2022 Over-the-Counter (OTC) Catalog

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2022Over-the-Counter(OTC) CatalogThis booklet will help you use your OTC benefit.Keep it where you can easily get to it.

How do I use my OTC benefit?ONLINEwww.cvs.com/otchs/devoted Create an account using an email account you don’t share with a spouseor caregiver Online orders must be submitted by 11:59pm ET to be processed that day Order includes free delivery Allow 14 days for delivery You’ll be emailed tracking info once your order shipsPHONE1-888-628-2770 (TTY 711)9am to 8pm local time, Monday to Friday The first and last week of the month are the most popular for orders Consider placing your phone order mid-month to avoid long wait times Order includes free deliveryIN STORE Not all CVS stores participate in the OTC benefit. Find the store closest toyou at www.cvs.com/otchs/devoted/storelocator Tell the cashier you have OTC Health Solutions and show them yourDevoted Health member ID Though in-store retail prices may vary, you’ll only pay the price listed inthis catalog2

Shop our OTC itemsYour benefit only works for the exact items listed here. No substitutionsallowed. This catalog is a complete list of what’s covered.A few helpful things to know Check your plan documents to see how much you get each month(or quarter). Catalog prices cannot be combined with promotional offers orExtraBucks Rewards. You’re only allowed to purchase 3 of any single item each month or 9 of anysingle item each quarter. Some products have special limits. They’re marked with a or . You can only order OTC items for you. You cannot order more than your monthly or quarterly benefit amount. No returns or exchanges allowed. If you receive a damaged item, call OTC Health Solutions within 30 days toget a replacement item. See Frequently Asked Questions (FAQ) at the back of this booklet formore details.3

POPULAR ITEMSUnscented WipesToothbrush (Soft)Rubbing Alcohol Wipes 3.00 1.00 6.0064 count SKU 57181040 count SKU 444797Flushable WipesFacial TissuesHand Sanitizer 4.00 3.00 2.0042 count SKU 8438378 pack SKU 2652122 oz SKU 799023Sensitive ToothpasteFabric Anti-Bacterial Bandages Epsom Salt 4.00 4.003.4 oz SKU 3687754SKU 91069320 count SKU 87595722 oz SKU 482649 5.00

POPULAR ITEMSHot/Cold PatchesNitrile Disposable GlovesSkin Therapy Lotion 6.00 14.00 6.005 count SKU 95760450 count SKU 9912695.5 oz SKU 447703Hemorrhoidal WipesVitamin D3 1000 IUPetroleum Jelly 6.00 7.00 3.0048 count SKU 401472120 count SKU 3467542.5 oz SKU 531343Anti-Itch CreamFish Oil 1000mgIbuprofen 200mg 5.00 11.00 4.001 oz SKU 550749120 count SKU 35734350 count SKU 3719485

CODESKUPRODUCTQUANTITYPRICEAdult CareI70830476Women’s Small/Medium Underwear Max36 CT 19I71830475Women’s Large Underwear Max32 CT 19I72830474Women’s XL Underwear Max28 CT 19I73830473Men’s Small/Medium Underwear Max36 CT 19I75842939Men’s L/XL Underwear Max32 CT 19I76163094Unisex Extra Large Briefs Max14 CT 12I77641431Unisex Large Briefs Max16 CT 12I78240487Women’s Protective Pads Moderate20 CT 5I79964701Overnight Women’s Bladder Control Pads30 CT 12I80520577Adult Care Wipes48 CT 8I83383703Unisex Overnight Underwear XL12 CT 13I84383182Unisex Overnight Underwear L14 CT 13I86512509Underpads XL 23”x36”18 CT 9I87795728Women’s Bladder Control Pads, Long27 CT 12I88163093Men’s Bladder Control Pads52 CT 12A2477066Allergy Relief Tablets24 CT 4A3444238Cetirizine 10mg Tablets30 CT 14A5232642Loratadine 10mg 24 Hr Regular30 CT 15A6847260Fexofenadine Tablets 180mg30 CT 14A10232641Loratadine 10mg10 CT 8A11389345Levocetirizine Allergy Relief35 CT 16Allergy6Home delivery only Limit one (1) per benefit period Limit one (1) per year Dual-purpose

CODESKUA12922201Children’s Cetirizine Sugarfree GrapeA16583518Loratadine 10mg TabletsA20477072Child Allergy Elixir4 OZ 5A53444236Allergy Cetirizine 10mg Tablets14 CT 11A59238246Fluticasone Nasal Spray0.34 OZ 13PRODUCTQUANTITYPRICE8 OZ 13365 CT 40Cold RemediesC3895139Cold Flu & Sore Throat Max6 OZ 11C5970454Airshield Adult Gummies42 CT 10C7587618Medicated Chest Rub3.5 OZ 6C8155912Digital ThermometerEACH 8C9381791Airshield Twin Pack Orange20 CT 10C11707032Sore Throat Lozenges18 CT 4C12971824Tussin CF4 OZ 6C13707516Tussin DM4 OZ 6C15889580Airshield Berry Chew32 CT 6C16297625Nasal Decongestant Tabs18 CT 4C17164963Sugar Free Honey Lemon Cough Drop150 CT 6C18884883Sugar Free Cough Drop Menthol150 CT 6C19297885Chest Congestion Relief 400mg60 CT 9C21164183No Drip Nasal Mist1 OZ 6C22202227Micro Temple ThermometerEACH 23C23834800Temple ThermometerEACH 38C24890425Daytime Cold/Flu Soft Gels16 CT 6C25465804Cold Remedy Melts Citrus25 CT 9Items are subject to change. You will receive the generic equivalent of all items.7

CODESKUC26954407Severe Nighttime Cold & Flu Relief Berry8 OZ 7C28953437Nasal Strips Clear Small30 CT 10C29159734Nasal Decongestant Inhaler0.07 OZ 5C31972801Sore Throat & Cough Lozenges Mixed Berry18 CT 4C32896024Sinus Cleanser Wash KitEACH 10C33173270Mucus ER DM Max Strength14 CT 13C34277898Medicated Chest Rub1.76 OZ 4C36277790Nasal Spray Saline 2 Pack Twinpack1.5 OZ 5C40477060Tussin DM Sugar Free8 OZ 7C41688783Cold Remedy Sugar Free25 CT 10C42853587Cold Sore Treatment0.07 OZ 18C52891465Saline Nasal Spray1.5 OZ 4C54890411Nighttime Cold/Flu Soft Gels16 CT 6C56408566Sinus Acetaminophen24 CT 6C57316620Sore Throat Spray6 OZ 4C58181059Child’s Cold Multi-Symptom4 OZ 10C60244956Cough & Cold HBP16 CT 7C64320711Airshield Orange Tablets10 CT 6C66858828Nasal Mist0.5 OZ 7PRODUCTQUANTITYPRICEDigestive Health8D2310425Stool Softener100 CT 12D4206805Gas Relief E/S Softgels30 CT 5D5878020BeanAid Capsules30 CT 5D6108530Adult Glycerin Suppositories25 CT 3Home delivery only Limit one (1) per benefit period Limit one (1) per year Dual-purpose

CODESKUD8860849Heartburn Relief Tablets100 CT 8D9451300Omeprazole Tabs14 CT 10D10958326Daily Fiber SF10 OZ 9D11348639Bisacodyl Laxative Tabs25 CT 6D12672550Anti-Diarrheal Tablets12 CT 6D13703368Pink Bismuth Chewable Tabs30 CT 5D14690256Acid Controller Tabs30 CT 7D15139139Motion Sickness Tabs12 CT 6D16690260Easy Fiber8.6 OZ 13D17252794Fiber Capsules160 CT 12D18272722Esomeprazole Magnesium Capsules42 CT 24D19919055Probiotic Adult 4 Strains30 CT 16D20689598Stomach Relief Caplets24 CT 3D21401472Medicated Hemorrhoidal Wipes48 CT 6D22961468Hemorrhoidal Suppositories12 CT 6D23144212Hemorrhoidal Ointment2 OZ 9D24494222Milk of Magnesia12 OZ 6D25480996Laxative Bisacodyl Suppositories USP 10mg4 CT 6D26452277Hemorrhoidal Cream1.8 OZ 11D27689614Stool Softener30 CT 4D30451305Omeprazole Tablets42 CT 20D31267635Dairy Relief60 CT 13D40836320Antacid Calcium ES Tablets96 CT 5D45883948Probiotic Adult 9 Strains15 CT 14PRODUCTItems are subject to change. You will receive the generic equivalent of all items.QUANTITYPRICE9

CODESKUD46272739Esomeprazole Magnesium Tab14 CT 10D47883055Lansoprazole 15mg Caps14 CT 10D49713639Purelax Powder8.3 OZ 11PRODUCTQUANTITYPRICEEye and Ear CareE7110973Earwax Removal Drops0.5 OZ 4E8941579Earwax Care KitEACH 10E14171322Artificial Tears1 OZ 9E17337097Eye Wash4 OZ 6E18695753Contact Solution4 OZ 5E19976354Eye Health 50 Vitamins90 CT 20E20457496Swimmers Ear Solution1 OZ 4E21973866Earwax Removal KitEACH 8Feminine CareG1927025Maxi Super Long Pads42 CT 5G2692443Maxi Regular Pads48 CT 5G3872912Ultra Thin Long Pads40 CT 5G4836891Ultra Thin Pads Regular with Wings36 CT 5G5167765Feminine Cleansing Wash12 OZ 7G6234554Urinary Pain Relief Tablets30 CT 6G8416639Tampon Unscented Multipack36 CT 7G9721062Miconazole Vaginal Insert & CreamEACH 13G30333336Miconazole 7 Day Vaginal Cream7 CT 10G37418121Personal Lubricant5.6 OZ 1010Home delivery only Limit one (1) per benefit period Limit one (1) per year Dual-purpose

CODESKUG38326808Pregnancy TestEACH 10G40842800Overnight Maxi Pads36 CT 8G41289061Feminine Wipe Fragrance Free32 CT 5F3875957Fabric Anti-Bacterial Bandages20 CT 4F4109405Calamine Lotion6 OZ 6F6322430Triple Antibiotic & Pain Relief Ointment0.5 OZ 4F8618348Triple Antibiotic Ointment Pain & Scar0.5 OZ 7F9383505Clear Bandages45 CT 4F11550749Anti-Itch Cream1 OZ 5F13955322Calamine Plus Spray4.1 OZ 8F14875952Flex Fabric AB Fingertip Knuckle Bandages20 CT 4F15241483Antibacterial Bandages Assortment120 CT 12F16488598Bandages Assortment Value Pack200 CT 10F17894077Transparent Dressing Wound Cover8 CT 7F18832864Freeze Wart RemoverEACH 15F19330703Lidocaine Burn Relief Gel8 OZ 6F20717967Sensitive Skin Adhesive Bandages20 CT 5F21602441Iodine1 OZ 4F22311533Merthiolate2 OZ 5F23405572First Aid KitEACH 6F28270304Waterproof Large Transparent Dressing4 CT 14F31864765Antiseptic Skin Cleanser8 OZ 10F32482649Epsom Salt22 OZ 5PRODUCTQUANTITYPRICEFirst AidItems are subject to change. You will receive the generic equivalent of all items.11

CODESKUF33351170Wart Removal0.5 OZ 8F38270351Waterproof Assorted Transparent Dressing10 CT 9F39998839Wound Care Kit S/M30 PC 15F40489905Surgical Face Masks25 CT 15F41360094Small Surgical Face Masks20 CT 12F45219642Zinc Oxide Ointment1 OZ 4F47337274Finger Injury KitEACH 7F48444797Rubbing Alcohol Wipes40 CT 6F49946095Witch Hazel Spray6 OZ 7F50935683Gauze Pad Non Stick 2x325 CT 6F51893121Gauze Pad 4x425 CT 7F52893120Gauze Pad 3x325 CT 6F53894104Gauze Roll 4” 2 yardsEACH 4F57991269Nitrile Disposable Gloves50 CT 14F62964606First Aid TapeEACH 2F68531343Petroleum Jelly2.5 OZ 3F69259370Butterfly Closures12 CT 3F72882127Sharps ContainerEACH 13F73373092Hydrocortisone Ointment 1%1 OZ 5F74219634Bacitracin1 OZ 7PRODUCTQUANTITYPRICEFoot CareT2521682Tolnaftate Antifungal Cream1 OZ 8T3211003Clotrimazole Cream USP 1%0.5 OZ 7T4334566Odor Control Spray Powder4 OZ 612Home delivery only Limit one (1) per benefit period Limit one (1) per year Dual-purpose

CODESKUT5894580Moleskin Padding2 CT 4T9314468Medicated Corn Cushion9 CT 2T12894776Plantar Fasciitis Gel Sleeve1 PAIR 12T13658784Light Compression Socks L/XL White1 PAIR 10T14658829Light Compression Socks S/M White1 PAIR 10T15978348Light Compression Socks L/XL Black1 PAIR 10T16978349Light Compression Socks S/M Black1 PAIR 10T17184626Non-Binding Copper Crew Socks S/M White3 PAIRS 10T18184730Non-Binding Copper Crew Socks L/XL Black3 PAIRS 10T19184812Non-Binding Copper Crew Socks L/XL White3 PAIRS 10T20184935Non-Binding Copper Crew Socks S/M Black3 PAIRS 10T35139231Liquid Corn & Callous Remover0.5 OZ 6T36893272Diabetic Socks S/M2 PAIRS 9T37893270Diabetic Socks L/XL2 PAIRS 9T38658593Firm Compression Socks S/M Black1 PAIR 12T39658582Firm Compression Socks L/XL Black1 PAIR 12T40229790Foot Powder10 OZ 9PRODUCTQUANTITYPRICEHome DiagnosticsH19130344Alcohol Prep Swabs100 CT 3H20149650Glucose Chewable Tablets10 CT 2H21149647Glucose Tablets Orange50 CT 6H22149616Glucose Tablets Raspberry50 CT 6H25235157Ultra Thin Lancets 30 Gauge100 CT 4H26149668Thin Lancets, 26 Gauge100 CT 4Items are subject to change. You will receive the generic equivalent of all items.13

CODESKUH27343477Lancing DeviceEACH 6H71708884BP Monitor Upper Arm Auto 8.7”x16.5”EACH 40H72800232BP Monitor Upper Arm Manual 8.7”x12.6”EACH 18H73800824Auto Wrist Blood Pressure MonitorEACH 52H74800231Advanced Auto Blood Pressure MonitorEACH 52H75800230Premium Blood Pressure Monitor Upper ArmEACH 70H76800229Touchpad Premium Blood Pressure Monitor Upper ArmEACH 90H77814854Pulse OximeterEACH 40PRODUCTQUANTITYPRICEHome HealthJ1861900Drive Medical Bath MatEACH 17J2792495Suction Grab BarEACH 10J4741739ReacherEACH 22J5741741Raised Toilet Seat 4”EACH 45J6741727Quad Cane BlackEACH 26J8980705Black Cane Tip 3/4EACH 4MiscellaneousM10186739Hearing Aid Batteries 3128 PK 8M13186733Hearing Aid Batteries 138 PK 8M49460696Tablet CutterEACH 7M517151237 Day Pill BoxEACH 2M75135615Mosquito Repellent with 30% DEET6 OZ 7M77864739Digital Body ScaleEACH 1314Home delivery only Limit one (1) per benefit period Limit one (1) per year Dual-purpose

CODESKUPRODUCTQUANTITYPRICENicotine ReplacementK1133190Nicotine Transdermal 21mg Patch Step 17 CT 24K2173013Nicotine Transdermal 14mg Patch Step 214 CT 40K3338618Nicotine Transdermal 7mg Patch Step 314 CT 40K4971444Mini Mint Lozenge 4mg20 CT 12K6720035Uncoated Gum 4mg20 CT 12Oral CareO6307117Sensitive Tooth Paste Extra Whitening4 OZ 4O7808698Pro Clean Power Toothbrush with Replacement HeadsEACH 9O8978931Sensitive Flosspicks90 CT 3O9469085Extra Comfort Floss Mint 43.7ydEACH 3O10230196Denture Adhesive Regular2.4 OZ 4O12910693Toothbrush (Soft)EACH 1O13933844Extra Comfort Floss Mint 43.7yd2 PK 6O14122340Effervescent Denture Cleanser Tablets84 CT 5O15933823Interdental Brushes Tight Spaces16 CT 5O16572131Tongue Brush2 CT 6O17902457Comfort Dental Night Guard2 CT 20O18809800Lower Dental Guard2 CT 30O19956360Clear Pro Toothbrush, Medium3 CT 3O20897755Toothbrush, Medium2 CT 5O21377971Tri Clean Soft Picks60 CT 6O23378381Smilesonic Replacement Heads2 CT 32O24454376Flosser Picks Mint90 CT 3Items are subject to change. You will receive the generic equivalent of all items.15

CODESKUO25695108Temporary Lost Filling & Crown RepairEACH 4O26341166Easy Flex Replacement Brush Heads3 PK 19O29378314Cordless Water Flossing SystemEACH 55O31227508Ultra Tight Interdental Brush32 CT 6O36485907Sensodyne Pro Namel Whitening Toothpaste4 OZ 8O37705527Crest Whitening Toothpaste5.8 OZ 4O39357891Toothbrush Protector2 CT 7O46873493Dry Mouth Spray1.5 OZ 7O52933834Oral Pain Relief0.33 OZ 6O71454381Flosser Picks90 CT 3O72368775Sensitive Toothpaste3.4 OZ 4O73213330Denture Cleanser Tabs40 CT 3O74422345Easyflex Pro Rechargeable ToothbrushEACH 45O75415475Replacement Brushheads5 CT 25PRODUCTQUANTITYPRICEPain RelieversP1371948Ibuprofen 200mg50 CT 4P2200964Muscle Rub3 OZ 7P4230268Enteric Aspirin 81mg120 CT 5P5215314Heating Pad Extra LongEACH 33P6371914Acetaminophen 500mg100 CT 7P7844209Icebag LargeEACH 13P8547802Chewable Aspirin 81mg36 CT 2P12261925Children’s Ibuprofen Suspension4 OZ 6P13207688Children’s Acetaminophen Suspension Cherry4 OZ 616Home delivery only Limit one (1) per benefit period Limit one (1) per year Dual-purpose

CODESKUP14957604Hot/Cold Patches5 CT 6P15215313Heating Pad StandardEACH 22P16371271Lidocaine Patch6 CT 11P17109017Headache Relief Caplets100 CT 9P18695905Cold & Hot Pain Relieving Cream3 OZ 6P19299470Naproxen 220mg24 CT 4P21444770Medicated Heat PatchEACH 2P22152116Knee Support Sleeve LEACH 12P23902106Wrist Support StrapEACH 9P24151571Ankle Support Sleeve LEACH 11P25453866Compression Sleeve Elbow LEACH 15P26977934Lidocaine Cream2.7 OZ 7P28459974TENS Targeted Muscle TherapyEACH 58P29459917TENS Replacement Pads4 CT 15P30942453Knee High Hosiery Moderate Compress L1 PAIR 20P31342829Knee High Hosiery Moderate Compress M1 PAIR 20P32524660Anti-Embolism Stocking Knee Length L1 PAIR 35P33524694Anti-Embolism Stocking Knee Length M1 PAIR 35P34318180Hot/Cold Multi CompressEACH 11P35340744Naproxen Muscle & Back Tablets24 CT 4P36324111Reusable Ice PackEACH 6P37185226Migraine Relief Caplets24 CT 4P38864199Sleep Aid 50mg Softgels32 CT 6P39933380Sleep-Aid Liquid6 OZ 5PRODUCTItems are subject to change. You will receive the generic equivalent of all items.QUANTITYPRICE17

CODESKUP40866534Melatonin 5mg Tablets90 CT 9P41475817Ibuprofen PM Caplets20 CT 5P42317581Acetaminophen 500mg Rapid Release Gels100 CT 9P43879536Acetaminophen 500mg Caplets225 CT 13P46738694Urinary Relief Max Strength12 CT 6P47923748Ibuprofen 200mg Tablets500 CT 18P48306397Ibuprofen 200mg Softgels80 CT 8P49263652Naproxen Sodium 220mg Caplets100 CT 8P50456231Menstrual Pain Relief Max24 CT 6P51140897Aspirin Enteric Coated 325mg125 CT 8P52729759Elastic Bandage 6”EACH 8P53124886Acetaminophen PM 500mg Caplets100 CT 9P54193588Arthritis Pain Relief 650mg100 CT 10P55472994Knee Support SEACH 12P56151894Knee Support MEACH 12P57482556Knee Support XLEACH 12P58245414Acetaminophen PM 500mg Caplets24 CT 5P59343538Melatonin Gummy 5mg Strawberry60 CT 11P60191238Children’s Ibuprofen Suspension Bubble Gum4 OZ 6P63521351Children’s Pain & Fever Acetaminophen Bubble Gum4 OZ 6P64271541Jr Strength Ibuprofen Orange Chewable Tabs24 CT 5P65291741Children’s Pain Relief Chewable Tabs Grape24 CT 6P66155756Sleep Aid24 CT 4P68126623Low Dose Aspirin 81mg Coated Tablets300 CT 1118PRODUCTHome delivery only QUANTITYLimit one (1) per benefit period Limit one (1) per year PRICEDual-purpose

CODESKUP69441099Pain Reliever Gel3.5 OZ 17P70256563Lidocaine Roll On Pain Relief2.5 OZ 8PRODUCTQUANTITYPRICEPersonal CareB10803987Diaper Rash Ointment2 OZ 4B14692270Ultra-Soft Cleansing Wipes Unscented72 CT 3B33571810Unscented Wipes64 CT 3S2985326Aftersun Aloe Vera, Green Gel20 OZ 6S3447703Skin Therapy Lotion5.5 OZ 6S4428504Acne Treatment 10%1 OZ 5S6478041Sheer Dry Sunblock Lotion SPF 553 OZ 8S7992500Eczema Relief8 OZ 9S8246784Scar Gel1.76 OZ 20S10193503Gold Bond Diabetic Dry Skin Lotion4.5 OZ 9S12478059Sport Continuous Spray SPF 50 Sunscreen5.5 OZ 9S13822572Sport Continuous Spray SPF 100 Sunscreen5.5 OZ 9S14147708Antibacterial Wipes, Car Cup Holder Canister40 CT 3S15985843Antibacterial Resealable Wipes20 CT 2S23799023Hand Sanitizer2 OZ 2S29200338Ribbed Condoms12 CT 17S34227230Medicated Body Powder10 OZ 7S36843837Flushable Wipes42 CT 4S43265212Facial Tissues8 PK 3S45697545Acne Wash5 OZ 6Items are subject to change. You will receive the generic equivalent of all items.19

CODESKUPRODUCTQUANTITYPRICEVitamins & MineralsV5122869Coenzyme Q-10 50mg45 CT 12V13247303Glucosamine Chondroitin Triple Strength120 CT 32V16240515Vitamin E 400 IU Softgel100 CT 13V17300258Folic Acid 800mcg Tablet100 CT 4V18350480Iron Supplement 65mg90 CT 6V25252577Prenatal Vitamin Tablets100 CT 10V27232025Vitamin C 1000mg200 CT 14V28166595Chewable Vitamin C 500mg, Orange Flavor100 CT 9V29378592Men’s Multivitamin120 CT 9V30378615Women’s Multivitamin120 CT 9V31711999B12 Vitamin 1000mcg200 CT 10V32346754Vitamin D3 1000 IU120 CT 7V35850942Magnesium 500mg100 CT 5V36247239Zinc Gluconate 50mg100 CT 5V37717911Vitamin D3 5000 IU100 CT 14V42710787Vitamin D3 2000 IU Softgels100 CT 8V43308785CoQ-10 100mg60 CT 32V48965747Biotin 10,000mcg Softgel60 CT 12V53870668Omega-3 Krill Oil 500mg45 CT 26V54889908Calcium Gummy 500mg 800 IU D-350 CT 10V55969314Vitamin C 1000mg Packets, Orange30 CT 11V56199216Vitamin A 8,000 IU NAT / 2400mcg100 CT 5V59250191Potassium Gluconate 595mg100CT 520Home delivery only Limit one (1) per benefit period Limit one (1) per year Dual-purpose

CODESKUV62448393Adult Daily Women’s 50 Adv65 CT 8V63448404Adult Daily Men’s 50 Adv65 CT 8V64797751Lutein 40mg30 CT 19V657108005-HTP 100mg Capsules30 CT 12V66446547AirShield Immunity Gummies63 CT 20V67714451Cognitive Health Extra Strength Supplement30 CT 36V68341637Inner Ear Plus Supplement100 CT 30V69432062Black Elderberry Gummies60 CT 19V70184707Flaxseed 1000mg100 CT 14V71901330Calcium 600mg Vitamin D3120 CT 10V72145626Super B Complex with Vitamin C100 CT 10V73965746Melatonin 10mg60 CT 13V74452271Menopause Support Caplets28 CT 18V76247321B-12 1000mcg60 CT 7V77222901Vitamin C With Rosehips100 CT 8V78325394Cranberry 500mg100 CT 14V80451093Glucosamine Chondroitin Triple Strength240 CT 66V81357343Fish Oil 1000mg120 CT 11PRODUCTItems are subject to change. You will receive the generic equivalent of all items.QUANTITYPRICE21

Frequently Asked Questions (FAQs)Is there a return policy?Due to the personal nature of theproducts, no returns or exchanges areallowed. If you haven’t received yourorder or if you received a defective ordamaged item, please call OTC HealthSolutions at 1-888-628-2770 (TTY 711)within 30 days of placing your order toreceive a replacement item.Where can I find my member IDnumber?It can be found on the front of your healthplan ID card.How much is my OTC benefit?The amount depends on your benefitplan. Check your plan documents or callus at 1-800-338-6833 (TTY 711).How often can I use my OTCbenefit?Your OTC benefit can be utilized multipletimes throughout the benefit period,not to exceed your allowance.Can I carry over unused benefitamount to the next benefit period?Unused benefit amounts do not roll overto the next benefit period.22Can I order more than my benefitamount?You cannot exceed your benefit amountonline or by phone. However, you mayexceed your benefit amount at an OTCHealth Solutions-enabled CVS Pharmacy ,CVS Pharmacy y mas , or Navarro storeand pay the difference out of pocket.Are all items available at thestores?Not all items are available in stores. Itemsmarked with a can only be ordered overthe phone or online.Is there a limit on the number ofitems I can order?There is no limit on the number of itemsyou may order. There is, however, aquantity limit of 3 per any single item formonthly benefits or 9 per any single itemfor quarterly benefits. There are someselect products that have special limitsand these are marked with a or .What are dual-purpose items?Certain vitamin and mineral supplementsshould be recommended by your providerfor a specific diagnosed condition. Theseare considered “dual-purpose items”and marked with a . Check with yourprovider before ordering these items.

How do I confirm my order wasplaced?Once your order is completed, you’ll get aconfirmation number.Can I cancel my order once it hasbeen placed?Orders can only be cancelled within ONEHOUR of being processed.Can I track my order?Yes! You can get tracking information viaemail or text. When you place your order,just let your agent know.How will my order ship and howlong will it take?Items are shipped via USPS at no chargeto you. Delivery usually takes 14 days.Where can I get additionalinformation about the products,like ingredient lists?You can get more information online atwww.cvs.com. Just use the SKU numberlisted with your product to search for theitem you’re looking for.Devoted Health is an HMO and PPO plan with a Medicare contract. Our D-SNPs also have contracts with State Medicaidprograms. Enrollment in our plans depends on contract renewal. Devoted Health complies with applicable Federal civil rightslaws and does not discriminate on the basis of race,color, national origin, age, disability, or sex. ATENCIÓN: Si habla español,tiene a su disposición servicios gratuitos deasistencia lingüística. Llame al 1-800-338-6833 (TTY 711). Y0142 22M142 C23

Questions? Call us.1-800-338-6833 TTY 711

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

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