse, 16 oz.Dental Floss, Mint WaxedDental Floss, Reach , Mint WaxedDental Travel KitDenture Adhesive Cream, 2.4 oz.Denture BrushDenture Cleaning TabletsEfferdent Plus Mint TabletsEfferdent TabletsFixodent Cream, 0.75 oz.Fixodent Cream, 2.4 oz.Interdental FlossupsOral Pain Relief Gel, 0.33 oz.Polident Denture Cream, 3.9 oz.Polident OvernightToothbrush, Adult PatientToothbrush, Colgate Toothbrush, Colgate , Adult MediumToothbrush, Colgate , Adult SoftToothbrush, RechargeableToothbrush, Rechargeable Replacement HeadsToothbrush, Soft 2-packToothpaste SqueezerToothpaste, Colgate , 4 oz.Toothpaste, Crest Sensi-Relief, 4.1 oz.Toothpaste, Fluoride, 6.4 oz.Toothpaste, Pepsodent , 5.5 oz.Toothpaste, Sensitive Teeth, 4.3 oz.Toothpaste, Travel Size, 0.85 oz.Toothpaste, UltraBright , 6 oz.Water Jet, Battery OperatedWater Jet Replacement TipsDIABETES lcohol Pads *Diabetic Skin Relief Foot Cream, 3.4 oz.Diabetic Socks, Black, Medium 3-packDiabetic Socks, Black, Large 3-packDiabetic Socks, Black, X-Large 3-packDiabetic Socks, White, Medium 3-packDiabetic Socks, White, Large 3-packDiabetic Socks, White, X-Large 3-packGlucose TabletsPage 187

ITEM #5528DESCRIPTIONSharps ContainerQTY1 ct.PRICE 3DIGESTIVE 58635864521752895286*‡§SeeAlka-Seltzer TabletsAntacid ChewablesAntacid Extra Strength ChewablesAnti-Nausea Liquid, 4 oz.Bisacodyl Suppository, 10 mg.Bisacodyl Tablets, 5 mg.Bisacodyl Tablets, 5 mg.ClearLax Unflavored Powder, 13 oz.Colace CapletsDocusate Sodium Stool Softener Softgels, 100 mg.Dramamine TabletsDulcolax Suppository, 10 mg.Dulcolax Tablets, 5 mg.Effervescent TabletsEnema, Mineral Oil, 4.5 oz.Enema, Saline Laxative, 4.5 oz.Esomeprazole Magnesium Acid Reducer, Delayed Release, 20 mg. *Famotidine Acid Reducer, 10 mg. *Fibertab Caplets, 625 mg.Fleet Saline EnemaGas Relief Chewable TabletsGas Relief ES TabletsGas-X ES ChewablesGlycerin SuppositoryLactaid TabletsLactase Enzyme CapletsLoperamide Anti-Diarrheal Caplets, 2 mg. *Magnesium Citrate, Saline Laxative, Lemon, 10 oz.Meclizine Motion Sickness Tablets, 12.5 mg.Metamucil , Orange, 114 doseMetamucil , Sugar-Free Orange, 72 doseMethylcellulose Fiber Therapy, 16 oz.Milk of Magnesia, 12 oz.Natural Vegetable Laxative (Psyllium), 13 oz.Nexium *Omeprazole Acid Reducer Tablets, 20 mg. *Omeprazole Acid Reducer, Delayed Release, 20 mg. *Omeprazole Acid Reducer, Delayed Release, Dissolvable, 20 mg. *Pepcid AC , 10 mg.Pepto-Bismol TabletsPepto-Bismol , 8 oz.Page 1824 ct.150 ct.96 ct.1 ct.12 ct.25 ct.100 ct.1 ct.30 ct.100 ct.12 ct.8 ct.25 ct.36 ct.1 ct.1 ct.42 ct.30 ct.90 ct.1 ct.100 ct.30 ct.18 ct.25 ct.32 ct.60 ct.12 ct.1 ct.12 ct.1 ct.1 ct.1 ct.1 ct.1 ct.14 ct.14 ct.42 ct.42 ct.30 ct.30 ct.1 ct. 8 4 4 5 4 3 5 14 20 4 9 18 12 5 4 2 17 5 8 4 4 4 10 6 15 8 3 6 3 26 26 12 3 9 17 11 18 23 16 7 88

ITEM pto-Bismol , 16 oz.Prilosec OTC , 20 mg.Senna Laxative TabletsStomach Relief Liquid, 8 oz.Stomach Relief TabletsTucks Medicated PadTUMS TUMS Extra StrengthVitafusion Fiber Gummy ‡QTY1 ct.14 ct.60 ct.1 ct.30 ct.100 ct.150 ct.48 ct.90 ct.PRICE 12 16 3 4 5 14 10 8 171 ct.1 ct.300 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 4 4 4 10 8 13 3 3 11 9 13 3 8 3 18 18 18 18 18 18 18 18 18 18 18 18 3 18 13 1230 ct. 17EYE & EAR 552355245048570657075494Artificial Tears Drops, 0.5 oz.Clear Eyes Eye Drops, 0.2 oz.Cotton SwabsDebrox Earwax Drops, 0.5 oz.Ear Dry Drops, 1 oz.Ear Pain Relief Ear Drops, 10 ml.Ear SyringeEar Wax Removal Drops, 0.5 oz.Ear Wax Removal System with Rubber BulbEye Wash Solution, 3.9 oz.Irritation Relief Eye DropsMagnifying GlassMulti-Purpose Contact Lens Solution, 12 oz.Pain Relief MaskReading Glasses, Diopter 1.0Reading Glasses, Diopter 1.25Reading Glasses, Diopter 1.5Reading Glasses, Diopter 1.75Reading Glasses, Diopter 2.0Reading Glasses, Diopter 2.25Reading Glasses, Diopter 2.5Reading Glasses, Diopter 2.75Reading Glasses, Diopter 3.0Reading Glasses, Diopter 3.25Reading Glasses, Diopter 3.5Reading Glasses, Diopter 4.0Redness Relief Eye Drops, 0.5 oz.Stye Eye CompressStye Eye Ointment, 3.5 gm.Visine Redness Relief Drops, 0.5 oz.FEMININE CARE5619*‡§SeeMenopause Relief ‡Page 189

ITEM #DESCRIPTIONQTYPRICEFIRST AID & MEDICAL 50543757125817554156835131*‡§SeeAdhesive First-Aid Tape *Alcohol SwabsAntiseptic Skin Cleanser, 8 oz.Bacitracin Ointment, 0.5 oz.Bacitracin Ointment, 1 oz.Bactine Solution, 5 oz.Bandage, Stretch Gauze *Bandages, Assorted *Band-Aids *Benadryl Cream, 1 oz.Burn Relief Spray, 4 oz.Butterfly ClosuresCalamine Lotion, 6 oz.Caldyphen Clear Lotion Local Analgesic, 1%, 7.65 oz.Cotton Tipped Applicator - 6"Diphenhydramine Anti-Itch Cream, 1.25 oz.Disposable Gloves, SmallDisposable Gloves, MediumDisposable Gloves, LargeFirst Aid Kit, 20 PiecesFirst Aid Kit, 75 PiecesFirst Aid Kit, 175 PiecesFirst Aid Kit, 200 PiecesFlex Seal Spray Bandage, 1.35 oz. *Gauze Pad, SterileGauze RollGauze Sponge, 4" x 4"Hydrocortisone Cream, 1%, 1 oz.Hydrocortisone Maximum Strength, 1 oz.Hydrogen Peroxide, 4 oz.Hydrogen Peroxide Spray, 4 oz.Hydrogen Peroxide, 8 oz.Ice BagLiquid BandageNeosporin Ointment, 0.5 oz.Neosporin Plus, 0.5 oz.Petroleum Jelly, 4 oz.Povidone Iodine Solution Antiseptic, 4 oz.Procedural Face Masks with EarloopsRubbing Alcohol, 16 oz.Sterile Border Gauze, 4" x 4" *Tape, Paper Surgical - 1" x 10 yd *Page 181 ct.3 ct.1 ct.1 ct.1 ct.1 ct.1 ct.100 ct.100 ct.1 ct.1 ct.12 ct.1 ct.1 ct.1000 ct.1 ct.50 ct.50 ct.50 ct.1 ct.1 ct.1 ct.1 ct.1 ct.100 ct.3 ct.25 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.50 ct.1 ct.15 ct.1 ct. 2 3 11 3 4 10 2 3 12 8 6 3 4 9 8 3 5 5 5 3 6 15 20 7 5 2 4 3 3 2 4 3 5 5 8 9 2 6 12 3 31 210

ITEM #5869512752625549DESCRIPTIONTriple Antibiotic Ointment, 1 oz.Vaseline Jelly, 3.75 oz.Vitacilina Antibiotic Ointment, 1 oz.Wound Wash Spray, 2 oz.QTY1 ct.1 ct.1 ct.1 ct.PRICE 3 4 6 41 ct.6 ct.1 ct.1 ct.1 ct.1 ct.1 ct.6 ct.1 ct.1 ct.1 ct. 10 3 5 14 6 5 14 4 9 17 41 ct.100 ct.12 ct.48 ct.1 ct. 5 7 7 11 211 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.100 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 52 15 28 22 32 20 21 3 20 14 2 6 24 16 30 45 3 5 6 25FOOT nion GuardCallus CushionsClotrimazole Athlete's Foot Cream, 1 oz.Compound W Gel, 0.25 oz.Corn & Callus Remover, 0.33 oz.Liquid Wart Remover, 0.31 oz.Lotrimin AF Cream, 1%, 0.42 oz.Medicated Callus RemoversMiconazole Nitrate, 2%Tinactin Cream, 1%, 1 oz.Tolnaftate Antifungal Cream, 1%, 1.25 oz.HEMORRHOIDAL PREPARATIONS54145076535158205057Hemorrhoid Ointment, 2 oz.Hemorrhoid PadHemorrhoid SuppositoryPreparation H Medicated WipesPreparation H Ointment, 2 oz.HOME DIAGNOSTIC & PATIENT y TrackerBlood Pressure Monitor, Manual ‡Blood Pressure Monitor, Semi-Automatic ‡Blood Pressure Monitor, Upper Arm Automatic ‡Blood Pressure Monitor, Upper Arm Talking ‡Blood Pressure Monitor, Wrist ‡Blood Pressure Monitor, Wrist Talking ‡Button & Zipper AidCushion, Foam RingCushion, LumbarDisposable Pill PouchesDoor Knob GripperEZ Detect Colon Cancer Test Kit ‡Heart Rate Monitor Watch ‡Home Access Cholesterol Test Kit ‡HIV Test ‡Jar Opener/Faucet GripperKey TurnerKitchen Scale, Dial ‡Kitchen Scale, Digital ‡Page 1811

ITEM 2562756425637DESCRIPTIONLamp Switch TurnerLetter OpenerLong Handle Bath SpongeMedical Appointment CalendarMedicine Bottle Opener with MagnifierMedicine DropperMedicine SpoonNight LightOmron PedometerPill Bottle Opener AidPill Box, 7 Day, 1 Time a DayPill Box, 7 Day, 3 Times a DayPill Box, 7 Day, 4 Times a DayPill Box, 7 Day, AM & PMPill CrusherPill Crusher with StoragePill Cutter with Safety ShieldPill SplitterPulse Oximeter ‡Reaching Aid DeviceShoe HornThermometer Probe CoverThermometer, 60 SecondThermometer, Fever StripThermometer, Flex TipThermometer, Talking Ear and ForeheadTravel Health FolderTub & Stair Safety Tread TapeQTY1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.30 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.PRICE 5 5 7 3 10 3 4 3 31 3 4 3 3 9 3 11 10 3 20 13 2 3 3 3 7 33 6 51 ct.12 ct.20 ct.20 ct.20 ct.48 ct.20 ct.20 ct.20 ct.20 ct.20 ct.20 ct.28 ct.1 ct. 2 7 11 13 16 4 14 8 21 14 6 7 5 9INCONTINENCE 79588058815717*‡§SeeA&D Ointment, 4 oz.Adult Bladder Control PadAdult Protective Brief, Medium *Adult Protective Brief, Large *Adult Protective Brief, X-Large *Adult Washcloths Disposable *Attends Discreet Men’s Guard *Attends Discreet Men's Shield *Attends Discreet Women’s Ultimate Bladder Control Pad *Attends Discreet Women’s Ultrathin Pad *Attends Discreet Women's Moderate Bladder Control Pad *Attends Discreet Women's Maximum Bladder Control Pad *Attends Discreet Women's Panty Liner *Barrier Cream, 4 oz.Page 1812

ITEM 440544154395442572157225413DESCRIPTIONBladder Control Shaped Pad, Moderate Absorbency *Bladder Control Shaped Pad, Maximum Absorbency *Bladder Control Shaped Pad, Ultimate Absorbency *Disposable Bed Underpads *Disposable Underwear Pull-Up, Medium - 34” to 44” *Disposable Underwear Pull-Up, Large - 44” to 58” *Disposable Underwear Pull-Up, X-Large - 58” to 68” *Flushable Wipes *Ladies Washable Panty, Small *Ladies Washable Panty, Medium *Ladies Washable Panty, Large *Ladies Washable Panty, X-Large *Men's Washable Underwear, Small *Men's Washable Underwear, Medium *Men's Washable Underwear, Large *Men's Washable Underwear, X-Large *Underpad, Disposable - 23” x 36” *Underpad, Disposable - 30” x 30” *Zinc Oxide Ointment, 1 oz.QTY28 ct.28 ct.28 ct.5 ct.20 ct.18 ct.14 ct.24 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.15 ct.10 ct.1 ct.PRICE 12 12 12 5 10 10 10 4 18 18 18 18 18 18 17 18 12 11 324 ct.100 ct.100 ct.50 ct.100 ct.20 ct.50 ct.1 ct.24 ct.100 ct.1 ct.36 ct.100 ct.100 ct.120 ct.100 ct.32 ct.1 ct.1 ct.125 ct.1 ct.24 ct.1 ct. 3 11 3 3 3 8 12 6 8 10 13 2 3 4 3 13 5 9 3 20 24 8 9PAIN ��§SeeAcetaminophen Arthritis, 650 mg.Acetaminophen Arthritis, 650 mg.Acetaminophen Extra Strength Tablets, 500 mg.Acetaminophen PM Extra Strength Caplets, 500 mg., 25 mg.Acetaminophen Tablets, 325 mg.Advil LiquiGels, 200 mg.Advil Tablets, 200 mg.After Bite Relief, 0.5 oz.Aleve Caplets, 220 mg.Aleve Caplets, 220 mg.Aspercreme , 4%, 1.25 oz.Aspirin Chewables, Low Dose, 81 mg.Aspirin Tablets, 325 mg.Aspirin, Enteric Coated Tablets, 325 mg.Aspirin, Enteric Coated Tablets, Low Dose, 81 mg.Bayer Aspirin, 325 mg.Bayer Enteric Coated Aspirin, Low Dose, 81 mg.Bengay Cream, 2 oz.Capsaicin Cream, 0.025%, 2 oz.Ecotrin Tablets, 325 mg.Excedrin Extra Strength, Travel Packet BoxExcedrin Migraine TabletsFast Freeze Pain Relief Spray, 4 oz.Page 1813

ITEM 7DESCRIPTIONAcetaminophen Extra Strength Tablets, 500 mg.Heating Pad, 12" x 15" *Heating Pad, X-Large, 12” x 24” *Heating Pad Wrap For Shoulder, Neck, and Back, 25” x 26” *HeatWraps - Back & HipHeatWraps - Neck, Shoulder, & WristHot & Cold PatchIbuprofen Liquidgels, 200 mg.Ibuprofen Tablets, 200 mg.Ibuprofen Tablets, 200 mg.Icy Hot Pain Relief Roll-onIcy Hot PatchLidocaine Patch, 4%Menthol Gel, 8 oz.Muscle Rub Cream, 1.25 oz.Naproxen Sodium Caplets, 220 mg.Naproxen Sodium Caplets, 220 mg.Salonpas PatchTens Unit, AnalogTens Unit, DigitalTiger Balm Tylenol Extra Strength Tablets, 500 mg.Tylenol PM Extra Strength Tablets, 500 mg.Tylenol Regular Strength Tablets, 325 mg.Wellpatch MigraineQTY50 ct.1 ct.1 ct.1 ct.2 ct.3 ct.5 ct.20 ct.50 ct.100 ct.1 ct.5 ct.5 ct.1 ct.1 ct.50 ct.100 ct.5 ct.1 ct.1 ct.1 ct.100 ct.24 ct.100 ct.4 ct.PRICE 3 18 35 55 6 6 4 5 3 4 9 8 7 9 3 6 7 12 44 49 9 19 11 14 7PEDICULICIDE (LICE TREATMENT)5411582750245035Lice CombLice Elimination KitLice Treatment Shampoo, 4 oz.LiceMD Lice Shampoo, 4 oz.1 ct.1 kit1 ct.1 ct. 2 27 3 181 ct.1 ct.1 ct.1 ct.20 ct. 5 8 7 5 1050 ct.30 ct.30 ct.16 ct. 5 10 10 1020 ct. 9SKIN CARE53975486547956655751Acne Gel Benzoyl Peroxide, 10%, 1.5 oz.Cutter Backwoods, 6 oz.Insect Repellent, 4 oz.Sunscreen, SPF 30, 4 oz.Wart Removal SystemSLEEP AIDS5074589158925340Diphenhydramine Sleep TabletsNasal Strips, MediumNasal Strips, LargeUnisom TabletsSMOKING CESSATION5050*‡§SeeNicotine Gum, 2 mg. ‡Page 1814

ITEM #504952855689568656875688DESCRIPTIONNicotine Gum, 4 mg. ‡Nicotine Gum, 4 mg. ‡Nicotine Lozenge, 4 mg. ‡Nicotine Patches, Step 1, 21 mg. / 24 hr ‡Nicotine Patches, Step 2, 14 mg. / 24 hr ‡Nicotine Patches, Step 3, 7 mg. / 24 hr ‡QTY20 ct.50 ct.72 ct.14 ct.14 ct.14 ct.PRICE 9 25 39 40 40 401 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 2 7 7 7 7 10 19 30 30 14 25 10 25 30 30 31 331 pair 81 pair 81 pair 81 pair 81 pair 151 pair 91 pair 91 pair 161 pair 81 pair 81 ct. 21SUPPORTS & 526156045407540854095470Ankle SupportAnti-Embolism Stockings, SmallAnti-Embolism Stockings, MediumAnti-Embolism Stockings, LargeAnti-Embolism Stockings, X-LargeArm SlingArthritis Gloves, SmallArthritis Gloves, MediumArthritis Gloves, LargeBack Support Elastic - 24" to 46"Back Support Elastic with LumbarBack Support with SuspendersBack Support, UniversalCarpal Tunnel Gloves, SmallCarpal Tunnel Gloves, MediumCarpal Tunnel Gloves, LargeCarpal Tunnel Night BraceCompression Knee-High Socks, 15-20 mmHg, Men's Black,5895Medium (Shoe Size 6-8) ‡Compression Knee-High Socks, 15-20 mmHg, Men's Black,5896Large (Shoe Size 7.5-11) ‡Compression Knee-High Socks, 15-20 mmHg, Men's White,5897Medium (Shoe Size 6-8) ‡Compression Knee-High Socks, 15-20 mmHg, Men's White,5898Large (Shoe Size 7.5-11) ‡Compression Knee-High Socks, 8-15 mmHg, Women's Beige,5729Small (Shoe Size 4-5) ‡Compression Knee-High Socks, 8-15 mmHg, Women's Beige,5899Medium (Shoe Size 5.5-7.5) ‡Compression Knee-High Socks, 8-15 mmHg, Women's Beige,5900Large (Shoe Size 8-10.5) ‡Compression Knee-High Socks, 8-15 mmHg, Women's Black,5728Small (Shoe Size 4-5) ‡Compression Knee-High Socks, 8-15 mmHg, Women's Black,5901Medium (Shoe Size 5.5-7.5) ‡Compression Knee-High Socks, 8-15 mmHg, Women's Black,5902Large (Shoe Size 8-10.5) ‡5903Deluxe Criss Cross Back Support, Small - 28" to 32"*‡§See Page 1815

ITEM luxe Criss Cross Back Support, Medium - 33" to 37"Deluxe Criss Cross Back Support, Large - 38" to 42"Elastic Bandage, 3" x 5 yd *Elastic Bandage, 4" x 5 yd *Elbow SupportHeel & Elbow Protector, SmallHeel & Elbow Protector, MediumHeel & Elbow Protector, LargeHeel & Elbow Protector, X-LargeHip Protector, SmallHip Protector, MediumHip Protector, LargeHip Protector, X-LargeHot Cold Reusable Pack, 4" x 6"Knee StabilizerKnee Support, Elastic, SmallKnee Support, Elastic, Small with StaysKnee Support, Elastic, MediumKnee Support, Elastic, Medium with StaysKnee Support, Elastic, LargeKnee Support, Elastic, Large with StaysKnee Support, MediumProtective Arm Sleeve, SmallProtective Arm Sleeve, MediumProtective Arm Sleeve, LargeProtective Arm Sleeve, X-LargeRib Belt, Female, One Size Fits MostRib Belt, Male, One Size Fits MostSupport, Knee with U-Buttress, MediumSupport, Knee with U-Buttress, LargeSupport, Knee with U-Buttress, X-LargeThumb BraceWarm & Cold Water BottleWrist SupportQTY1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 pair1 pair1 pair1 pair1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.PRICE 21 21 2 2 3 14 14 14 14 37 37 37 37 2 21 10 15 7 11 7 11 3 18 22 22 28 21 21 31 31 38 8 5 360 ct.60 ct.60 ct.60 ct.60 ct.125 ct.130 ct.100 ct. 6 8 4 10 6 19 17 6VITAMINS & DIETARY eeAcidophilus Lactobacilli ‡Biotin Gummy, 5,000 mcg. ‡Calcium D3 Tablets, 600 mg. ‡Calcium Chew, Chocolate, 650 mg. ‡Calcium, 600 mg. ‡Centrum Silver Vitamins ‡Centrum Vitamins ‡Cod Liver Softgels ‡Page 1816

ITEM e Q-10, 100 mg. ‡Daily Multivitamin ‡Daily Multivitamin Gummy ‡DHEA Hormonal Supplement, 50 mg. ‡Eye Supplement Tablets ‡Ferrous Gluconate Iron Supplement, 240 mg. ‡Ferrous Sulfate Iron Supplement, 325 mg. ‡Fish Oil, Softgels, 1,000 mg. ‡Fish Oil, Softgels, 1,000 mg. ‡Flaxseed ‡Folic Acid, 400 mcg. ‡Folic Acid, 400 mcg. ‡Folic Acid, 800 mcg. ‡Glucosamine Chondroitin, 1,500 mg. ‡Glucosamine Chondroitin, 1,500 mg. ‡Iron, 27 mg. ‡Lutein, 20 mg. ‡Magnesium, 250 mg. ‡Magnesium, 500 mg. ‡Melatonin Gummy, 5 mg. ‡Melatonin, 3 mg. ‡Melatonin, 3 mg. ‡Multivitamin Gummy ‡Niacin, 100 mg. ‡Niacin, 500 mg. ‡Niacin Flush Free, 500 mg. ‡Omega DHA Gummy ‡One Daily Men’s Multivitamin ‡One Daily Women’s Multivitamin ‡Oyster Shell Calcium, 500 mg. ‡Potassium Gluconate, 595 mg. ‡Rena-Vite ‡Selenium, 200 mcg. ‡Senior Multivitamin ‡Stress Formula Tablets with Zinc ‡Vita-Bee with C ‡Vitamin A, 10,000 IU ‡Vitamin B Complex Vitamin C ‡Vitamin B Complex with Vitamin C Iron ‡Vitamin B-1, 100 mg. ‡Vitamin B-12, 100 mcg. ‡Vitamin B-12, 500 mcg. ‡Vitamin B-12, Sublingual, 5,000 mcg. ‡Page 18QTY30 ct.100 ct.120 ct.100 ct.60 ct.100 ct.100 ct.30 ct.60 ct.100 ct.100 ct.180 ct.100 ct.30 ct.60 ct.100 ct.30 ct.100 ct.100 ct.120 ct.60 ct.100 ct.60 ct.100 ct.60 ct.60 ct.90 ct.100 ct.90 ct.100 ct.100 ct.100 ct.60 ct.90 ct.60 ct.100 ct.100 ct.100 ct.100 ct.100 ct.100 ct.100 ct.30 ct.PRICE 7 3 10 11 4 7 3 3 8 8 3 5 3 12 14 7 11 6 5 12 5 6 8 5 6 7 12 6 6 6 6 10 5 7 5 8 4 7 6 6 4 6 417

ITEM 2695274DESCRIPTIONVitamin B-6, 100 mg. ‡Vitamin B-Complex ‡Vitamin B-Complex Gummy ‡Vitamin C Gummy ‡Vitamin C, 500 mg. ‡Vitamin C, 1,000 mg. ‡Vitamin D Calcium Gummy, 500 mg. ‡Vitamin D Gummy, 2,000 IU ‡Vitamin D, 400 IU ‡Vitamin D, 1,000 IU ‡Vitamin D, 5,000 IU ‡Vitamin E, 100 IU ‡Vitamin E, 400 IU ‡Zinc Tablets, 50 mg. ‡QTY100 ct.100 ct.70 ct.60 ct.100 ct.100 ct.60 ct.60 ct.100 ct.100 ct.100 ct.100 ct.90 ct.100 ct.PRICE 6 4 8 8 3 3 11 8 4 7 4 7 9 6* Under certain circumstances these items may be covered under either Part B or Part D. When an item is covered byPart B or D due to particular circumstances, you would not use your OTC benefit to obtain this item because it isMedicare-covered in those circumstances.‡ Dual purpose items are medicines and products that can be used for either a medical condition or for generalhealth and well-being. These items may be purchased only after discussing the purchase with your personalprovider (or satisfying other requirements your plan may specify).§ Scales are only available to members with congestive heart failure or liver disease, to monitor fluid retention.This product list is subject to change. Items, quantities, sizes, and values may change depending on availability.If a product is unavailable or not in stock, it may be substituted for a similar product at no additional charge.Some items may vary depending on manufacturer. Some items listed in this catalog may not be covered underyour plan’s OTC programs. This information is not a complete description of the benefits. Limitations,copayments, and restrictions may apply.CMS does not allow you to use your OTC benefit to order OTC items for family members or friends.Due to the personal nature of these products, returns are not accepted.18

2020 Over-the-Counter (OTC) ProductORDER FORMSTEP 1 – Complete Your Personal InformationDate of Birth (MM/DD/YY)First NameStreet #Last NameStreet NameApt/Suite #CityStatePhoneZIP CodeEmailSTEP 2 – Make Your Product SelectionITEM #DESCRIPTIONPRICEQTYTOTAL1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 19

2020 Over-the-Counter (OTC) ProductORDER FORMTotal Order Amount Benefit Allowance Total Remaining Amount Due If your total order amount exceeds your current available benefit allowance, please include a checkwith the order form or fill out your credit card information below to pay the remaining amount due.NOTE: Failure to submit payment in full may cause a delay in receiving your order and/or cancellationof some items. If your total order amount is less than your current available benefit allowance, youDO NOT need to include additional payment information.Step 3 only applies if you exceed your benefit allowance.STEP 3 – Fill Out Payment Information (if applicable)To pay by check, please make your check payable to NationsOTC and include it with your order form.To pay by credit or debit card, please fill out the following information:Credit/Debit Card #Expiration Date (MM/YY)Cardholder First NameCardholder Last NameSecurity Code (CVV)Cardholder SignatureSTEP 4 – Mail Completed FormSend the completed order form along with payment (if applicable) to:NationsOTCP.O. Box 8930West State Rd. 84, Suite 187Davie, FL 33324If you have any questions or need assistance placing your order, please call NationsOTC at833-746-7682 (TTY: 711). Member Experience Advisors are available Monday through Friday,8:00 a.m. to 8:00 p.m. ET. Language support services are available if needed.I understand that the phone numbers and/or emails I provided on this form may be used byNationsOTC or any of its contracted parties to contact me about my account

DIABETES CARE. 5295 Alcohol Pads * 100 ct. 3 5812 Diabetic Skin Relief Foot Cream, 3.4 oz. 1 ct. 12 5225 Diabetic Socks, Black, Medium 3-pack 1 ct. 6 5223 Diabetic Socks, Black, Large 3-pack 1 ct. 5 5860 Diabetic Socks, Black, X-Lar

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