UHP Over-the-Counter (OTC) Medications And Products
glota rs.ca ei s rdt h re oep tuKe r fufoOver-the-Counter (OTC)Medications and Products2020 Benefit Catalog and Order FormOTC items delivered to your doorstep at no additional cost.NationsOTC.com/ultimateH2962 OTC Catalog v420 C
Save Money with Your OTC BenefitYour over-the-counter benefit can save you money and help you stay well. Use yourquarterly benefit allowance to purchase medications, health- and wellness-related items,first-aid supplies and other qualifying items, and have them shipped directly to your home.How to Place an OrderOrdering the items you need is simple by taking these steps.1SELECT PRODUCTSChoose from the list of available medications and products found on the followingpages or online.2DETERMINE ORDERING METHODSelect which option is best for you:PHONEMAIL ORDERONLINECall 1-855-422-0039(TTY: 711) to speak with aMember ExperienceAdvisor Monday-Friday,between 8 a.m. and 8 p.m.EST. Language supportservices are available ifneeded.Complete and send in themail order form includedin this catalog. If the endof your benefit period isapproaching and you’renot sure your order formwill be received prior tothe last business day ofthe month, please call ororder online.Visit NationsOTC.com/ultimate to sign on usingyour login credentials.First-time users will needto register using yourUltimate Health PlansMember ID number.3RECEIVE YOUR ORDERProducts will be shipped and delivered to your home. Products usually arrive within7 to 10 days of when we receive your order.If you have any questions or need help placing your order, we’re here for you. MemberExperience Advisors are available at 1-855-422-0039 (TTY: 711). We’re here to help youget the items you need.2
OTC Benefit GuidelinesPlease allow 7-10 business days after an order is placed for delivery. An order might takelonger to arrive if a change is made or an item is not in stock.Your order total will be applied to the benefit period in which the order is received. If youplace your order using an order form, your order total will be applied to the quarter inwhich we receive your form. For example, if you mail your order form on June 29th, but wereceive it on July 1st, your order total will be applied to your third quarter benefit, not yoursecond quarter benefit. If you are getting close to the end of the quarter and you do notthink your order form will be received in time, you can call in your order or order online.We encourage you to use your full quarterly benefit amount in one order.Your order total may not exceed your quarterly benefit amount. Cash, checks, credit cardsor money orders are not accepted under this OTC benefit.Orders may only be placed by the member, an authorized representative verbally approvedby the member at time of the order, and/or the member’s authorized representative on file.If you disenroll from Ultimate Health Plans, your OTC benefit will automatically terminate.OTC products are intended for member use only. Ordering OTC items for friends andfamily is not allowed.If an item is damaged during shipping, it will be exchanged or replaced for an identicalitem, at no cost, within 30 days from your order day or delivery day, whichever applies.OTC items are available through home delivery only. Products may not be purchased at alocal retail pharmacy or through any source other than the Ultimate OTC benefit channelsdescribed in this document.Your benefit allows a set amount every three months as specified in your Summary ofBenefits and Evidence of Coverage. The benefit amount does not roll over from quarterto quarter. You pay 0 copay for covered OTC items, medications and products up to theavailable benefit limit each quarter. You can check your available balance at any time byeither logging on to NationsOTC.com/ultimate or calling NationsOTC.Items in the 2020 OTC Catalog may change throughout the year. For the most up-to-datelisting of products available, visit NationsOTC.com/ultimate or call NationsOTC.If you have questions about your OTC order, please call NationsOTC at 1-855-422-0039(TTY: 711). Member Experience Advisors are available Monday-Friday between 8 a.m.and 8 p.m. EST. For all other questions, please contact Ultimate Health Plans MemberServices at 1-888-657-4170 (TTY: 711), Monday - Sunday from 8 a.m - 8 p.m. EST. Duringcertain times of the year we may use alternative technologies to answer your call onweekends and Federal holidays.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:*‡§SeeAllergyPage 5Antacids & Acid ReducersPage 5Anticandidal (Yeast)Page 5Anti-Diarrheal, Laxatives & Digestive HealthPage 5Bathroom Safety & Fall PreventionPage 5Cold & FluPage 6Compression & Supportive ItemsPage 7Dental & Denture CarePage 7Diabetes CarePage 8DiagnosticsPage 8Eye & Ear CarePage 9First AidPage 9Foot CarePage 10Health SupportsPage 10Hemorrhoidal PreparationsPage 10Home & Patient Aids for Daily LivingPage 10IncontinencePage 11Pain Relief AidsPage 12Pediculicide (Lice Treatment)Page 12Skin & Sun CarePage 12Smoking DeterrentsPage 13Vitamins & Dietary Supplements‡Page 13Wart RemoverPage 14Weight Loss‡Page 14Page 144
ITEM #DESCRIPTIONQTYPRICE30 ct.24 ct.1 ct.1 ct.24 ct.30 ct.1 ct.36 ct.1 ct. 6 3 4 13 3 4 22 4 41 ct.48 ct. 3 81 ct.1 ct.22 ct. 13 24 324 ct.150 ct.1 ct.100 ct.100 ct.1 ct.12 ct.25 ct.1 ct.90 ct.100 ct.25 ct.60 ct.1 ct.1 ct.1 ct.1 ct.12 ct.1 ct.1 ct.60 ct.1 ct.30 ct. 8 4 5 9 5 14 9 12 2 8 4 6 8 6 26 26 12 3 12 9 3 4 6253365647*‡§SeeCetirizine Tablets, 10 mg.Chlorpheniramine Maleate, 4 mg.Cold & Allergy Children's Liquid, 4 oz.Cromolyn Sodium Allergy Nasal Spray, 1.5 oz.Diphenhydramine CapletsLoratadine Tablets, 10 mg.Nasacort Allergy Relief 24 Hour, 10.8 ml.Nasal Decongestion PE TabletsNasal Decongestion Spray, 1 oz.ANTACIDS & ACID REDUCERSMilk of Magnesia, 12 oz.TUMS Extra StrengthANTICANDIDAL (YEAST)Miconazole Vaginal Cream, 3-Day, 0.32 oz.Monistat Vaginal Cream, 3-DayPanty Liners, UniversalANTI-DIARRHEAL, LAXATIVES & DIGESTIVE HEALTHAlka-Seltzer TabletsAntacid ChewableAnti-Nausea Liquid, 4 oz.BeanoBisacodyl Tablets, 5 mg.ClearLax Unflavored Powder, 13 oz.Dramamine TabletsDulcolax Tablets, 5 mg.Enema, Saline Laxative, 4.5 oz.Fibertab Caplet, 625 mg.Gas Relief Chewable TabletsGlycerin Adult SuppositoryLactase Enzyme CapletMagnesium Citrate, Saline Laxative, Lemon, 10 oz.Metamucil Sugar-Free, Orange, 72 dosesMetamucil , Orange, 114 dosesMethylcellulose Fiber Therapy, 16 oz.Motion Sickness TabletsPepto-Bismol , 16 oz.Psyllium Powder, Orange, 13 oz.Senna Plus Laxative TabletsStomach Relief Liquid, 8 oz.Stomach Relief TabletsBATHROOM SAFETY & FALL PREVENTIONBath Mat, 27" x 13"Page 141 ct. 85
ITEM 0725197545356935694*‡§SeeDESCRIPTIONQTYPRICEBed Assist BarBedside Commode*Cane, 1-Leg Folding Adjustable, 32" - 36"*Cane, Adjustable Quad Bariatric*Cane, Adjustable Quad Non-Bariatric*Gait Belt, 60"Gait Belt, 72"Handheld Shower HeadKnurled Chrome Grab Bar, 12"Knurled Chrome Grab Bar, 24"Knurled Chrome Grab Bar, 32"ProBasics Adjustable Transfer Bench without BackProBasics Bath Mat, 27" x 13"Shower Safety Bench without BackSlipper Socks, One Size Fits MostToilet Safety RailsToilet Seat, RaisedToilet Seat, Raised with ArmsTransfer Bench, AdjustableTub and Stair Safety Tread TapeCOLD & FLUAbreva Cream, 2 g.Airborne ChewBlistex Ointment, 6 g.CepacolChildren's Cough & Cold, 4 oz.Cold Sore Treatment Lip BalmCough & Cold for High Blood PressureCough Drop, CherryCough Drop, Honey LemonCough Drop, MentholCough/Throat Sugar-Free DropDay/Nite Cold/Flu CapletGuaifenesin Cough Expectorant, 200 mg.Mucus Relief DM TabletsNasal Decongestant Inhaler, Levmetamfetamine, .007 oz.Nasal Rinse Kit, SalinePersonal Steam InhalerSaline Nasal Spray, 1.5 oz.SinuCleanse Neti PotSnoring Nose StripsSore Throat Lozenges, CherrySore Throat Spray, Cherry, 6 oz.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. 55 75 10 26 18 16 17 13 17 18 34 74 16 25 7 29 19 35 58 31 ct.32 ct.1 ct.18 ct.1 ct.1 ct.16 ct.30 ct.30 ct.30 ct.25 ct.20 ct.100 ct.30 ct.1 ct.1 kit1 ct.1 ct.1 ct.10 ct.25 ct.1 ct. 24 8 4 4 5 5 4 2 3 2 3 6 9 4 8 18 53 3 15 9 5 8Page 146
ITEM TYPRICEThera-Flu Multi-Symptom, LemonTussin DM Sugar-Free Syrup, 4 oz.Tussin Syrup, 4 oz.Vapor Rub, 3.53 oz.COMPRESSION & SUPPORTIVE ITEMSAnti-Embolism Stockings, MediumAnti-Embolism Stockings, LargeCompression Knee-High Socks, 15-20 mmHg, Men's Black,Medium (Shoe Size 6-8)Compression Knee-High Socks, 15-20 mmHg, Men's Black,Large (Shoe Size 7.5-11)Compression Knee-High Socks, 15-20 mmHg, Men's White,Medium (Shoe Size 6-8)Compression Knee-High Socks, 15-20 mmHg, Men's White,Large (Shoe Size 7.5-11)Compression Knee-High Socks, 8-15 mmHg, Women's Black,Small (Shoe Size 4-5)Compression Knee-High Socks, 8-15 mmHg, Women's Black,Medium (Shoe Size 5.5-7.5)Compression Knee-High Socks, 8-15 mmHg, Women's Black,Large (Shoe Size 8-10.5)Compression Knee-High Socks, 8-15 mmHg, Women's Nude,Small (Shoe Size 4-5)Compression Knee-High Socks, 8-15 mmHg, Women's Nude,Medium (Shoe Size 5.5-7.5)Compression Knee-High Socks, 8-15 mmHg, Women's Nude,Large (Shoe Size 8-10.5)Hip Protector, SmallHip Protector, MediumHip Protector, LargeHip Protector, X-LargeKnee Stabilizer, MediumKnee Support Elastic with Stays, SmallKnee Support Elastic, SmallRib Belt, Female, One Size Fits MostRib Belt, Male, One Size Fits MostDENTAL & DENTURE CAREAdult ToothbrushBiotene Dry Mouth Oral Rinse, 16 oz.Colgate Toothbrush Soft, AdultColgate Toothpaste, 4 oz.Crest Sensi-Relief Toothpaste, 4.1 oz.Denture BrushDenture Cleanser Tablets6 ct.1 ct.1 ct.1 ct. 14 4 3 31 ct.1 ct. 7 71 ct. 161 ct. 161 ct. 161 ct. 161 ct. 161 ct. 161 ct. 161 ct. 161 ct. 161 ct. 161 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 37 37 37 37 21 15 10 21 211 ct.1 ct.1 ct.1 ct.1 ct.1 ct.42 ct. 2 14 2 3 10 2 4Page 147
ITEM 09653715370*‡§SeeDESCRIPTIONQTYPRICEEfferdent Plus Mint TabletsFixodent Cream, 0.75 oz.Fixodent Cream, 2.4 oz.Fluoride Toothpaste, 6.4 oz.Interdental FlossupsOral Pain Relief Gels, 0.33 oz.Polident Denture Cream, 3.9 oz.Polident OvernightReach Dental FlossRechargeable ToothbrushSensitive Toothpaste, 4.3 oz.Tongue CleanerToothbrush, Soft, 2-PackToothpaste SqueezerToothpaste, 0.85 oz.Ultrabright Toothpaste, 6 oz.Water Jet Replacement TipsWater Jet, Battery Operated36 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.84 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.5 ct.1 ct. 9 4 8 3 3 3 7 12 4 28 3 6 7 3 2 4 17 411 ct.50 ct.1 ct.3 ct.3 ct.3 ct.3 ct.3 ct.3 ct. 12 6 4 6 6 6 6 6 61 ct.1 ct.1 ct.1 ct.1 kit1 ct.1 kit1 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 52 60 32 9 24 45 30 16 11 4 20 22 20DIABETES CAREDiabetic Skin Relief Foot Cream, 3.4 oz.Glucose TabletsLancing DeviceDiabetic Socks, Unisex Medium, BlackDiabetic Socks, Unisex Large, BlackDiabetic Socks, Unisex X-Large, BlackDiabetic Socks, Unisex Medium, WhiteDiabetic Socks, Unisex Large, WhiteDiabetic Socks, Unisex X- Large, WhiteDIAGNOSTICSActivity TrackerBathroom Scale, Talking‡§Blood Pressure Monitor, Audio‡Dial Bath Scale, 300 lbs.‡§EZ Detect Colon Cancer Test Kit‡HIV Test‡Home Access Cholesterol Test Kit‡Heart Rate Monitor Watch‡Peak Flow Meter‡Pregnancy Test‡Pulse Oximeter‡Surelife BPM Fully Auto Cuff, Large‡Surelife BPM Wrist Unit‡Page 148
ITEM #DESCRIPTIONQTYPRICE300 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 4 13 3 11 4 3 9 8 3 18 13 121 ct.100 ct.1 ct.1 ct.1 ct.1 ct.100 ct.1 ct.1 ct.1 ct.1 ct.100 ct.1 ct.1 ct.50 ct.50 ct.50 ct.75 ct.175 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.1 ct.50 ct.1 ct. 6 3 11 3 4 10 3 8 6 4 9 3 20 28 5 5 5 6 15 2 3 4 3 5 9 2 6 12 3EYE & EAR 505437571258175541*‡§SeeCotton SwabsEar Pain Relief Ear Drops, 10 ml.Ear Wax Drops, 0.5 oz.Ear Wax Removal System with Rubber Bulb, 5 ml.Eye Artificial Tears, 0.5 oz.Eye Redness Relief, 0.5 oz.Eye Wash, 3.9 oz.Multi-Purpose Contact Lens Solution, 4 oz.Pain Relief MaskStye Eye CompressStye Eye Ointment, 3.5 mg.Visine Drops for Red Eyes, 0.5 oz.FIRST AIDAfter Bite Relief, 0.05 oz.Alcohol Pad*Antiseptic Skin Cleanser, 4 oz.Bacitracin Ointment, 0.5 oz.Bacitracin Ointment, 1 oz.Bactine Solution, 5 oz.Bandages Generic, Assorted*Benadryl Cream, 1 oz.Burn Gel Liquid, 4 oz.Calamine Lotion, 6 oz.Caldyphen Clear Lotion Local Analgesic 1%, 7.65 oz.Cotton BallsCushion, Foam RingCushion, Gel/Foam SeatDisposable Gloves, SmallDisposable Gloves, MediumDisposable Gloves, LargeFirst Aid Kit, 1 kitFirst Aid Kit, 1 kitGauze Roll, 3-PackHydrocortisone 1% Cream, 1 oz.Hydrogen Peroxide Spray, 4 oz.Hydrogen Peroxide, 8 oz.Liquid Bandage, 0.0225 oz.Neosporin Plus, 0.5 oz.Petroleum Jelly, 4 oz.Povidone Iodine Solution Antiseptic, 4 oz.Procedural Face Masks with EarloopsRubbing Alcohol, 16 oz.Page 149
ITEM 0575100*‡§SeeDESCRIPTIONQTYPRICESurgical Tape*Thermometer, 60 SecondThermometer, AudioThermometer, Flex TipThermometer, Probe CoversVitacilina Antibiotic Ointment, 1 oz.FOOT CAREBunion GuardCompound W Gel, 0.25 oz.Corn & Callus Remover, 0.5 oz.Hammer Toe CrestLamb's Wool PaddingMedicated Callus RemoversMedicated Foot Powder, 4 oz.Miconazole Nitrate 2% CreamMoleskin Sheets Plus, 4 SheetsToe SeparatorTolnaftate 1% Cream, 1.25 oz.HEALTH SUPPORTSAnkle SupportBack Support, CuradBack Support, Generic with SuspendersBandage Elastic, 3"*Brace, ThumbCarpal Tunnel Gloves, SmallCarpal Tunnel Gloves, MediumCarpal Tunnel Gloves, LargeElbow SupportHeating Pad, Dry Heat‡Hot Cold Reusable Pack, 4" x 6"Inflatable Neck CushionKnee Support with U-Buttress, MediumKnee Support with U-Buttress, LargeKnee Support, Medium, AssortedWrist SupportHEMORRHOIDAL PREPARATIONSHemorrhoid Ointment, 2 oz.Hemorrhoid PadHemorrhoid SuppositoryPreparation H Medicated WipesPreparation H Ointment, 2 oz.HOME & PATIENT AIDS FOR DAILY LIVINGButton and Zipper Puller1 ct.1 ct.1 ct.1 ct.30 ct.1 ct. 2 3 33 7 3 61 ct.1 ct.1 ct.1 ct.1 ct.6 ct.1 ct.1 ct.1 ct.1 ct.1 ct. 10 14 6 12 4 4 6 9 4 5 41 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 25 10 2 8 30 30 31 3 18 2 3 31 31 3 31 ct.100 ct.12 ct.48 ct.1 ct. 5 7 7 11 21Page 141 ct. 310
ITEM ier, Ultrasonic CoolJar Opener/Faucet GripperKey TurnerKitchen Scale, Digital‡Lamp Switch TurnerLetter OpenerMedical Appointment CalendarMedicine Bottle Opener with MagnifierPill Bottle Opener AidPill Box, 7 Day (1 Time a Day)Pill Box, 7 Day (3 Times a Day)Pill Box, 7 Day (4 Times a Day)Pill Box, 7 Day (AM & PM)Pill CrusherPill Crusher with StoragePill Cutter with Safety ShieldPill SplitterReaching Aid DeviceShoe HornTravel Health FolderINCONTINENCEA D Ointment, 1 oz.Adult Bladder Control Pads*Adult Protective Briefs, Large*Adult Protective Briefs, Medium*Adult Protective Briefs, X-Large*Adult Washcloths, Disposable*Attends Discreet Men’s Guards, Large/X-Large*Attends Discreet Women’s Ultimate Bladder Control Pads*Attends Discreet Women’s Ultrathin Pads*Barrier Cream, 4 oz.Bathing WipesBladder Control Shaped Pads, Heavy Absorbency*Bladder Control Shaped Pads, Maximum Absorbency*Bladder Control Shaped Pads, Moderate Absorbency*Disposable Bed Underpads*Disposable Underwear, Medium - 34” to 44”*Disposable Underwear, Large - 44” to 58”*Disposable Underwear, X-Large - 58” to 68”*ReadyFlush Wipes*Underpads, Disposable, 23” x 36”*Underpads, Disposable, 30” x 30”*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. 42 3 5 25 5 5 3 10 3 4 3 3 9 3 11 10 3 13 2 61 ct.12 ct.20 ct.20 ct.20 ct.48 ct.52 ct.28 ct.28 ct.1 ct.8 ct.28 ct.28 ct.28 ct.5 ct.20 ct.18 ct.14 ct.24 ct.25 ct.10 ct. 2 7 13 11 16 4 14 21 14 9 8 12 12 12 5 15 15 15 4 12 11Page 1411
ITEM 02450355169*‡§SeeDESCRIPTIONPAIN RELIEF AIDSAcetaminophen Arthritis Caplet, 650 mg.Acetaminophen Arthritis, 650 mg.Acetaminophen Chewables, 80 mg.Acetaminophen Children's Chewables, 160 mg.Acetaminophen Extra Strength Tablets, 500 mg.Acetaminophen PM Caplet, 500 mg.Acetaminophen Tablets, 325 mg.Advil Liquidgels, 200 mg.Advil Tablets, 200 mg.Aleve Caplets, 220 mg.Aleve Caplets, 220 mg.Aspercreme 4% CreamAspirin Chewables, 81 mg.Aspirin EC Tablets, 325 mg.Aspirin Tablets, 325 mg.Aspirin-NWI-EC Tablets, 81 mg.Capsaicin 0.025% Cream, 2 oz.Diphenhydramine Sleep TabletsFast Freeze Pain Relief Spray, 4 oz.Headache Relief TabletsHeating Pad Wrap for Shoulder, Neck & Back, 25” x 26”Heating Pad, X-Large, 12” x 24”*Hot/Cold PatchIbuprofen Chewables, 100 mg.Ibuprofen Liquidgels, 200 mg.Ibuprofen Tablets, 200 mg.Ibuprofen Tablets, 200 mg.Ice BagIcy Hot PatchMenthol Gel, 8 oz.Muscle Rub Cream, 1.25 oz.Naproxen Caplet, 220 mg.Salonpas PatchTens Unit, DigitalWarm/Cold Water BottleWellPatch MigrainePEDICULICIDE (LICE TREATMENT)Lice Elimination KitLice Treatment Shampoo, 4 oz.LiceMD Lice Shampoo, 4 oz.SKIN & SUN CAREAnti-Bacterial Wet WipesPage 14QTYPRICE24 ct.100 ct.30 ct.24 ct.100 ct.50 ct.100 ct.20 ct.50 ct.24 ct.100 ct.1 ct.36 ct.100 ct.100 ct.120 ct.1 ct.50 ct.1 ct.50 ct.1 ct.1 ct.5 ct.24 ct.20 ct.50 ct.100 ct.1 ct.5 ct.1 ct.1 ct.50 ct.5 ct.1 ct.1 ct.4 ct. 3 11 4 7 3 3 3 8 12 8 10 13 2 4 3 3 3 5 9 3 55 35 4 7 5 3 4 5 8 9 3 6 12 49 5 71 kit1 ct.1 ct. 27 3 1824 ct. 312
ITEM 132506557455308*‡§SeeDESCRIPTIONQTYPRICEBenzoyl Peroxide 10% Gel, 42.5 g.Bug X Repellent, 4 oz.Dry Skin Cream, 10 oz.Hand Sanitizer Spray, 2-PackSunscreen, SPF 30, 4 oz.SMOKING DETERRENTSNicotine Gum, 4 mg.Nicotine Lozenge, 4 mg.Nicotine Patches, Step 1Nicotine Patches, Step 2Nicotine Patches, Step 3VITAMINS & DIETARY SUPPLEMENTS‡Adult Multi-Vitamin‡Biotin Gummy, 5,000 mcg.‡Calcium Chew, Chocolate, 650 mg.‡Calcium, 600 mg.‡Centrum Silver Vitamins‡Centrum Vitamins‡Coenzyme Q10 Caplet, 100 mg.‡DHEA, 50 mg.‡Estroven ‡Ferrous Gluconate Iron Supplement, 240 mg.‡Ferrous Sulfate, 325 mg.‡Fish Oil Softgels, 1,000 mg.‡Folic Acid, 800 mcg.‡Glucosamine & Chondroitin, 1,500 mg.‡Glucosamine & Chondroitin, 1,500 mg.‡Iron, 27 mg.‡Magnesium Oxide, 250 mg.‡Magnesium, 500 mg.‡Melatonin Gummy‡Melatonin, 3 mg.‡Men’s Multi-Vitamin‡Multi-Vitamin Gummy‡Niacin Flush Free, 500 mg.‡Niacin, 100 mg.‡Niacin, 500 mg.‡Prenatal Vitamins‡Rena-Vite‡Senior Multi-Vitamin‡Vitamin A, 10,000 iu.‡Vitamin B-1, 100 mg.‡Vitamin B-12, 100 mcg.‡1 ct.1 ct.1 ct.2 ct.1 ct. 5 7 3 4 550 ct.20 ct.14 ct.14 ct.14 ct. 25 39 40 40 40100 ct.60 ct.60 ct.60 ct.125 ct.130 ct.30 ct.100 ct.30 ct.100 ct.100 ct.30 ct.100 ct.30 ct.60 ct.100 ct.100 ct.100 ct.60 ct.60 ct.100 ct.60 ct.60 ct.100 ct.60 ct.100 ct.100 ct.90 ct.100 ct.100 ct.100 ct. 3 8 10 6 17 17 7 11 17 7 3 3 3 12 14 7 6 5 12 5 6 8 7 5 6 6 10 7 4 6 4Page 1413
ITEM 2695274518650705164575151245247DESCRIPTIONVitamin B-12, 500 mg.‡Vitamin B-6, 100 mg.‡Vitamin B-Complex Gummy‡Vitamin B-Complex‡Vitamin C Gummy‡Vitamin C, 1,000 mg.‡Vitamin C, 500 mg.‡Vitamin D Calcium Gummy, 500 mg.‡Vitamin D, 1,000 iu.‡Vitamin D, 400 iu.‡Vitamin D, 5,000 iu.‡Vitamin E Softgels, 100 iu.‡Windmill Vitamin E, 400 iu.‡Windmill Zinc Tablet, 50 mg.‡Women's Multi-Vitamin‡Zinc, 50 mg.‡Wart RemoverLiquid Wart Remover, 0.31 oz.Wart Removal SystemWeight Loss‡Dial Kitchen Scale‡Vitafusion Fiber Gummy‡QTYPRICE100 ct.100 ct.70 ct.100 ct.60 ct.100 ct.100 ct.60 ct.100 ct.100 ct.100 ct.100 ct.90 ct.90 ct.90 ct.100 ct. 6 6 8 4 8 3 3 11 7 4 4 7 9 6 6 41 ct.20 ct. 5 101 ct.90 ct. 6 17* Part B/D - Under certain circumstances some items may be covered under either Part B or Part D. Whenyou are eligible to receive these items under Part B or Part D you may not purchase these items throughyour Part C supplemental OTC benefit. For your convenience, we’ve marked these items with an (*).‡ Dual-purpose items are medicines and products that can be used for either a medical condition or forgeneral health and well-being. In order to purchase these items under your plan, your personalphysician must recommend them to you for a specific diagnosed condition. Please speak to yourphysician before ordering these items.§ Scales are only available to members with congestive heart failure or liver disease in order to monitorweight changes. Scales are not allowable for other conditions or diseases. Please discuss with yourhealthcare provider before ordering.This product list is subject to change. Items, quantities, sizes and values may change depending onavailability. If a product is unavailable or not in stock, it may be substituted for a similar product at noadditional charge. Some items may vary depending on manufacturer.NationsOTC and Ultimate Health Plans comply with applicable Federal civil rights laws and does notdiscriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si hablaespañol, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-241-0303(TTY: 711). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou.1-877-241-0303 (TTY: 711).14
2020 Over-the-Counter (OTC)ORDER FORMComplete Your Personal InformationMember ID (found on member ID card)Date of Birth (MM/DD/YY)First NameStreet #Last NameStreet NameApt/Suite #CityStatePhoneZIP CodeEmailMake Your Product SelectionUse the form on the reverse side to enter your product information.NOTE: If you place your order using an order form, your order total will be applied to the quarter inwhich we receive your form. For example, if you mail your order form on June 29th, but we receive it onJuly 1st, your order total will be applied to your third quarter benefit, not your second quarter benefit.Mail Completed FormSend the completed order form 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 at1-855-422-0039 (TTY: 711). Member Experience Advisors are available Monday - Friday, between8 a.m. and 8 p.m. EST. Language support services are available.SEE REVERSE SIDE FOR PRODUCT SELECTION15
2020 Over-the-Counter (OTC)ORDER FORMSelect the products you want to order by writing in the product information below.ITEM #DESCRIPTIONQTYPRICETOTAL1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Total Order 16
5537 Shower Safety Bench without Back 1 ct. 25 5806 Slipper Socks, One Size Fits Most 1 ct. 7 5533 Toilet Safety Rails 1 ct. 29 5532 Toilet Seat, Raised 1 ct. 19 5534 Toilet Seat, Raised with Arms 1 ct. 35 5536 Transfer Bench, Adju
May 02, 2018 · D. Program Evaluation ͟The organization has provided a description of the framework for how each program will be evaluated. The framework should include all the elements below: ͟The evaluation methods are cost-effective for the organization ͟Quantitative and qualitative data is being collected (at Basics tier, data collection must have begun)
Silat is a combative art of self-defense and survival rooted from Matay archipelago. It was traced at thé early of Langkasuka Kingdom (2nd century CE) till thé reign of Melaka (Malaysia) Sultanate era (13th century). Silat has now evolved to become part of social culture and tradition with thé appearance of a fine physical and spiritual .
On an exceptional basis, Member States may request UNESCO to provide thé candidates with access to thé platform so they can complète thé form by themselves. Thèse requests must be addressed to esd rize unesco. or by 15 A ril 2021 UNESCO will provide thé nomineewith accessto thé platform via their émail address.
̶The leading indicator of employee engagement is based on the quality of the relationship between employee and supervisor Empower your managers! ̶Help them understand the impact on the organization ̶Share important changes, plan options, tasks, and deadlines ̶Provide key messages and talking points ̶Prepare them to answer employee questions
Dr. Sunita Bharatwal** Dr. Pawan Garga*** Abstract Customer satisfaction is derived from thè functionalities and values, a product or Service can provide. The current study aims to segregate thè dimensions of ordine Service quality and gather insights on its impact on web shopping. The trends of purchases have
three discrete ultrahigh-pressure (UHP) domains that are separated by distinctly lower pressure, eclogite facies rocks. The sizes of the UHP domains range from c. 2500 to 100 km2; if the UHP culminations are part of a continuous sheet at depth, the Western Gneiss Region UHP terrane has minimum dimensions
The Leica Universal Hardware Platform (UHP) User Reference Manual is part of Leica's Fleet Management System (FMS) Documentation Suite. This manual is intended to serve as a guide to the UHP. This manual provides all instructions required in order to operate and troubleshoot the UHP product to a basic level. This manual
Over-the-Counter (OTC) Catalog This booklet will help you use your OTC benefit. Keep it where you can easily get to it. 2 How do I use my OTC benefit? . If you receive a damaged item, call OTC Health Solutions within 30 days to get a replacement item. See Frequently Asked Questions (FAQ) at the back of this booklet for more details. 4
