Over-the-Counter Health And Wellness Product Catalog
Over-the-Counter Healthand Wellness Product CatalogEffective November 2021
Over-the-counter health and wellness product catalogReceive products by mailAmeriHealth Caritas Florida has an Over-the-Counter (OTC) Expanded Benefit that allows membersto receive OTC products by mail. Your OTC items must be ordered through PerformRx . Yourorders from PerformRx will then be mailed directly to you by United Medco Pharmaceuticals.SMYour allowanceYour allowance for OTC health and wellness items is 25 per month, per household. One order per monthis permitted. Any unused monthly allowance does not carry over. Keep this catalog somewhere accessible.It will help you know what health and wellness products you can order.How to orderCall PerformRx Pharmacy Member Services at 1-855-371-3963,Monday – Friday, 8:30 a.m. – 6 p.m. Eastern time.Questions? We can help.For general benefit questions, call AmeriHealth Caritas Florida MemberServices at 1-855-355-9800 (TTY 1-855-358-5856).Orders will be shipped to your home at no extra charge to you. Please allow five to seven business daysfor your order to be shipped. Some brand name items are listed for reference only. You may receive thegeneric version. Items, quantities, sizes, and values may change depending on availability. Item cost maychange from year to year. Please consult with your primary care provider (PCP) before using any overthe-counter (OTC) product. This product list is subject to change.OTC items may only be requested for the plan enrollee. It is prohibited to request OTC items for familymembers and friends.2
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparableALLERGY PREVENTION AND TREATMENT1Allergy relief, cetirizine, 10 mg tablets30 10Zyrtec 2Allergy relief, loratadine, 10 mg tablets30 7Claritin 60 sprays 24280Nasoflow Allergy ReliefFlonase , Claritin ANALGESICS/ANTIPYRETICS3Acetaminophen, 325 mg tablets100 4Tylenol 325 mg Regular Strength Tablets4Acetaminophen, 500 mg tablets100 5Tylenol 500 mg Extra Strength Tablets5Aspirin, 325 mg tablets100 3Bayer Aspirin 325 mg6Aspirin, 81 mg chewable36 3Bayer Aspirin 81 mg Chewable7Aspirin, enteric coated, 81 mg tablets120 5Bayer EC Aspirin 81 mg Adult Regimen8Aspirin, enteric coated, 325 mg tablets100 4Ecotrin Tablets40 5Equaline Vitamin459EQL menstrual relief capletANTACIDS AND ACID REDUCERS9Pepcid AC TabAcid reducer, famotidine, 10 mg tablets30 610Acid reducer, omeprazole, 20 mg14 1412Antacid tablets150 5Tums Tablets13Effervescent tablets36 6Alka-Seltzer 14Gas relief caplet extra-strength30 4Gas-X Extra StrengthPrilosec ANTICANDIAL (YEAST INFECTION) TREATMENTS1 15Monistat Vaginal Suppository 3-Day15Miconazole vaginal suppository, three day16Adult glycerin suppositories25 3Fleet Adult Suppositories17Anti-diarrheal caplets12 4Imodium AD18Anti-nausea liquid4 oz 7Emetrol 19Bisacodyl, 5 mg tablets25 4Dulcolax TabletsANTIDIARRHEAL AND LAXATIVES231Enema, mineral oil4.5 oz 4Fleet Mineral Oil279Enema, saline laxative4.5 oz 2Fleet Enema290Stomach relief flavored liquid8 oz 6Pepto-Bismol 20Laxative bisacodyl, 10 mg suppositories12 5Dulcolax Suppositories21Stomach relief flavored tablets30 4Pepto–Bismol Tablets22Stool softener softgel100 6Colace SoftgelsANTI-INFLAMMATORY23Ibuprofen, 200 mg liquid gel caps20 5Advil Liquid Gel Caps24Ibuprofen, 200 mg tablets50 6Advil Tablets25Naproxen sodium, 220 mg caplets50 8Aleve Caplets26Advil, 200 mg liquid gel caps20 8Advil Liquid Gel CapsARTHRITIS MEDICINE26Arthritis pain relief tablets27Hot/cold patches24 5Tylenol Arthritis Pain Relief Tablets5 6Icy Hot PatchesBLADDER CONTROL ITEMS170Adult bladder control pads28 9Depend Adult Bladder Control Pads167Adult protective disposable briefs, S/M20 18Depend Adult Protective Briefs S/M168Adult protective disposable briefs, L20 18Depend Adult Protective Briefs LG169Adult protective disposable briefs, XL20 20Depend Adult Protective Briefs XL3
AmeriHealth Caritas Florida OTC Product CatalogItem#200DescriptionDisposable bed underpadsQtyFormularyor catalogprice5 6Brand comparablePrevail Disposable Bed UnderpadsCHILDREN'S PRODUCTS198Vitamin A and D ointment1 oz 3A&D Ointment28Acetaminophen, 80 mg chew tabs30 5Tylenol 80 mg Chew Tabs30Acetaminophen junior-strength chew tab, 160 mg24 7Tylenol Jr. Strength Chews32Children’s chewable multivitamins100 8Flintstones Chewable Multi-Vitamins33Children’s ibuprofen suspension, 100 mg4 oz 1034Children's acetaminophen liquid4 oz 5Tylenol Children's Liquid35Children's cold and allergy liquid4 oz 5Dimetapp Cold and Allergy Elixir31Children's glycerin suppositories12 4Fleet Children's Glycerin SuppositoriesMotrin Children's Suspension270Children's saline drops30 ml 8Little Remedies Children's Saline Drop36Children's toothbrush1 2GUM Toothbrush195Children's toothpaste3 oz 3Colgate Children's Toothpaste37Diaper rash ointment1 oz 3Desitin Ointment38Diphenhydramine liquid4 oz 4Benadryl Elixir39Duofilm0.3 oz 9Duofilm 40Gas relief drops1 oz 1041Ibuprofen infants drops0.5 oz 8Motrin Infant Drops42Junior-strength ibuprofen chew tabs, 100 mg24 7Motrin Jr. Strength Tablets45Premium preemie to 6 lbs diapers20 9Pampers Preemi to 6lbs46Premium up to 12 lbs diapers, S24 10Pampers Up to 12 lbs Diapers SM47Premium 12 – 20 lbs diapers, M20 10Pampers 12-20 lbs Diapers MED48Premium 20 – 30 lbs diapers, L18 10Pampers 20-30 lbs Diapers L49Premium 30 – 38 lbs diapers, XL16 10Pampers 30-38 lbs Diapers XL50Premium 38 lbs diapers, XXL14 10Pampers 38 lbs Diapers XXL51Premium baby wipes80 5Pampers Baby Wipes52Tooth and gum cleanser1 6Orajel Tooth and Gum Cleanser2122T – 3T pull-up diapers17 12Pull-Ups 2T-3T2133T – 4T pull-up diapers15 12Pull-Ups 3T-4T2144T – 5T pull-up diapers13 12Pull-Ups 4T-5T217Baby shampoo tear-free15 oz 3J&J Baby Shampoo Tear-Free218Children's conditioning shampoo8 oz 3J&J Children's Conditioning Shampoo299Baby nail clippers1 1Safety 1st Baby Nail Clipper308Baby wipes, travel size10 1Pampers Baby Wipes, Travel381Baby lotion3.5 oz 5J&J Baby Lotion400Multivitamin gummies, child60 10Little Critters Gummies420Calcium 250 mg vitamin D3 500 IU, child gummy30 10Little Critters Calc Vit D Child Gummy421Vitamin C, child gummy, 250 mg60 10Little Critters Vit C Child Gummy442Sunscreen lotion, babies, SPF 508 oz 9Mylicon dropsCoppertone Sunscreen for Babies SPF-504
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparableCOLD/COUGH/FLU REMEDIES53APAP (acetaminophen) sinus congestion24 4Tylenol Sinus Congestion54Cough/throat drops30 3Halls Cough Drops211Sugar-free cough/throat drops25 3Halls Sugar-Free Cough Drops55Daytime cold/flu relief softgels16 5DayQuil Softgels56Daytime cold/flu relief liquid4 oz 5DayQuil Liquid174Daytime/nighttime cold/flu caplets20 5Mucinex Day/Night Caplets230Diphenhydramine, 25 mg capsules24 3Benadryl 57Mucus relief DM tablets30 9Mucinex DM58Mucus relief tablets30 8Mucinex 59Nasal decongestion spray1 oz 4Afrin Nasal Spray60Nasal decongestion PE tablets36 4Sudafed PE Tablets61Nighttime cold/flu relief softgels16 5NyQuil Caplets62Nighttime cold/flu relief liquid4 oz 7NyQuil Liquid63Saline nasal spray1.5 oz 3Ocean Nasal Spray64Sore throat spray6 oz 5Chloraseptic Sore Throat Spray65Tussin DM syrup SF4 oz 4Robitussin DM Syrup66Tussin syrup4 oz 4Robitussin Syrup67Vapor rub3.53 oz 5Vicks Vapor Rub402SinuCleanse neti pot30 uses 20NasaFlo Neti Pot433Green tea, multi flu/severe cold, honey lemon6 9Thera-Flu , Multi-Symp Severe Cold-Lemon449Child allergy elixir4 oz 5Children's Benadryl 450Child cold/cough/sore throat4 oz 6Children's Mucinex 451HBP cough cold16 6Coricidin 458Acetaminophen PM, 500 mg50 3Tylenol PM DENTAL AND DENTURE CARE1 5GUM Dental Tool Kit2.4 oz 5Fixodent 40 4Efferdent 6.4 oz 4Colgate Adult toothbrush, medium1 2Colgate Toothbrush73Dental floss1 2Reach Dental Floss74Mouthwash4 oz 3Listerine 75Sensitive teeth toothpaste4.3 oz 5Sensodyne 76Toothache relief liquid/gel0.33 oz 4Anbesol Liquid/Gel313Dental floss, waxed55 yds 1Reach Dental Floss, Waxed314Dental floss, mint waxed55 yds 1Reach Dental Floss, Mint Waxed315Denture brush1 1GUM Denture Brush318Toothpaste0.85 oz 1Colgate Toothpaste332Flosser, mechanical1 12Power Flosser 333Water jet, battery operated1 23Oral-B Vitality Water Jet68Dental tool kit69Denture adhesive cream70Denture cleaner71Fluoride toothpaste72EAR CARE77Ear syringe78Earwax drops1 3Apex Ear Syringe0.5 oz 7Debrox Ear Wax Drops5
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparableEYE CARE79238Artificial tears0.5 oz 6Visine TearsEye wash3.9 oz 5Collyrium Eye Wash80Eyeglass repair kit1 5Calabria Eyeglass Repair Kit81Reading glasses, diopter 1.01 9Optx Reading Glass Diopter 1.0082Reading glasses, diopter 1.251 9Optx Reading Glass Diopter 1.2583Reading glasses, diopter 1.51 9Optx Reading Glass Diopter 1.5084Reading glasses, diopter 1.751 9Optx Reading Glass Diopter 1.7585Reading glasses, diopter 2.01 9Optx Reading Glass Diopter 2.0086Reading glasses, diopter 2.251 9Optx Reading Glass Diopter 2.2587Reading glasses, diopter 2.51 9Optx Reading Glass Diopter 2.5088Reading glasses, diopter 2.751 9Optx Reading Glass Diopter 2.7589Reading glasses, diopter 3.01 9Optx Reading Glass Diopter 3.0090Reading glasses, diopter 3.251 9Optx Reading Glass Diopter 3.2591Reading glasses, diopter 3.51 9Optx Reading Glass Diopter 3.5092Reading glasses, diopter 4.01 9Optx Reading Glass Diopter 4.0093Red eye relief drops0.5 oz 4Visine Drops1 2Bausch & Lomb Eyeglass Cleaner0.4 oz,30 count 6Visine Eye Drops Sensitive, one use0.17 oz 21429Eyeglass cleaner437Eye drops, sensitive, single use452Ketotifen fumarate, eye itch reliefEye Itch Relief FIBER SUPPLEMENTS94Fiber gummies60 1095Fibertab tablets90 913 oz 10281Psyllium powder, orangeVitafusion Fiber Well GummiesFiberCon TabletsMetamucil OrangeFIRST AID AND MEDICAL SUPPLIESAdhesive first-aid tape1 2Ace Adhesive First-Aid Tape189Aid ankle support1 7Futuro Aid Ankle Support191Aid elbow support1 7Futuro Aid Elbow Support192Aid hand support1 7Futuro Aid Hand Support166Aid knee support1 7Futuro Aid Knee Support190Aid wrist support1 7Futuro Aid Wrist Support100 3Dynarex Alcohol Pads9697Alcohol pads162Anti-embolism stockings, XL1 13Futuro Anti-Embolism Stockings XL163Anti-embolism stockings, LG1 13Futuro Anti-Embolism Stockings LG164Anti-embolism stockings, MED1 13Futuro Anti-Embolism Stockings MED165Anti-embolism stockings, SM1 13Futuro Anti-Embolism Stockings SM98Athletic bandage1 2Ace Athletic Bandage99Bandages, assorted100 6Band-Aids Bandages12 2Ace Butterfly Closures0.33 oz 4Dr. Scholl’s Corn and Callus Remover100Butterfly closures101Corn and callus remover102Cotton balls100 3J & J Cotton Balls103Cotton swabs150 3Q-Tips Cotton Swabs249Diabetic socks, ladies size 5 – 10, white3 pack 7Dr. Scholl's Diabetic Socks6
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparable250Diabetic socks, ladies size 5 – 10, black3 pack 7Dr. Scholl's Diabetic Socks251Diabetic socks, men size 6 – 12.5, white3 pack 7Dr. Scholl's Diabetic Socks252Diabetic socks, men size 6 – 12.5, black3 pack 7Dr. Scholl's Diabetic Socks258Elastic knee support1 3Futuro Elastic Knee Support104First aid kit1 8Ace First Aid Kit105Flexible tip thermometer1 10Veridian Flexible Tip Thermometer235Gauze pad, sterile, 4"x4"100,12 ply 14Ace Gauze Pad Sterile 4"x4"236Gauze surgical sponge, sterile, 4"x4"2 pack,25 count,12 ply 6Ace Gauze Surg. Sponge Sterile 4"x4"237Gauze value surgical sponges, 4"x4"2 pack,25 count,12 ply 5Ace Gauze Value Surgical Sponges 4"x4"239Heating pad, dry heat, 12” x 15”1 21106Ice bag1 4187Kitchen scale dial1 10284Liquid bandage0.0225 oz 6Newskin Liquid Bandage107Liquid wart remover0.31 oz 7Compound W Wart Remover108Oral digital thermometer1 5Luminiscope Oral Digital Thermometer188Peak flow meter1 14Omron Peak Flow Meter194Pedometer1 10Omron Pedometer202Spacer1 14Vortex Spacer109Stretch gauze1 2ACE Stretch Gauze124Thermometer probe covers30 3Welch-Allyn Thermometer Probe Covers203Gloves, disposable, S, non-sterile50 5Playtex Disposable Gloves, SM204Gloves, disposable, M, non-sterile50 5Playtex Disposable Gloves, MED205Gloves, disposable, L, non-sterile50 5Playtex Disposable Gloves, LG435Medicated foot powder4 oz 8Gold Bond Medicated Foot Powder3163" elastic bandage1 1ACE 3" Elastic Bandage317Bandages, 3/4" x 3"50 1ACE Bandages, 3/4" x 3"319Surgical tape, 1" x 10 yds1 1ACE Surgical Tape320Hydrogen peroxide4 oz 1Swan Hydrogen Peroxide439Wound wash spray3 oz 12440Burn gel, liquid2 oz 5Band-Aid Burn Gel, Liquid441Burn gel6 4Band-Aid Burn Gel295Tweezers1 1Revlon Tweezers305Hot/cold reusable pack, 4"x6"1 1Sunbeam Hot Cold Reusable pack310Palm support1 1Futuro Palm Support312Cotton balls76 1J&J Cotton Balls444Ear dry drops1 oz 10Ear Clear Swimmer's Ear445Snoring nose strips10 count 12Breathe Right 448Ethyl alcohol gel4 oz 4Hand Sanitizer Gel 454Hydrogen peroxide spray4 oz 9Med-First Hydrogen Peroxide Spray462Epsom salt16 oz 5Epsom Salt Ace Heating Pad, Dry Heat, 12x15Carex Ice BagPeachtree Scale DialArm & Hammer Wound Wash Spray7
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparableHEADACHE RELIEF110Headache relief tablets50 6Excedrin Migraine111Hemorrhoid ointment2 oz 7Preparation H Ointment112Hemorrhoid pads100 7Tucks Medicated Pads113Hemorrhoid relief suppositories12 7Preparation H Suppositories114Lactase enzymeHEMORRHOIDAL PREPARATIONSLACTOSE INTOLERANCE60 10Lactaid TabletsMOTION SICKNESS MEDICATION115Motion sickness tablets12 3Dramamine Motion SicknessOTHER ITEMS199Antibacterial bar soap1 3Dove Antibacterial Soap117Antibacterial liquid hand soap pump1 5Dove Antibacterial Hand Soap118Antibacterial wet wipes24 4Kleenex Antibacterial Wet Wipes216Bathroom scale, dial, to 300 lbs1 12226Bug X repellent2 oz 5Cutter Insect Repellent227Bug X repellent4 oz 10Cutter Insect Repellent228Bug X repellent8 oz 14Cutter Insect Repellent119Calamine lotion6 oz 4Swan Calamine Lotion225Insect repellent, aerosol6 oz 11Cutter Backwoods224Insect repellent6 oz 11Cutter Skinsations121Dry skin therapy moisturizing cream1 8Nivea Dry-Skin Moisturizing Cream215Feminine body spray3.5 oz 5Summers Eve Feminine Body Spray122Feminine hygiene wipes40 5Summers Eve Feminine Hygiene Wipes123Fever strip thermometer1 3NexTemp Fever Strip Thermometer125Hand sanitizer spray pen, twin pack1 3Purell Hand Sanitizer Spray Pen221Hydrogen peroxide8 oz 2Swan Hydrogen Peroxide126Lip balm1 1Chapstick 127Male condoms3 2Trojan Male Condoms201Maxi pads12 3Always Maxi-Pads219Medical appointment calendar1 5Brownline Medical Appointment Calendar206Medicated anti-dandruff shampoo11 oz 5Head & Shoulders Anti-Dandruff Shampoo264Needle/sharps container1 12BD Needle/Sharps Container223Insect repellent, 15% DEET6 oz 15OFF! Active222Insect repellent, 25% DEET6 oz 13OFF! Deep Woods130Pill box, seven day, one time a day1 2Aculife Pill Box, seven day, one time a day269Pill box, seven day, a.m. and p.m.1 4Apex Pill Box, seven day, a.m. and p.m.267Pill box, seven days, three times a day1 4Apex Pill Box, seven days, three times a day268Pill box, seven days, four times a day1 4Apex Pill Box, seven days, four times a day131Pill splitter1 3Apex Pill Splitter132Pocket facial tissue1 2Kleenex Pocket Facial Tissue133Pregnancy test1 8E.P.T Pregnancy Test134Tampons8 2Tampax Premium Tampons207Pro-vitamin conditioner13 oz 4Pantene Pro-Vitamin ConditionerWW Scale, Dial8
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogprice16 oz 3Swan Rubbing Alcohol 70%Brand comparable220Rubbing alcohol, 70%271Travel health folder, seven pocket1 7Pendaflex Travel Health Folder, seven pocket291Hair pick, mini plastic1 1Cricket Hair Pick, Mini Plastic292Nail clipper with nail file and keychain1 1Sally Hansen Nail Clipper with File293Bath ball1 1Razz Bath Ball294Bath glove1 1AquaBella Bath Glove296Eyebrow trimmer1 1Noxzema Eye Brow Trimmer297Mini spray bottle1 1Uline Mini Spray Bottle298Hair comb1 1Nordstrom Hair Comb300Face mask, disposable5 1Uline Face Mask, Disposable301Nail file1 1Revlon Nail File302Foot nail brush and pumice stone1 1Stylewurks Foot Nail Brush & Pumice303Nail clipper1 1Dynarex Nail Clipper304Rain bonnet1 1DofmanPacific Rain Bonnet306Eye mask1 1Bausch Lomb Eye Mask309Travel adult wipes10 1Cottonelle Travel Adult Wipes311Shoe horn1 1Izola Shoe Horn455Unisex overnight briefs, XL20 25Depend Overnight Briefs/XL456Unisex overnight briefs, L20 20Depend Overnight Briefs/L457Unisex overnight briefs, M20 20Depend Overnight Briefs/M461Coconut oil6 oz 3Natures Way Coconut Oil472Adult washcloths, disposable48 5Prevail Washcloths DisposablePEDICULICIDES (HEAD LICE TREATMENTS)137Lice treatment shampoo4 oz 10LiceMD Lice ShampooSLEEPING AIDS138Nighttime sleep tablets50 4Sominex Tablets139Sleep aid tablets, doxylamine16 6Unisom Tablets415Melatonin gummy, 5 mg60 10Vitafusion Melatonin GummySMOKING CESSATION PRODUCTS196Nicotine gum, 2 mg20 10Nicorette Gum, 2 mg197Nicotine gum, 4 mg20 10Nicorette Gum, 4 mgTOPICAL OINTMENTS AND CREAMSAnti-itch cream1.25 oz 4Benadryl CreamBenzoyl peroxide, 10% gel42.5grams 5Clearasil Vanishing Cream141Clotrimazole, 1% cream0.5 oz 6Lotrimin AF Cream142Cold sore treatment1 7Herpecin Cold Store Treatment143Hydrocortisone, 1% cream1 oz 5Cortaid Cream144Muscle rub cream1.25 oz 3Bengay Cream145Petroleum jelly4 oz 3Vaseline Jelly171SPF 50 sunblock4 oz 6Coppertone SPF 50 Sunblock146Tolnaftate, 1% cream1.25 oz 6Tinactin Cream147Triple antibiotic ointment1 oz 5Neosporin Ointment413Hydrocortisone, maximum strength1.0 oz 3Eczema Maximum Strength Cream1402789
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparableHERBS, VITAMINS, AND MINERALS241Acidophilus lactobacilli probiotics60 9Swanson Acidophilus Lactobacilli148Adult multi-vitamins100 8Centrum Vitamins242Antioxidant tablets50 10149Calcium 600 vitamin D60 7Caltrate 600 D Tablets150Calcium tablets60 5Calcium Tablets246Coconut oil, 1,000 mg60 10247Cod liver oil100 9248Coenzyme Q10, 100 mg30 10253Echinacea, 400 mg100 8Puritan'sPride Echinacea255Eucalyptus exfoliating body scrub6 oz 5Bath&Bodyworks Eucalyptus Body Scrub232FDC vitamin B complex with vitamin C iron100 6Windmill Vit. B Cmplx with Vit. C Iron233FDC vitamin D Tablets 400 IU100 6Natures Bounty Vitamin D151Ferrous sulfate iron 325 mg tablets100 6NatureMade Ferrous Sulfate, Iron 325mg256Fish oil 1,000 mg30 4NatureMade Fish Oil 1000mg257Flaxseed 1,000 mg100 10152Folic Acid 400 mcg tablets100 4Windmill Folic Acid Tablets259Garlic oil, 500 mg100 5Swanson Garlic Oil260Ginseng complex, 100 mg100 10Nature's Bounty Ginseng Complex261Glucosamine and chondroitin, 1,500 mg30 9Puritan’sPride Glucos. & Chondro.262Lavender body cream6 oz 3Aveeno Lavender Body Cream153Magnesium 250 mg tablets100 5Nature Made Magnesium263Melatonin, 3 mg60 7Nature Made Melatonin265Omega 3 1000 mg100 10Nature Made Omega 3154Prenatal vitamins100 10Stuart Prenatal Vitamins155Vitamin A 10,000 IU softgels100 4Nature's Way Vitamin A156Vitamin B-12 100 mcg100 8Nature Made B-12 Vitamins157Vitamin B-complex100 6Nature Made Vitamin B-Complex158Vitamin B-complex gummy70 10159Vitamin C 500 mg tablets100 5193Vitamin C gummy60 10160Vitamin E 400 IU100 8Nature Made Vitamin E161Zinc, 50 mg tablets100 5Sundown Naturals Zinc414Biotin gummy, 5,000 mcg60 10Vitafusion Biotin Gummy416Multivitamin gummy60 10Vitafusion Multi-Vitamin Gummy417Omega DHA gummy90 16Vitafusion Omega DHA Gummy418Vitamin D3 gummy, 2,000 IU60 10Vitafusion Vitamin D3 Gummy419Calcium 500 mg vitamin D3, 1,000 IU, gummy60 16Vitafusion Calcium Vitamin D3 Gummy460Potassium gluconate, 595mg, potassium supplement100 7Potassium Gluconate 463Glucose tab50 8DEX4 Glucose Tab473Lutein, 20 mg, eye vitamin30 17Ocuvite 474Child multivitamin, gummy, S/F70 13Little Critters Child Multi Vitamin Gummy S/FPuritan'sPride Antioxidant TabletsNature’sBounty Coconut OilSwanson Cod LiverNature’sBounty Coenzyme Q10NatureMade FlaxseedVitafusion Vitamin B-Complex GummyNature Made Vitamin CVitafusion Vitamin C Gummy10
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparableADAPTIVE AIDS172Adult bib clothing protector1 12Simplicity Adult Bib Clothing Protector210Anti-slip safety tread aids1 43M Anti-Slip Safety Tread Aids243Baby — cabinet lock4 10Safety1st Baby - Cabinet lock244Baby — outlet cover8 4245Baby — toilet lock1 16186Button and zipper puller1 5Carex Button and Zipper Puller173Door knob gripper1 6Safety1st Door Knob Gripper208Food aid bumper1 7AbleWare Food Aid Bumper175Jar opener/faucet gripper1 6Apex Jar Opener/Faucet Gripper176Key turner1 3Apex Key Turner177Lamp switch turner1 3Carex Lamp Switch Turner178Letter opener1 2Quill Letter Opener179Long-handle bath sponge1 7Bathery Long Handle Bath Sponge209Magnifying glass1 4Insterin Magnifying Glass180Pill bottle opener aid1 4Apex Pill Bottle Opener Aid181Pill crusher1 8Apex Pill Crusher182Reaching aid device1 15Gopher Reaching Aid Device183Shopping bag carrier1 4RiteAid Shopping Bag Carrier185Toothpaste squeezer1 3EzSqueez Toothpaste Squeezer326Bath mat, 27” x 13”1 13Softex Bath Mat339Back support, generic with suspenders1 19Futuro Back Support With Suspenders342Blood pressure wrist monitor1 25Omron Blood Pressure Wrist Monitor346Cane, one leg adjustable, 29" – 38"1 20Nova Cane, 1-leg Adjustable347Cane, one leg folding adjustable, 32" – 36"1 15Nova Cane, 1-leg Folding Adjustable373Brace, thumb1 10Futuro Brace, Thumb380Ear plugs1 pair 2Vibes Ear Plugs384Panty liners, universal size22 2Always Panty Liners385Tampons, super absorbency8 2Tampax Tampons, Super386Tampons, super plus absorbency8 2Tampax Tampons, Super Plus387Maxi pad, super absorbency14 3Always Maxi Pad, Super388Maxi pad, super max with wings12 3Always Maxi Pad, Super Max With Wings389Maxi pad, overnight with wings10 3Always Maxi Pad, Night Wing390Disposable pill pouches100 3Ezy Dose Disposable Pill Pouches391Shoe insert, foam, women2 pair 2Dr.Scholl's 392Shoe insert, foam, men2 pair 2Dr.Scholl's 393Aloe gel16 oz 2Fruit of the Earth Aloe Gel395Regular shampoo, non-medicated8 oz 3Dove Shampoo396Facial wipes20 2Nivea Facial Wipes397Facial cleanser8.5 oz 2Neutrogena Facial Cleanser398Dietary supplement, powder, 14 day12.8 oz 19Ensure 399Dietary supplement, powder, seven day6.4 oz 15Ensure 401Sea bands for nausea and vomiting1 pair 3KidCo Baby - Outlet coverKidCo Baby - Toilet lockAcu-Strap Sea Bands11
AmeriHealth Caritas Florida OTC Product CatalogItem#DescriptionQtyFormularyor catalogpriceBrand comparable403Deodorant, men's, non-medicated, stick2.25 oz 3Degree Deodorant, Men's404Deodorant, women's, non-medicated, stick2.25 oz 3Degree Deodorant, Women405Lotion, aloe, non-medicated18 oz 4Jergens Lotion, Aloe406Lotion, cocoa butter, non-medicated18 oz 4Palmer's Lotion, Cocoa Butter407Lotion, nourishing vitamin E, non-medicated18 oz 4Neutrogena Lotion, Vitamin E408Laundry detergent, H/D, no bleach, liquid40 oz 5Tide Detergent410Flashlight, LED, with batteries1 6SunFire Flashlight411Body wash, cucumber12 oz 3Suave Body Wash412Body wash, green tea12 oz 3Dove Body Wash422Night light1 2Meridian Night Light423Cosmetic tweezer1 2Trim Cosmetic Tweezer424Dust and germ mask10 2Uline Dust and Germ Mask425Hair brush and comb set2 set 2Safety1st Hair Brush & Comb Set426Tummy trimmer1 6Leonisa Tummy Trimmer427Inflatable neck cushion1 3Samsonite Inflatable Neck Cushion428Manicure beauty set3 piece 2Cala Manicure Beauty Set432Shower cap3 2Firstline Shower CapACFL-211663703-1M1390 210712
Discrimination is against the lawAmeriHealth Caritas Florida complies with applicable federal civil rights laws and does not discriminate,exclude people, or treat them differently based on race, color, national origin, age, disability, creed,religious affiliation, ancestry, sex, gender identity or expression, or sexual orientation.AmeriHealth Caritas Florida: Provides free (no-cost) aids and services to people with disabilities to communicate effectivelywith us, such as:- Qualified sign language interpreters.- Written information in other formats (large print, audio, accessible electronic formats,other formats). Provides free (no-cost) 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 AmeriHealth Caritas Florida at 1-855-355-9800(TTY 1-855-358-5856). We are available 24 hours a day, seven days a week.If you believe that AmeriHealth Caritas Florida has failed to provide these services or has discriminatedagainst you in another way, you or your authorized representative (if we have your written authorizationon file) can file a grievance with: Grievances and Appeals, P.O. Box 7368, London, KY 40742. Phone: 1-855-371-8078(TTY 1-855-371-8079), or Fax: 1-855-358-5847. You can file a grievance by mail, fax, or phone. If you need help filing a grievance, AmeriHealthCaritas Florida 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 athttps://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 (TTY 1-800-537-7697)Complaint forms are available at:http://www.hhs.gov/ocr/office/file/index.html.
Multilanguage interpreter servicesMultilanguage interpreter servicesMultilanguage interpreter servicesEnglish: This information isEnglish: This information isavailable for free in otheravailable for free in otherlanguages. Please contact ourlanguages. Please contact ourcustomer service number atcustomer service number at1-855-355-9800 (TTY1-855-355-9800 (TTY1-855-358-5856), 24 hours a1-855-358-5856), 24 hours aday, seven days a week. If yourday, seven days a week. If yourprimary language is not English,primary language is not English,or to request auxiliary aids,or to request auxiliary aids,assistance services are availableassistance services are availableto you, free of charge.to you, free of charge.Spanish: Esta información estáSpanish: Esta información estádisponible en otros idiomasdisponible en otros idiomasde forma gratuita. Póngase ende forma gratuita. Póngase encontacto con nuestro número decontacto con nuestro número deservicios al cliente alservicios al cliente al1-855-355-9800 (TTY1-855-355-9800 (TTY1-855-358-5856), las 24 horas1-855-358-5856), las 24 horasdel día, los siete días de ladel día, los siete días de lasemana. Si su idioma principal nosemana. Si su idioma principal noes el inglés, o necesita solicitares el inglés, o necesita solicitarayudas auxiliares, hay serviciosayudas auxiliares, hay serviciosde asistencia a su disposición dede asistencia a su disposición deforma gratuita.forma gratuita.Haitian Creole: Enfòmasyon saHaitian Creole: Enfòmasyon sayo disponib gratis nan lòt lang.yo disponib gratis nan lòt lang.Tanpri kontakte ekip sèvis kliyanTanpri kontakte ekip sèvis kliyannou an nan 1-855-355-9800nou an nan 1-855-355-9800(TTY 1-855-358-5856), 24(TTY 1-855-358-5856), 24è sou 24, sèt jou sou sèt. Siè sou 24, sèt jou sou sèt. Sianglè pa lang manman w oswaanglè pa lang manman w oswasi w ta renmen mande yon èdsi w ta renmen mande yon èdkonplemantè, ou ka resevwakonplemantè, ou ka resevwasèvis ki gratis pou ede w.sèvis ki gratis pou ede w.French: Ces informations sontVietnamese:Thông tin nàysontcóFrench: Ces informationsdisponibles gratuitement danssẵnmiễn phígratuitementở các ngôn dansngữdisponiblesd’autres langues. Veuillezd’autreskhác.Vuilangues.lòng liênVeuillezlạc bộ phậncontacter notre équipe servicecontacternotrehàngéquipedịchvụ kháchcủaservicechúngclientèle au 9800tôitheo số(TTY 1-855-358-5856), 24 heuresheures(TTY 1-855-358-5856), 24 giờsur 24, sept jours sur sept. Sisur ngàyl’anglais n’est pas votre �nhcủalanguequý vịmaternelle ou si vous souhaitezmaternelleousi voussouhaitezkhôngphảiunelà tiếnghoặc auxiliaire,yêucầu cácthiếtbị trợgiúp tuitementsung,thì d’aidequývị sontcó thểsử dụngmis à votredisposition.mis à phívotremiễncácdisposition.dịch vụ hỗ trợ.ACFL daFlorida
Over-the-Counter Health . and Wellness Product Catalog. Effective November 2021. Over-the-counter health and wellness product catalog. Receive products by mail AmeriHealth Caritas Florida has an Over-the-Counter (OTC) Expanded Benefit that allows members . to receive OTC products by mail. Your OTC items must be ordered through PerformRx
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 .
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)
̶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
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.
Chính Văn.- Còn đức Thế tôn thì tuệ giác cực kỳ trong sạch 8: hiện hành bất nhị 9, đạt đến vô tướng 10, đứng vào chỗ đứng của các đức Thế tôn 11, thể hiện tính bình đẳng của các Ngài, đến chỗ không còn chướng ngại 12, giáo pháp không thể khuynh đảo, tâm thức không bị cản trở, cái được
ATKINS CARB COUNTER 3 1 How to Use the Atkins Carb Counter 3 Atkins & Other Low-Carb Specialty Foods 6 Baking Ingredients 7 (Atkins 20 or Atkins 40) you’re on.Beef, Lamb, Pork & Other Meats 9 Beverages & Alcoholic Beverages 12 Breads, Crackers, Tortillas & Wraps 14 Candy & Chewing Gum 15 Cereals 17 blood sugar. Fiber and sugar Condiments & SeasoningsFile Size: 375KBPage Count: 30Explore furtherAtkins diet - Carbohydrate Counter Chartwww.atkins-diet-advisor.com/carbohydr Carbohydrate Counter - The Original Online Carb Counterwww.carbohydrate-counter.orgCarb Counter - Search Over 6000 Foodscarb-counter.orgCarb Counting Food List - Nebraska Medicinewww.nebraskamed.comCarbohydrate Food List - Michigan Medicinewww.med.umich.edu/1libr/MEND/CarbLis Recommended to you b
David Galles Department of Computer Science University of San Francisco. 14-0: Counter Machines Give a Non-Deterministic Finite Automata a counter Increment the counter Decrement the counter Check to see if the counter is zero. 14-1: Counter Machines A Counter Machine M (K,Σ, ,s,F)
