2020 Over-the-Counter Health Products Catalog

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2020 Over-the-CounterHealth Products CatalogUse your Amerigroup STAR PLUS MMP (Medicare-MedicaidPlan) Over-the-Counter (OTC) Flexible Benefit to saveUse this catalog to spend your OTC Flexible Benefit and Amerigroup MemberRewards dollars. Choose from a variety of OTC drugs andhealth-related items at Walmart. It’s easy.Items listed are just a sample. Thesame great categories in this catalogare also covered in stores and online –with more to choose from!H8786 20 122003 R CMS Approved 04/20/20205173902 509164TXDENAGP TX 2020 OTC Catalog Update509207TXDENAGP

Get over-the-counter (OTC) itemsfrom Walmart!Use this catalog for your Amerigroup STAR PLUS MMP OTC Flexible Benefit. Ourplan also offers you the Amerigroup Member Rewards program with reward dollarsto spend on Walmart OTC items.The convenience of Walmart and anOTC Member Rewards CardRedeem atELPMOver-the-CounterMember RewardsSAAmerigroup STAR PLUS MMP (Medicare-Medicaid Plan)Use this card to buy items usingyour OTC Flexible Benefit and yourAmerigroup Member Rewards.If you did not get your card, pleasecall 1-866-413-2582 (TTY: 711) from8 a.m. to 8 p.m., local time, 7 days aweek, October through March; andbeginning in April, Monday throughFriday. This call is free.Get started with your OTC Flexible BenefitEvery three months, we’ll add a 51 allowance to your OTC Member Rewards Cardto spend on items in this catalog. The allowance will be added to your account oneach of these dates: January 1 April 1 July 1 October 1Be sure to use all of your allowance every three months. Any remaining OTC FlexibleBenefit dollars will not carry over into the next three-month period.2

Get Amerigroup Member Rewards for doinghealthy activitiesComplete a healthy activity from the chart below and we’ll add AmerigroupMember Rewards dollars to your OTC Member Rewards Card. Here’s how tocomplete an activity:1. Visit your primary care provider and complete any of the healthy activities.Call Member Services toll-free at 1-855-878-1784 (TTY: 711), Monday throughFriday, from 8 a.m. to 8 p.m. local time to see if you qualify for certain rewards.2. Your doctor will send us a bill for the healthy activity.3. Once we get the bill, we’ll add the Amerigroup Member Rewards dollars toyour OTC Member Rewards Card.4. Use your rewards to purchase items in this catalog.RewardCondition,AgeHowOftenAttend the in-person or by-phone Inter-Disciplinary Team(IDT) meeting with your service coordinator and primarycare provider (optional) to talk about your care plan. 20All members,All agesOnce everyyearVisit your primary care provider for your annual checkup. 20Get your annual flu shot. 20All members,All agesAll members,All agesOnce everyyearOnce everyyearCall your service coordinator within three days of the dayyou were released from a hospital, skilled nursing facility,or nursing home to complete the post-discharge process.To reach your service coordinator, call 1-855-878-1784(TTY: 711), Monday through Friday from 8 a.m. to 8 p.m.local time. The call is free. 25All members,All agesNo limitVisit your primary care provider within 14 days from theday you were released from a hospital, skilled nursingfacility, or nursing home. 20All members,All agesNo limitGet a retinopathy eye exam, kidney exam, and HbA1cblood test; all three exams must be completed to qualify. 60Diabetic,All agesOnce everyyearGet a blood pressure reading under 140/90 and fax it toAmerigroup Member Rewards at 1-844-206-3448. 20Once everysix monthsGet a breast cancer screening. 20Get a colorectal cancer screening. 20High bloodpressure,All agesFemale,Ages 40 All members,Ages 50 Healthy ActivityOnce everyyearOnce everyyear3

3 easy ways to use your benefit .pick your favorite!1. Buy in-storeConvenient in-store shoppingis available at Walmartlocations near you.2. Order onlineYou can shop online or use themobile app to order for in-storepick up or delivery to yourhome.See the instructions that camewith your OTC MemberRewards Card for details.3. Call for deliveryLook up the product in this catalog and call1-866-413-2582 (TTY: 711) to have itdelivered to your home. If you don’tfind what you’re looking for, ourfriendly Customer Servicerepresentatives can helpyou find a similar product.4

Thousands of items coveredWe give you an OTC Flexible Benefit allowanceand Amerigroup Member Rewards to spend onnon-prescription OTC drugs and health-related items youuse every day. Items include antacids, cough drops, firstaid supplies, pain relief, vitamins, and more!See page 7 of the catalog or callCustomer Service for details at1-866-413-2582 (TTY: 711).Walmart’s convenient locations andevery day low prices make yourbenefit go furtherYou probably live within a few miles of a Walmart store. A lot of people do.Answers to your questions about yourOTC Flexible BenefitQ: What’s the difference between my OTC Flexible Benefit and Amerigroup Member Rewards?A: Your OTC Flexible Benefit gives you up to 51 to order OTC items every three months. You don’t have todo any special activity to get this benefit. With Amerigroup Member Rewards, you have to do a healthyactivity, like your annual checkup with your primary care provider, to earn rewards. Review the chart onpage 3 for the complete list of healthy activities.Q: How often can I place an order?A: We suggest you place one order every month. If the total amount of your order is more than your unusedOTC Flexible Benefit allowance plus any earned Amerigroup Member Rewards dollars, you will need to paythe extra amount with another form of payment. Or you can ask the cashier to remove items that exceedyour available balance. To find out how much you have in your account, call 1-866-413-2582 (TTY: 711)24 hours a day, 7 days a week.5

Q: Can I use my OTC Member Rewards Card for items not in the catalog?A: Yes, if you don’t see your favorite products here, there’s more! Check online at www.HealthyBenefitsPlus.com/AmerigroupMMPOTC and shop from a larger selection.Q: Can I use my OTC Member Rewards Card at a store?A: Yes, you can use your OTC Member Rewards Card at Walmart stores.Q: Can I mail and/or fax my order?A: No, please use one of the three convenient methods of ordering: phone, in-store, or the online/mobile app.Q: How long does it take for items to get sent to me after I order them?A: Your order will be processed within two to five business days, and it can take up to 10 business days for you toget your items. Your items will be sent by U.S. Postal Service mail, and each order will be tracked for delivery.Q: How do I return items?A: Please follow the Walmart return policy.Q: Who do I call with questions?A: Please call Customer Service at 1-866-413-2582 (TTY: 711) from 8 a.m. to 8 p.m., local time, 7 days a week,October through March; and beginning in April, Monday through Friday.Q: Can I use my OTC Member Rewards Card to purchase items for other people?A: No, you can only buy items for your use, not for family members or friends.Q: Can I use my OTC Member Rewards Card for prescription drugs?A: No, you can only use your OTC Member Rewards Card for OTC items. To order prescription drugs by mail, callIngenioRx Mail Order at 1-833-203-1738 (TTY: 711), 24 hours a day, 7 days a week. The call is free.Q: What happens if I don’t use all of my allowance every three months as part of my OTC Flexible Benefit?A: Amerigroup STAR PLUS MMP puts money into your OTC Flexible Benefit account when you first enroll and againevery three months (each quarter). Unused funds do not carry over from one three-month allowance period tothe next. Any unused amounts expire at the end of each quarter and on December 31 of each year.Answers to your questions aboutAmerigroup Member RewardsQ: Once I complete an Amerigroup Member Rewards activity, how do I get my reward dollars? How long does ittake for them to be available?A: That depends on how quickly your doctor sends a bill to Amerigroup STAR PLUS MMP. Once we process the bill,we’ll add the reward to your card on the first business day of the following month. We’ll also send you a letternotifying you of the reward. Letters are sent monthly.Q: Do my Amerigroup Member Rewards dollars ever expire?A: Yes, they expire at the end of every year (December 31). Members should complete any healthy activities byNovember 1, 2020 to allow for processing and using the reward dollars by December 31, 2020.Q: How do I know how much money I have left on my OTC Member Rewards Card?A: Your OTC Member Rewards Card will include funds from your OTC Flexible Benefit and any earned AmerigroupMember Rewards. To find out how much you have on your OTC Member Rewards Card, call1-866-413-2582 (TTY: 711), 24 hours a day, 7 days a week.NOTE: Product details used in this catalog came from the makers of the products. Amerigroup STAR PLUS MMPdoes not endorse any of the products. Please ask your doctor for advice about your own health needs. Your doctormay choose to have you use items not listed in this catalog. Items in this catalog may change based on availabilityand current regulations.6

Table of ContentsAllergy and Sinus . 8Bath Safety . 8Braces, Supports and Heating Pads . 8Cold, Cough, Flu and Sinus . 8Diabetes OTC . 8Digestive Health - Antacids . 8Digestive Health - Laxatives and Hemorrhoid Relief . 9Eye Care and Ear Care . 9Feminine Hygiene . 9First Aid . 9Foot Care . 9Health Monitors . 10Incontinence . 10Oral Care . 10Pain Relievers . 10Skin Care . 11Sleep and Snoring . 11Smoking Cessation . 12Vitamins and Supplements . 12Easy-Buy Product List . 13How to Use This CatalogThe great brands shown on the following pages are a sample of what canbe purchased in-store or online. Multiple sizes and variations of each brandmay be eligible, with thousands available in total.For example, if Equate Max Strength Antacid islisted, you can purchase different sizes and flavors,in addition to the one shown. (Items shipped mayappear different than items pictured in this catalog.)For phone orders, use the Easy-Buy Product List starting on page 13. Whenyou’re ready to order, reference your card number as well as the itemnumber of your desired product.7

ALLERGY AND SINUSSelect your products from Equate inAllergy and Sinus – multiplesizes and variations may beeligible.BATH SAFETYSelect your products from Equate,Mainstays in Bath Safety – multiplesizes and variations may be eligible.BRACES, SUPPORTS AND HEATING PADSSelect your products from Equate, inBraces, Supports and Heating Pads– multiple sizes and variations maybe eligible.COLD, COUGH, FLU AND SINUSSelect your products from Equate,in Sinus Nasal Sprays and Strips andSore Throat – multiple sizes andvariations may be eligible.DIABETES OTCSelect your products from ReliOn inDiabetes OTC – multiple sizes andvariations may be eligible.DIGESTIVE HEALTH - ANTACIDSSelect your products from Equate,in 12-Hour, 24-Hour and 30-MinuteHeartburn Relief – multiple sizesand variations may be eligible.8This is not a full list of all brands and products available. Additional brands may be available in stores and online.Product assortment and availability may vary by location.

DIGESTIVE HEALTH - LAXATIVES AND HEMORRHOID RELIEFSelect your products from Equate, inAnti-Diarrheal, Fiber,Hemorrhoid Relief, MotionSickness and Nausea andStimulants – multiple sizes andvariations may be eligible.EYE CARE AND EAR CARESelect your products from Equate,in Contact Lens Care, Dry Eye, EarCare, Eye Antihistamines and EyeDecongestants – multiple sizes andvariations may be eligible.FEMININE HYGIENESelect your products from Equate, inFeminine Hygiene – multiplesizes and variations may be eligible.FIRST AIDSelect your products from Equate, inAlcohol and Peroxide, Anti-Itch andCortisone Creams, Antibiotics andAntiseptics, Bandages and Gauze,Burn Relief, Compression, EpsomSalt, First Aid Kits, Hand Sanitizersand Scar Care, Hot and Cold Packs,Skin Care and Tapes and Wraps –multiple sizes and variations may beeligible.FOOT CARESelect your products from Equate, inAntifungals, Corn, Callus,Bunion and Wart Removers –multiple sizes and variations may beeligible.These products can be purchased in-store and online. To order products by phone, use the list starting on page 13.9

HEALTH MONITORSSelect your products from Equate,in Blood Pressure Monitors andThermometers – multiple sizes andvariations may be eligible.INCONTINENCESelect your products from Equate,in Guards and Shields, Pads andLiners, Skin Protectants,Underpads, Underwear and Briefs –multiple sizes and variations may beeligible.ORAL CARESelect your products from Equate, inBattery and RechargeableToothbrushes, Denture Care, Floss,Manual Toothbrushes andToothpaste – multiple sizes andvariations may be eligible.PAIN RELIEVERSSelect your products from Equate, inAcetaminophen, Aspirin,Headache Relief, Ibuprofen,Menstrual Relief, NaproxenSodium, Patches, PM and SleepAids and Rubs – multiple sizes andvariations may be eligible.10This is not a full list of all brands and products available. Additional brands may be available in stores and online.Product assortment and availability may vary by location.

SKIN CAREACNE AND BLEMISH TREATMENTSMEDICATED LIP CARESelect your products from Clean& Clear and Equate, in Acne andBlemish Treatments – multiple sizesand variations may be eligible.Select your products from Abreva, inMedicated Lip Care – multiple sizesand variations may be eligible.SUNSCREEN AND ALOESelect your products from Equate, inSunscreen and Aloe – multiple sizesand variations may be eligible.THERAPEUTIC LOTION AND OINTMENTSSelect your products from Equate, inTherapeutic Lotion – multiple sizesand variations may be eligible.SLEEP AND SNORINGSelect your products from Equate,in Nasal Strips and Sleep Aids –multiple sizes and variations may beeligible.These products can be purchased in-store and online. To order products by phone, use the list starting on page 13.11

SMOKING CESSATIONSelect your products from Equate, inGum and Patches – multiplesizes and variations may be eligible.VITAMINS AND SUPPLEMENTSSelect your products from Equateand Spring Valley in Joint Health,Letter Vitamins, Melatonin,Minerals and Supplements andMultivitamins – multiple sizes andvariations may be eligible.12This is not a full list of all brands and products available. Additional brands may be available in stores and online.Product assortment and availability may vary by location.

Easy-Buy Product ListUse this list of well-stocked items to make your buying easier!Want to place an order over the phone? Simply have your OTC MemberRewards Card number handy, find the product(s) and item number(s) you’dlike to order, and call 1-866-413-2582 (TTY: 711) to order.Don’t see what you are looking for? Go to www.HealthyBenefitsPlus.com/AmerigroupMMPOTC to view a list of all the available products.ALLERGY AND SINUSSubcategoryItem IDDescriptionAllergy & Sinus519540090Equate 2pk Chlorpheniramine Antihist Tblts, 4 mg, 100ctAllergy & Sinus20629926Equate Allergy Relief Cetirizine Tblts, 10mg, 2pk (90ea)Allergy & Sinus20629924Equate Allergy Relief Antihistamine Tblts 2pk, 25mg, 100ctAllergy & Sinus990251621Equate Fexofenadine Hydrochloride Tblts 180mg 2x30ctAllergy & Sinus20629925Equate 24h Non-Drowsy Allergy Relief Tblts, 10mg, 300ctBATH SAFETYSubcategoryItem IDDescriptionBath Safety187599783Mainstays 18” x 36” Rubber Bath Mat, WhiteBath Safety14179128Equate Bathroom Safety RailBath Safety560666006Equate Grab Bar, 16.5”Bath Safety355262006Equate Bed/Bath Grip Bar Bathtub & Shower Handle, 11.5”Bath Safety665844723Waterpik 6-Mode EcoFlow Hand Held Shower Head, White, 1.8Bath Safety14179132Equate Bed/Bath Locking Raised Toilet Seat w Adjust. HandlesBath Safety14179130Equate Bath & Shower Seat w BackBRACES, SUPPORTS AND HEATING PADSSubcategoryItem IDDescriptionBraces & Supports940451045Equate 2pk Wrist Support With Loop, One SizeBraces & Supports49071880Mueller Green Adjustbl Back/Abdominal Support, Black, One SizeBraces & Supports397972356Equate Adjustable Knee Brace, One SizeBraces & Supports545931201Equate Adjustable Ankle Support, One SizeBraces & Supports510508434Equate Elastic Knee Stabilizer, L/XLBraces & Supports347926443Equate Adjustable One Size Elbow SupportBraces & Supports169001915ACE Deluxe Thumb Stabilizer, Adjustable, Black, 1/PkBraces & Supports563509505Equate Elastic Knee Stabilizer, S/MBraces & Supports23598250ACE Back Brace, Adjustable, Black/Gray, 1/PkBraces & Supports23598249ACE Reversible Splint Wrist Brace, Adjustable, Gray, 1/PkCall 1-866-413-2582 (TTY: 711) to order these products by phone. Prices and item numbers subject to change.Price 5.92 26.98 6.98 19.97 23.98Price 7.96 45.88 14.88 11.88 19.97 39.53 38.88Price 5.96 19.46 10.92 7.92 9.94 7.92 16.67 9.94 17.82 10.5513

Compression19898472FUTURO Energizing Graduating Trouser Socks for Women, Black, MCompression19898468FUTURO Graduated Anti-Embolism Thigh-Length Stockgs, White, MHeating Pads25479730Sunbeam Moist/Dry Heating Pad, Model 731-500COLD, COUGH, FLU AND SINUSSubcategoryItem IDDescriptionCold, Cough, Flu10416120Vicks VapoRub Cough Suppressant Topical Analgesic Ointmt, 3.53ozCold, Cough, Flu40816792Equate Maximum Strength Day & Night Sinus Caplets, 20ctCold, Cough, Flu17248444Equate Nighttime Flu & Severe Cold & Cough packets, 650mg, 6ctCold, Cough, Flu421960486Advil Multi-Symptom Cold & Flu Tablet, 20 ctCold, Cough, Flu580545345Equate Mucus ER Extended-Release Tblts, 600mg, 20ctCold, Cough, Flu22822801Equate Suphedrine PE Nasal Decongestant Tblts, 10mg, 72ctNasal Sprays966708104Equate 2pk Non-Drowsy Allgy Relief NasalSpray, 50 mcg, 0.54ozNasal Sprays778281964Equate 4pk Fast Acting Nasal Spray Solution, 1ozNasal Sprays440370809Equate 3pk Premium Saline Nasal Spray, 1.5ozNasal Sprays127783889Vicks VapoInhaler Portable Nasal Inhaler, 2ctSore Throat426331191Equate 2pk Value Sz Sugar-Free HoneyLemon Cough Drops, 140ctSore Throat11047056Chloraseptic Sore Throat Spray, Cherry, 6 flozDIABETES OTCSubcategoryItem IDDescriptionGlucose Tblts883194164ReliOn 2pk Fruit Punch Glucose Tabs, 50ctDIGESTIVE HEALTH - ANTACIDSSubcategoryItem IDDescription12h Heartburn24360533Equate Max Strength Acid Reducer Famotidine Tblts, 20mg, 200ct24h Heartburn8457196Equate 3pk Esomeprazole Magnesm Delayed-Rel Caps, 20mg, 42ct24h Heartburn10324782Equate Acid Reducr Omeprazole Delayd-Release Tblts, 20mg, 42ct30min Heartburn108599090Equate 2pk MaxStrgth Antacid/Anti-Gas Liquid, 400 mg, 12oz30min Heartburn17177011Alka-Seltzer Original Effervescent Tblts, 72ct30min Heartburn21082590Equate 2pk Extra Strgth Antacid Chewable Tblts, 750mg, 200ctGas Relief10294134Gas-X Extra Strength Gas Relief Softgels, 72ctGas Relief55041892Equate Dairy Relief Caplets, Original, 120ctGas Relief54883662Equate ExtraStrgth Antacid/Anti-Gas Chews, Mixed Berry, 54ctDIGESTIVE HEALTH - LAXATIVES AND HEMORRHOID RELIEFSubcategoryItem IDDescrip

same great categories in this catalog are also covered in stores and online – with more to choose from! 5173902 509164TXDENAGP TX 2020 OTC Catalog Update. 2020 Over-the-Counter . Health Products Catalog. H8786_20_122003_R CMS Approved 04/20/2020. 509207TXDENAGP

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