2021 over-the-counter catalog
TRANSCRIPT
2021 Over-the-CounterCatalogA whole lot of common health products you can get with your Gateway Health benefit.
Use this Catalog
Jan. 1, 2021- Dec. 31, 2021
Welcome!Start using your Over-the-Counter (OTC) benefit.
Your Gateway Health coverage just keeps getting better. Starting January 1, 2021 you have access to hundreds of retail wellness products when you use your quarterly over-the-counter allowance. And even better, any unused portion of your quarterly allowance can be rolled over to the next quarter.
It’s a service powered by our partners at Fieldtex Products, and it’s unbelievably simple to use.
How Much You Get:
Gateway Health Gateway Health Medicare Assured Medicare Assured DiamondSM (HMO SNP) RubySM (HMO SNP) $365 per quarter $120 per quarter
Use this catalog to choose and order your health products from January 1, 2021 to December 31, 2021. All orders must be placed within this time period.
See next page for easy instructions on how to order.
2021 Over-the-Counter Ordering Catalog 2
Gateway HealthOrdering Process3 Easy Ways to Order
Order Online www.Fieldtex-Gateway.com
Order by Mail Fill out the attached mail order form and send it in the postage paid envelope.
Fieldtex Products2921 Brighton Henrietta TL Road Rochester, NY 14623
Order by Phone 1-855-350-0074 (TTY 711)
Monday - Saturday8 a.m. to 5 p.m.
Sunday10 a.m. to 5 p.m.
• You will need to provide your Gateway Health Member ID number (found on the front of your ID card) and your birth date to access your account.
• Choose the items you would like and write the number on your order form. Have the form available when you call or go online for fast and easy ordering.
• Total all the items, be sure to stay within your available quarterly allowance.
3Call us Toll-Free at 1-855-350-0074 (TTY 711)
2021 Over-the-Counter Ordering Catalog
Important Thingsto RememberPlease keep this catalog for your entire 2021 benefit year.• Your OTC benefit covers only the items
included in this catalog.
• If an item is deemed to be medically necessary, it might be covered by the health plan rather than using your OTC benefit for the item. Please check with your physician before ordering.
• The website is available 24/7, unless down for maintenance. The call center is available to take orders Monday – Saturday from 8 a.m. to 5 p.m. and Sunday 10 a.m. to 5 p.m. If you want to place your order by mail, please allow at least seven days for the mail order form to reach us.
• Please allow seven to 10 days for delivery of in-stock items. You will be notified if an item is out of stock and may take longer for delivery. If mailing your order, please allow one week for mail delivery to Fieldtext Products. Mail orders will be processed the month in which they are received.
• If you receive a damaged item, call Fieldtex Products immediately at 1-800-353-7763 (TTY Hearing Impaired: 711) Monday - Friday 8 a.m. to 5 p.m. The item will be exchanged for an identical item at no cost to you. Please note that only damaged products can be exchanged within 30 days of purchase, no other returns are allowed. We will not substitute brand name products with generic products.
• Gateway Health and Fieldtex Products are not responsible for lost or stolen packages. For delivery issues, please contact your carrier.
• Fieldtex Products is the supplier of all the products in this catalog and can only answer questions pertaining to your order. Medical information regarding the use of these products is not available. Please consult your physician.
• The health information provided in this catalog is general in nature and is not medical advice or a substitute for professional health care. It is provided for your information and convenience only. Fieldtex Products does not guarantee the accuracy or completeness of the information, and does not recommend or endorse the products that are referenced in the catalog.
• The OTC benefit only guarantees members a credit to use while ordering items listed in this catalog. Please note, however, that the items themselves are not offered or guaranteed by Gateway Health.
• Products in this catalog should only be ordered for the enrolled member.
• Products with two asterisks (**) next to their name are Dual Purpose items. In order to purchase these items under your plan, your personal physician must recommend them to you for a specific diagnosed condition. Please speak to your physician before ordering these items.
• Limitations and restrictions may apply. Up to six items may be ordered from each category per quarter. Diagnostic equipment, including kitchen scales, are limited to one item per year. PPE items limits are subject to change.
4
Table of ContentsAllergy ................................................................................................................................................. 6 Cold and Flu ....................................................................................................................................7-9 Cough Drops .................................................................................................................................9-10 Dental Care (Denture, Dry Mouth, Toothbrush, Toothpaste) ......................................... 10-13 Diabetic Supplies .............................................................................................................................14 Diabetic Supplies (Socks) ..............................................................................................................14 Diagnostic Equipment ....................................................................................................................15 Diagnostic Equipment (Thermometers) ......................................................................................15 Ear Care ............................................................................................................................................. 16 Eye Care ............................................................................................................................................ 16 Feminine and UTI ............................................................................................................................. 17 Fiber Supplements ........................................................................................................................... 17 First Aid (Bandages, Dressings and Gauze, Tape, Kits) ................................................... 18-20 Foot Care .................................................................................................................................... 20-21 Hemorrhoid .................................................................................................................................21-22 Home Testing ................................................................................................................................... 22 Hot and Cold Therapy .............................................................................................................22-23 Incontinence ..............................................................................................................................23-24 Incontinence Reusable .................................................................................................................. 24 Lactose ............................................................................................................................................. 24 Lice ..................................................................................................................................................... 24 Lip Care ............................................................................................................................................ 25 Menopause Relief ........................................................................................................................... 25 Motion Sickness Medication ....................................................................................................... 25 Ointments and Topicals (Analgesics, Cleaners) ...............................................................26-28 Pain Relief ....................................................................................................................................28-31 Personal Protection Equipment ...................................................................................................31 Personal Protection Equipment (First Aid Gloves) .................................................................. 32 Respiratory Relief ........................................................................................................................... 32 Skin Care ....................................................................................................................................32-33 Skin Care (Sunscreen) ...................................................................................................................33 Sleep Aid .................................................................................................................................... 33-34 Smoking Cessation ................................................................................................................. 34-35 Stomach (Antacids and Acid Reducers) .............................................................................35-36 Stomach and Laxatives ..........................................................................................................37-38 Supports (Ankle, Back, Elbow, Knee, Stockings, Wrist) ...................................................38-42 Wholecare For You ...................................................................................................................42-43
Dual Purpose Items:Diagnostic Equipment (Blood Pressure Monitors, Scales) ............................................ 43-44Vitamins, Minerals and Special Supplements .................................................................. 44-45Weight Loss (Kitchen Scales) .......................................................................................................45
Active Ingredients List ...........................................................................................................46-59
5Call us Toll-Free at 1-855-350-0074 (TTY 711)
Eligible Items
6 To Order Online Visit us at www.Fieldtex-Gateway.com
Allergy Limit: 6 units per this category per Quarter
All Day Allergy Tablets 30/Ct Cetirizene90584$8.00
Allegra 12 Hour 60mg Tablets 12/Ct91071$18.00
Allegra 24 Hour 180mg Tablets 30/Ct90980$30.00
Allergy 10mg Tablets 30/Ct Loratidine90582$4.50
Benadryl Allergy Tablets 24/Ct10874$6.75
Claritin Reditabs 10/Ct11580$16.50
Complete Allergy Medicine Tablets 100/Ct 25mg Diphenhydramine 11569N$3.00
Fexofenadine Tablets 30/Ct - Generic Allegra00301$15.50
Flonase Nasal Spray For Allergies 60/Spray99046$22.00
Zyrtec 10mg Tablets 30/Ct00203$29.50
Zyrtec 90/Ct10629$66.00
Allergy / Sinus Headache Caplets 20/Ct90580$4.50
Nasacort Allergy 24 Hour 60/Spray10222$27.00
Flonase Nasal Spray For Allergies 120/Spray10400$34.00
Alka Seltzer Plus Severe Sinus Congestion LiquiGels 20/Ct99038$9.75
Eligible Items
7To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Afrin No Drip Allergy/Sinus .5 oz.10624$14.00
Alka Seltzer Plus Cold and Cough LiquiGels 20/Ct99912$9.25
Careall Medicated Chest Rub 3.53 oz.99093$2.50
Cold-Eeze Cherry Flavor 18/Ct10650$9.00
Coricidin HPB Liqui-Gels 20/Ct11575$9.50
Cough / Cold High Blood Pressure Tablets 16/Ct90090$3.00
Effervescent Cold Relief Tablets 20/Ct90579$5.25
Greaseless Mentholatum 1.76 oz.10641$8.50
Mentholatum No-Mess Roll On 1.76 oz.10639$8.75
Mucinex DM Tablets 20/Ct11561$19.50
Mucinex Fast-Max Cold, Flu and Sore Throat 6 fl. oz.10691$21.00
Cold and Flu Limit: 6 units per this category per Quarter
Mentholatum Ointment 1 oz. Jar90444$4.25
Breathe Right Nasal Strips Large 30/Ct10875$16.50
Airborne Original Orange Tablets 10/Ct90553$9.25
Breathe Right Nasal Strips Small / Medium 30/Ct90895$16.50
Eligible Items
8 To Order Online Visit us at www.Fieldtex-Gateway.com
Mucus Relief DM Tablets 30/Ct90576$10.00
Night Time Cold-Flu Relief SoftGels 16/Ct90639$5.00
Robitussin Cough and Chest Sugar Free 4 fl. oz.90516$10.00
Saline Nasal Spray 1.5 oz.90640$2.75
Sambucol Cold & Flu Quick Dissolve Tablets 30/Ct10626$16.25
Theraflu Night Time Severe Cough & Cold 6/Ct10401$10.50
Tussin DM 4 fl. oz.90446$3.25
Tussin DM Sugar Free 4 fl. oz.90578$4.25
Tylenol Cold / Flu Severe Caplets 24/Ct99065$9.50
Vicks DayQuil Cold and Flu LiquiCaps 24/Ct11952$13.50
Vicks VapoInhaler Menthol Scent10463$7.75
Cold and Flu Limit: 6 units per this category per Quarter
No Drip Original Afrin .5 oz.10631$16.00
Silver Immune Support 16 oz.10637$33.75
Vicks Nyquil Cold and Flu LiquiCaps 24/Ct00302$14.00
Nasal Decongestant Spray -Afrin- 1 oz.90897$3.75
Eligible Items
9To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Zicam Citrus Rapid Melts 25/Ct10668$16.00
Zicam Cold Remedy Nasal Swabs 20/Ct10663$16.00
Black Cherry Sugar Free Cough Drops 25/Ct90643$2.50
Chloraseptic Lozenges Citrus 18/Ct11562$5.25
Halls Defense Assorted Sugar Free Citrus 25/Ct90912$3.50
Halls Honey Lemon Cough Drops 30/Ct11601$3.50
Halls Menthol-Lyptus Cough Drops 30/Ct11703$3.50
Honey Lemon Cough Drops 30/Ct99054$2.25
Luden's Sugar Free Wild Cherry Cough Drops 25/Ct99083$2.75
Luden's Wild Cherry Throat Drops 30/Ct11584$2.75
Ricola Cherry Honey Throat Drops 24/Ct99114$3.50
Ricola Cough Drops 21/Ct11571$3.50
Ricola Sugar Free Lemon Mint Throat Drops 19/Ct90447$3.50
Cold and Flu Limit: 6 units per this category per Quarter
Cough Drops Limit: 6 units per this category per Quarter
Halls Defense Assorted Citrus 30/Ct90913$3.50
Vicks VapoRub 3.53 oz.11625$12.00
Eligible Items
10 To Order Online Visit us at www.Fieldtex-Gateway.com
Sucrets Sore Throat Cherry Lozenges 18/Ct11591$4.75
Vitamin C Drops 30/Ct90914$2.75
Anbesol Maximum Strength .33 oz.10221$10.75
Dentek Instant Oral Pain Relief 50/Applications00303$8.00
Floss Waxed Unflavored 100 Yds90652$2.25
Freshmint Wax Mint Dental Floss 100 Yds90612N$2.00
Gum Soft Picks 50/Ct10666$4.00
J and J Waxed Mint Reach Floss 55 Yds90077$2.75
Mint Flosser with Pick 90/Ct10673$2.50
Red Cross Canker Sore Pain Relief Medicine .25 oz10638$6.75
Steripod Manual Tongue Cleaner 2/Pk10522$3.50
Cough Drops Limit: 6 units per this category per Quarter
Dental Care Limit: 6 units per this category per Quarter
Eligible Items
11To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Denture Bath with Basket10657$1.50
Denture Brush90909$0.50
Fixodent Adhesive Neutral Zinc Free 2.4 oz.99107$8.50
Fixodent Free Cream 2.4 oz.99109$8.50
Fixodent Original 1.4 oz.90128$5.00
Fixodent Plus Scope Adhesive 2 oz.99110$8.50
Freshmint Denture Adhesive 2.4 oz.90908$3.50
Freshmint Denture Cleanser Tablets 40/Ct90906$2.75
Freshmint Denture Cleanser Tablets 90/Ct90655N$5.50
Oral B Denture Brush Twin Head90126$3.25
Polident 3-Minute Tablets 40/Ct99049$6.00
Polident Overnight Tablets 40/Ct91079$6.00
Polident Overnight Tablets 84/Ct90486$9.50
Polident Tablets for Smokers 40/Ct99050$5.75
Poligrip Super Extra Care 2.2 oz.90490$8.25
Dental Care - Denture Limit: 6 units per this category per Quarter
Eligible Items
12 To Order Online Visit us at www.Fieldtex-Gateway.com
Poligrip Super Original 2.4 oz.90491$8.25
Poligrip Super SPG Free 2.4 oz.99047$8.25
ACT Dry Mouth Lozenges 18/Ct10226$6.75
ACT Total Care Dry Mouth Rinse Mint 18 oz.00438$10.50
Biotene Dry Mouth Balance Gel 1.5 oz.00340$9.75
Biotene Dry Mouth Oral Rinse 16 fl. oz.00304$9.50
Biotene Lozenges 27/Ct10644$10.50
Biotene Moisturizing Mouth Spray 1.5 fl. oz.10224$9.75
Colgate Medium Toothbrush 99181 $3.00 Colgate Plus Soft Toothbrush 90156A $3.00 Complete Clean Medium Toothbrush 10481 $2.00 Complete Clean Soft Toothbrush 10476 $2.00 Freshmint Nylon Toothbrush 90910 $0.50Oral B 3D White Soft Toothbrush 90988 $5.00
Interplak Rechargable Cordless Toothbrush Limit: 1 per year 00352 $45.00Interplak Toothbrush Replacement Heads 2/Ct Limit: 2 per year 00370 $22.25Sonicare Rechargeable Toothbrush Limit: 1 per year 10645 $45.50 Sonicare Replacement Heads 3/Ct Limit: 2 per year 10646 $53.50
Dental Care - Denture Limit: 6 units per this category per Quarter
Dental Care - Dry Mouth Limit: 6 units per this category per Quarter
Dental Care - Toothbrush Limit: 6 units per this category per Quarter
Dental Care - Toothbrush Electric Limits Below
Eligible Items
13To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Aim Toothpaste 5.5 oz.10466$2.50
Aquafresh Cavity Protection Toothpaste 5.6 oz.99044$4.00
Biotene Fresh Mint Toothpaste 4.3 oz.99045$10.00
Close-Up Cinnamon Flavored Toothpaste 4 oz.10512$2.50
Colgate Total Clean Mint Toothpaste 4.8 oz.90157$6.50
Crest Gum Detoxify Deep Clean Toothpaste 4.1 oz.10508$9.75
Crest Regular Cavity Protection Toothpaste 4.2 oz.10509$3.75
Freshmint Sensitive Toothpaste 4.3 oz.10616$1.50
Freshmint Anticavity Toothpaste 4.6 oz.90911$1.50
Listerine Essential Care Original Gel Toothpaste 4.2 oz.99147$6.75
Parodontax Extra Fresh Toothpaste 3.4 oz.00305$9.25
Pepsodent Complete Care Toothpaste 5.5 oz.90617$2.25
Sensodyne Deep Clean Toothpaste 4.0 oz.90485$9.25
Dental Care - Toothpaste Limit: 6 units per this category per Quarter
Eligible Items
14 To Order Online Visit us at www.Fieldtex-Gateway.com
Glucose 4 Gram Tablets Orange Flavor 50/Ct00296$8.00
Glucose SOS Instant Dissolve Powder 6/Ct Fruit Medley10446$11.00
Gold Bond Diabetic Foot Cream 3.4 oz.10223$11.25
Cotton Diabetic Socks - Black$11.50
10609 - Small/Medium 1 pair
10610 - Large/XL 1 pair
10621 - King Size XXL 1 pair
00158 - Small/Medium 1 pair
00159 - Large/XL 1 pair
10617 - King Size XXL 1 pair
10632 - Small/Medium 1 pair
10672 - Large/XL 1 pair
00174 - Large/XL 1 pair
00173 - Small/Medium 1 pair
Diabetic Supplies Limit: 6 units per this category per Quarter
Diabetic Supplies - Socks Limit: 6 units per this category per Quarter
Cotton Diabetic Socks - White$11.50
Polyester Diabetic Socks - Black $11.00
Polyester Diabetic Socks - White $11.00
Eligible Items
15To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Pulse Oximeter10447$26.00
Advocate Non-Contact Infrared Thermometer Speaks English/Spanish99159$48.00
Digital Ear Thermometer10611$32.50
Digital Thermometer 9-Second Read10460$7.00
Ear and Forehead Infrared Thermometer One Second Read10486$46.25
Hand Held Digital Temple Touch Infrared Probe Thermometer99169$16.50
Infrared Forehead Thermometer One Second Read99170$47.00
Touch Free Infrared Thermometer10635$73.50
Diagnostic Equipment Limit: 1 unit per this category per Year
Diagnostic Equipment - Thermometers Limit: 1 unit per this category per Year
Digital Thermometer10511$7.25
Non-Contact Infrared Thermometer10694$68.00
Eligible Items
16 To Order Online Visit us at www.Fieldtex-Gateway.com
Ear Care Limit: 6 units per this category per Quarter
Ear Wax Removal Kit 0.5 fl. oz.90641$5.00
Lipo-Flavonoid Ear Ringing Relief Caplets 72/Ct00319$31.00
Swim-Ear Drops 1 fl. oz.11655$5.00
Blink Contacts Lubricating Eye Drop 10mL90917$8.75
Clear Eyes Itchy Eye Relief .5 fl. oz.91080$5.75
Clear Eyes Triple Action Relief .5 fl. oz.91045$5.50
Eye Drops Original .5 fl. oz.90453N$2.25
PreserVision Chewables 60/Ct10661$30.00
Sterile Irritation Eye Drops .5 fl. oz.90588$2.75
Stye Eye Ointment 0.125 oz.11668$10.50
Visine A.C. Seasonal Itching .5 fl. oz.91047$6.25
Visine Advanced Redness Plus Irritation Relief .5 fl. oz.10514$6.00
Visine Eye Allergy Relief Eye Drops .5 fl. oz.99064$8.00
Eye Care Limit: 6 units per this category per Quarter
PreserVision AREDS2 Multi- -Vitamin 100/Ct 10656$45.00
Eligible Items
17To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Feminine and UTI Limit: 6 units per this category per Quarter
Monistat 7 Day91092$16.50
Monistat Chafing Relief Powder Gel 1.5 oz.91101$10.00
Urinary Pain Relief Max Strength Tablets 24/Ct10528$5.25
Uristat Ultra with Cranberry UTI Pain Relief Tablets 30/Ct00226$11.00
Benefiber 38 Servings00830$15.00
Benefiber Assorted Sugar-Free Chewables 100/Ct99021$18.00
Best Fiber Powder Sugar Free 62 Servings90575$11.75
Metamucil Capsules 0.52 gram 100/Ct00359$22.00
Fiber Supplements Limit: 6 units per this category per Quarter
Dmanna UTI Prevention Packets 35/Ct10627$25.00
Eligible Items
18 To Order Online Visit us at www.Fieldtex-Gateway.com
First Aid - Bandages Limit: 6 units per this category per Quarter
All-In-One Finger Dressing - 3 Sterile Dressings91060$4.00
Antibacterial Sheer Bandages Assorted 20/Ct90876$3.00
Armor Gel Wound Dressing 1.5 oz.10605$12.00
Curad Bandage Variety Pack 200/Ct10488$8.50
Curad Flexible Assorted Bandages 100/Ct10487$4.50
Curad Sensitive Comfort Fabric Bandages 3/4 in. x 3 in. 30/Ct10494$2.00
Curad Soothe and Cool Assorted Burn Bandages 8/Ct00375$5.00
Curad Truly Ouchless XL Bandages 8/Ct00377$5.00
Elastic Bandage 2 in. x 5 Yds00011$1.50
Elastic Bandage 3 in. x 5 Yds00006$1.75
Elastic Bandage 4 in. x 5 Yds00013$2.00
J and J Flexible 3/4 in. x 3 in. Bandages 30/Ct10319$5.00
J and J Flexible Fabric Assorted Bandages 30/Ct10317$5.00
J and J Flexible Fabric Bandages XL 1 3/4 in. x 4 in. 10/Ct10320$5.00
J and J Hydro Seal All Purpose Large Bandages 6/Ct10420$6.50
Eligible Items
19To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
First Aid - Bandages Limit: 6 units per this category per Quarter
J and J Large Waterproof Pad Bandage 6/Ct10410$5.50
J and J Flexible Fabric Assorted Bandages 100/Ct10489$7.25
New Skin Liquid Bandage 50 Applications10322$5.50
Sheer Spot 7/8 in. Bandage 100/Ct10135BX100$3.00
Cohesive Elastic Bandage 3 in. x 5 Yds00010$2.75
Cotton Balls 100% Cotton 300/Ct90773$2.00
Cotton Swabs 300/Ct90891$2.50
J and J Gauze Pads 4 in. x 4 in. 10/Ct10907$4.25
Gauze Pads 4 in. x 4 in. 100/Ct10676$19.50
Krimptex Bandage Roll 4.5 in x 4.1 Yds07104$2.25
Covered Tape 1/2 in. x 5 yds. 00035 $2.00
Waterproof Tape 1 in. x 10 yds. 00101 $3.00
Waterproof Tri-cut Tape 2 in. x 5 yds. 10039 $2.75
J and J Plastic Bandages 3/4 in. x 3 in. 60/Ct10866$4.00
First Aid - Dressings and Gauze Limit: 6 units per this category per Quarter
First Aid - Tape Limit: 6 units per this category per Quarter
J and J Flexible Bandages 1 in. x 3 in. 100/Ct10490$8.25
Eligible Items
20 To Order Online Visit us at www.Fieldtex-Gateway.com
Burn Care Kit911-90050$9.00
Curad 175 Piece First Aid Kit99079$14.50
J and J 140 Piece First Aid Kit90564$19.50
Mini First Aid Kit90457$2.50
Personal Soft Sided First Aid Kit911-93901-10999$9.75
Arm and Hammer Odor Control Foot Powder 7 oz.99158$9.00
Clotrimazole Cream Usp 1% 1 oz.90610$2.50
Compound W Plantar Pads 20/Ct99078$11.50
Corn and Callus Remover .3 fl. oz.90608$4.25
Corn Cushions 9/Ct90609$2.00
J and J Hydro Seal Blister Toe Bandages 8/Ct10431$6.00
J and J Hydro Seal Extreme Blister Cushions 5/Ct10425$6.00
Liquid Wart Remover .31 fl. oz.90605$5.00
First Aid Kits Limit: 6 units per this category per Quarter
Foot Care Limit: 6 units per this category per Quarter
Foot Care Kit911-90061$12.25
Contains:175 pieces and includes all first aid essentials
Contains:2 Gauze Pads 4 Burn Gel Packets 1 Roll of Tape
Contains:140 essential items to treat cuts and scrapes
Contains:6 Alcohol Swabs2 Gauze Pads1 Bandage Rolland more
Contains:10 Bandages3 Gauze Pads4 Alcohol Wipesand more
Eligible Items
21To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Lotrimin Spray 4.6 oz.90943$11.00
Medicated Corn Remover Pads 9/Ct11950$2.25
Micatin Antifungal Cream .5 oz.10655$8.75
Toe Separators:• 2 Small • 2 Medium • 2 Large
90636$5.00
Tolnaftate Antifungal Cream .5 oz.90905$2.00
Zeasorb Athletes Foot Powder 2.5 oz.00324$9.50
Hemorrhoid Relief Ointment 2 oz.90139$5.00
Medicated Pads 100/Ct90651$5.50
Preparation H Cooling Gel 0.9 oz.99157$11.50
Preparation H Suppositories 24/Ct99145$22.00
Preparation H Totable Wipes 10/Ct99152$5.25
Foot Care Limit: 6 units per this category per Quarter
Hemorrhoid Limit: 6 units per this category per Quarter
Moleskin Plus 4/Sheets90604$3.25
Hemorrhoidal Suppositories 12/Ct90154$4.00
Eligible Items
22 To Order Online Visit us at www.Fieldtex-Gateway.com
One Step Pregnancy Test 1/Ct00245$4.75
Air Activated Heat Wrap Back/Hip 2/Ct10634$6.25
Air Activated Heat Wrap Neck/Shoulder 3/Ct10640$6.25
Reusable Gel Cold Pack 10.5 in x 14.5 in.10654$15.75
Reusable Gel Neck Cold Pack 23 in. 10660$16.75
Cold and Hot Reusable Eye Compress 2.5 in. x 5 in.10103$1.50
Home Testing
Hot and Cold Therapy Limit: 6 units per this category per Quarter
Maximum Strength Cold and Hot Pain Relief Liquid Roll On 2.5 fl. oz.90122$6.00
Migraine Cooling Mask10658$6.50
Advocate Heating Pad Classic 12 in. x 15 in.90890$20.00
Limit: 6 units per this category per Quarter
Tucks Medicated Pads 40/Ct90940$7.50
Hemorrhoid Early Result Pregnancy Test 1/Ct00246$4.75
Biofreeze Roll On 2.5 oz.10671$16.00
Select Heat Heating Pad King Size 12 in. x 24 in.10404$40.00
Salonpas Deep Relieving Gel 2.75 oz.91030$10.25
Icy Hot Cream 1.25 oz.10053$6.00
Eligible Items
23To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Salonpas Pain Relieving Hot-Gel Patch 6/Ct90889$10.25
Soft Touch Reusable Hot/Cold Gel Packs 2/Ct10458$5.00
Thermacare Lower Back and Hip Heatwraps 2/Ct90885$10.00
Thermacare Muscle and Joint Heatwrap 1/Ct91031$4.00
Thermacare Neck To Arm Heatwraps 3/Ct90887$10.00
A & D Ointment 15 oz. - Generic 10485 $3.75 A & D Original Ointment 1.5 oz. 11640 $5.25 Vitamin A & D Ointment 4 oz. - Generic 99094 $2.00 Balmex Adult Cream 3 oz. 91043 $6.75 Balmex Zinc Oxide Cream 2 oz. 91088 $5.50 Flushable Adult Wipes 48/Ct 10012 $4.25 Prevail 30 in. x 30 in. Absorbent Bed Pads - Disposable 10/Ct 90057 $9.00 Prevail Adult Washcloths 48/Ct 11089 $5.00
Hot and Cold Therapy Limit: 6 units per this category per Quarter
Incontinence Unlimited
Therma-Kool Reusable Cold / Hot Pack 6 in. x 10 in. boxed10693$2.50
Reusable Ice Bag Medium 9 in.10089$7.00
Combination Hot Water Bottle w/Enema system10403$11.00
Instant Heat Pack 5 in. x 9 in.00067$1.00
Extra Strength Cold and Hot Therapy Patch 5/Ct90459$5.25
Eligible Items
24 To Order Online Visit us at www.Fieldtex-Gateway.com
Prevail Bariatric "A" Brief with Tabs 12/Ct Waist Size: 62 in. - 73 in. 10449 $18.00 Prevail Bariatric "B" with Tabs 10/Ct Waist Size: Up to 100 in. 10454 $24.00 Prevail Bladder Control Pads Maximum 48/Ct 99161 $16.00 Prevail Bladder Control Pads Moderate 20/Ct 99162 $7.00 Prevail Bladder Control Pads Ultra Thin 30/Ct 99163 $7.75 Prevail Breezers360 Large Waist with Tabs 18/Ct Waist Size: 45 in. - 62 in. 10496 $17.00 Prevail Breezers360 Medium Waist with Tabs 16/Ct Waist Size: 26 in. - 48 in. 10495 $11.00 Prevail Breezers360 X-Large Waist with Tabs 15/Ct Waist Size: 58 in. - 70 in. 10497 $16.00 Prevail Daily Pant Liners Light-Moderate Size Small 52/Ct 10498 $16.00 Prevail Male Guard Pads 14/Ct 99164 $6.00 Prevail Per-Fit Protective Underwear Women XLarge 14/Ct 99160 $14.50 Prevail Per-Fit Protective Underwear Women/Medium 20/Ct 99167 $14.50 Prevail Per-Fit Underwear Women/Large 18/Ct 99168 $14.50 Prevail Super Plus Underwear 2XL 12/Ct Waist Size: 68 in. - 80 in. 10455 $17.00 Procare Protective Underwear Large 18/Ct Waist Size: 45 in. – 58 in. 10500 $16.00 Procare Protective Underwear Size Medium 20/Ct Waist Size: 34 in. – 46 in. 10499 $16.25 Protective Underwear Size XL 14/Ct Waist Size: 58 in. – 68 in. 10501 $16.00
Reusable Bed Pad 34 in. x 36 in. 91068 $17.50 Stay Dry Reusable Bed Pad 36 in. x 72 in. 10413 $41.00 Stay Dry Reusable Chair Pad 17 in. x 24 in. 10433 $12.00
Complete Lice Treatment Kit Includes: • Lice Killing
Shampoo, • Nit Combing
Gel • Bedding Spray00247$20.00
Rid Lice Control Spray 5 oz.10421$10.25
Rid Lice Killing Shampoo 8 oz.10434$28.00
Dairy Digestive Fast Acting Caplets 60/Ct99052$13.50
Incontinence Unlimited
Incontinence - Reusable Limit: 3 units per this category per Quarter
Lactose Limit: 6 units per this category per Quarter
Lice Limit: 6 units per this category per Quarter
Eligible Items
25To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Abreva Care Pump 2.0 Gram99043$28.50
Blistex Medicated Lip Balm00325$3.00
Blistex Medicated Lip Ointment00326$3.50
Medicated Lip Balm Generic Carmex00327$1.75
Neosporin Lip Overnight Renewal .27 oz.10406$6.50
Estroven Extra Strength Caplets 28/Ct10662$30.00
Bonine Motion Sickness 16/Ct10653$9.25
Dramamine Tablets 12/Ct90201$6.50
Motion Sickness All Day Less Drowsy 8/Ct10643$2.00
Campho-Phenique Cold Sore Treatment Gel .23 oz.11633$7.00
Lip Care Limit: 6 units per this category per Quarter
Menopause Relief Limit: 6 units per this category per Quarter
Motion Sickness Medication Limit: 6 units per this category per Quarter
Estroven PM Caplets 30/Ct10667$22.25
Eligible Items
26 To Order Online Visit us at www.Fieldtex-Gateway.com
Antifungal Cream 1 oz.10752$4.50
Aveeno Anti-Itch Lotion 4 oz.99056$9.75
Bacitracin Ointment 1 oz.00065$2.50
Calamine Lotion 6 fl. oz.90933$3.25
Hydrocortisone 1% Cream with Aloe Anti-Itch Maximum Strength90935$3.00
Hydrocortisone Cream 1% 1 oz.10057$2.25
Itch Relief Cream Extra Soothing 1 oz.90095$3.50
Neosporin Burn Relief Ointment .5 oz.10419$8.50
Neosporin Ointment .5 oz.00835$7.75
Safetec First Aid Burn Gel 4 oz.90471$4.25
Triple Antibiotic Ointment Generic Neosporin- Plus 1 oz.90932$8.25
Triple Antibiotic Ointment Tube 1 oz.00049$3.00
Wound Seal + Applicator 4/Ct10482$14.25
Wound Seal Topical Powder 4/Ct10475$10.50
Ointments and Topicals Limit: 6 units per this category per Quarter
Benadryl Extra Itch Cooling Spray 2 oz.99058$8.75
Eligible Items
27To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Aspercreme 1.25 oz.10050$5.50
Aspercreme Lidocaine No Mess Liquid Roll On 2.5 oz.00328$12.50
Bengay Greaseless Topical Analgesic Cream 2 oz.10323$6.50
Bengay Vanishing Scent Topical Gel 2 oz.10424$6.00
Cortizone-10 Cream 2 oz.99100$11.25
Muscle and Joint Vanishing Scent Gel 3 oz.90901$3.00
Muscle Rub Ultra Strength Pain Relieving Cream 3 oz.90900$3.25
Pain Relief Lidocaine Patches 5/Ct10457$6.25
Salonpas Lidocaine Plus Cream 3 oz.10448$14.50
Salonpas Lidocaine Plus liquid Roll On 3 fl.oz10453$14.50
Tiger Balm Arthritis Rub 4 oz.10636$16.75
Tiger Balm Pain Relieving Hydrogel Patch Large 4/Ct10464$9.00
Ointments and Topicals - Analgesics Limit: 6 units per this category per Quarter
Flex All Ultra Plus 2oz. 91082$8.75
Lido Aid Pain Relieving Gel .17 oz10445$8.50
Tiger Balm Pain Relieving Patch 5/Ct10465$7.00
Eligible Items
28 To Order Online Visit us at www.Fieldtex-Gateway.com
Tiger Balm Rub Ultra .63 oz10462$9.00
Voltaren Topical Gel 1% 100 Grams10664$28.50
Alcohol Wipes 1 in. x 2 in. 200/Ct00050F$4.00
Arm & Hammer Saline Wound Wash 7 oz.10674$8.75
Bactine Maximum Pain Relieving Cleansing Spray 5 oz.00329$9.00
Decolorized Iodine 2 oz.91091$4.50
DynaWound Wound Cleanser 8 fl. oz.10484$5.00
J and J Hurt Free Antiseptic Wash 6 oz.10321$4.75
Advil Coated Caplets 200mg 50/Ct91077$11.00
Advil Coated Tablets 200mg 100/Ct90658$17.00
Advil Liqui-Gels 200mg 80/Ct99097$22.00
Advil Migraine Liqui-Gels 200mg 20/Ct99098$7.00
Advil PM Coated Caplets 200mg 40/Ct91065$12.50
Aleve Back and Muscle Pain 220mg Tablets 100/Ct 10625$25.50
Ointments and Topicals - Analgesics Limit: 6 units per this category per Quarter
Ointments and Topicals - Cleaners Limit: 6 units per this category per Quarter
Pain Relief Limit: 6 units per this category per Quarter
Eligible Items
29To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Aleve Easy Open Cap 220mg Gelcaps 40/Ct11704$11.00
Aleve Easy Open Cap 220mg Caplets 100/Ct99116$17.25
Aleve Liquid Gels 220mg 80/Ct99117$21.75
Aleve PM Caplets 220mg 20/Ct99023$8.50
Arthritis Pain Relief Tablets APAP 650mg 24/Ct90601$5.25
Aspirin 81mg Chewable Tablets Orange 36/Ct90598$2.50
Bayer Aspirin Tablets 325mg 200/CT10619$24.00
Bayer Aspirin Low Dose Tablets 81mg 120/Ct99026$11.50
Bayer Aspirin Tablets 325mg 100/Ct99027$10.75
Bayer Chewable Aspirin Tablets 81mg Cherry 36/Ct90662$4.50
Chewable Aspirin 81mg Tablets Orange 36/Ct90902$1.75
Ecotrin Tablets 325mg 125/Ct00372$10.00
Excedrin Extra Strength 500mg Caplets 100/Ct99101$17.25
Pain Relief Limit: 6 units per this category per Quarter
Bayer Extra Strength 500mg Caplets 100/Ct10620$19.00
Excedrin Migraine 500mg Caplets 24/Ct99102$6.75
Eligible Items
30 To Order Online Visit us at www.Fieldtex-Gateway.com
Extra Strength Tylenol 500mg 50 Packets of 2 100/Ct00098F$19.00
Headache Relief Extra Strength Acetaminophen 500mg Tablets 50/Ct99106$3.75
Ibuprofen IB Caplets 200mg 100/Ct90600N$3.25
Low Dose Aspirin Tablets 81mg 120/Ct11876N$2.75
Motrin IB 200mg Tablets 100/Ct90659$14.25
Motrin IB 200mg Tablets 50/Ct91074$9.50
Motrin IB Liquid Gels 200mg 20/Ct99103$6.00
Naproxen -Generic Aleve Caplets 220mg 100/Ct90602N$7.75
Non Aspirin Acetaminophen PM Caplets 500mg 50/Ct90904$2.25
Non-Aspirin Acetaminophen Extra Strength Caplets 500mg APAP 100/Ct90599N$3.00
Non-Aspirin Acetaminophen Regular Strength Tablets 325mg 100/Ct90903$2.50
St. Joseph Low Dose Aspirin Micro Tablets 81mg 120/Ct91058$7.75
St. Joseph Low Dose Chewable Aspirin 81mg 36/Ct91057$2.50
Tens OTC Accu Dual Channel 3000 Unit99115$61.00
Pain Relief Limit: 6 units per this category per Quarter
Tylenol 8 Hour Arthritis 650mg 100/Ct10416$18.00
Eligible Items
31To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Tylenol Extra Strength Caplets 500mg 100/Ct99059$16.25
Tylenol PM 500mg Caplets 24/Ct99061$6.75
Tylenol Regular Strength Tablets 325mg 100/Ct99062$11.75
Adult Cotton Mask w/Ear Loop25000 $8.00
Adult Cotton Mask w/Earloop & Neck Lanyard20000$8.50
Hand Sanitizer 8 oz.12002$6.50
Disposable Face Masks 50/Ct10695$18.00
Hand Sanitizer 2 oz.12022$2.00
Hand Sanitizer 4 oz.12001$4.00
Personal Protection Kit911-11410$7.50 Includes Personal Supply of:• Face Masks• Hand Sanitizer• Gloves
Hand Sanitizer 8 oz.00142$6.00
Pain Relief Limit: 6 units per this category per Quarter
Personal Protection Equipment Prices and Purchase Limits are Subject to Change
Tylenol Arthritis 8 Hour 650mg 225/Ct10622$32.25
Germ X Hand Sanitizer with Pump 8 oz. 10692$6.00
Limit: 6 units per this category per Quarter
Eligible Items
32 To Order Online Visit us at www.Fieldtex-Gateway.com
Curad Nitrile Exam Gloves 10/Ct - One size fits most 10492 Call or check online for pricingVinyl Gloves - Size Small - 100/Ct 10008 Call or check online for pricingVinyl Gloves - Size Medium - 100/Ct 10009 Call or check online for pricingVinyl Gloves - Size Large - 100/Ct 10010 Call or check online for pricingVinyl Gloves - Size Extra Large - 100/Ct 10011 Call or check online for pricing
Steam Inhaler10459$46.00
Aloe Vera 16 oz.90950$8.50
Dermarest Medicated Psoriasis Gel 4 fl. oz.00330$10.25
Epsom Salt Pouch 1 lb10669$3.00
Gold Bond Eczema Relief Cream 5.5 oz10220$14.50
Johnsons Baby Powder with Aloe and Vitamin E 15 oz.10478$7.25
Petroleum Jelly 13 oz.10615$2.50
Scar Away Gel .35 oz.10628$21.75
Scar Relief Gel 1.76 oz.10523$9.50
Personal Protection Equipment - Gloves
Respiratory Relief Limit: 1 unit per this category per Year
Skin Care Limit: 6 units per this category per Quarter
Aloe With Lidocaine Gel 8 oz.90951$4.50
Cool Mist Humidifier10633$53.00
Limit: 6 units per this category per QuarterPrices and Purchase Limits are Subject to Change
Eligible Items
33To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Vaseline Healing Jelly 13 oz.10472$7.50
Banana Boat Sport SPF 30 3 oz.10516$6.00
Coppertone Sport Sunscreen SPF 30 - 7 oz.10411$15.00
Coppertone Sunscreen SPF 30 8 oz.90058$15.00
Sunscreen SPF 50 - 8 oz.90063$8.50
Melatonin 3mg Tablets 100/Ct00316$7.75
Melatonin 3mg Tablets 120/Ct00331$9.75
Melatonin 500mcg Quick Dissolve 60/Ct10648$6.75
Coppertone Sport Sunscreen SPF 50 - 7 oz.10428$15.75
Skin Care Limit: 6 units per this category per Quarter
Skin Care - Sunscreen Limit: 6 units per this category per Quarter
Sleep Aid Limit: 6 units per this category per Quarter
Banana Boat Sport SPF 50 8 oz.10517$15.75
Eligible Items
34 To Order Online Visit us at www.Fieldtex-Gateway.com
Melatonin Soothers 30/Ct10430$3.00
Rest Simply Night Time Sleep-Aid 24/Caplets10505$5.25
Sleep Aid -Generic Sominex- Tablets 32/Ct90925$3.25
Unisom Sleep Gels 32/Ct10225$15.25
ZZZQuil Sleepaid 24/Ct10524$13.75
Nicotine Gum 4mg 40/Ct99914$26.00
Nicotine Lozenges 2mg 72/Ct99915$40.00
Nicotine Lozenges 4mg 72/Ct99916$40.00
Sleep Aid Limit: 6 units per this category per Quarter
Smoking Cessation Limit: 6 units per this category per Quarter
Nicotine Patch Step 3 - 7mg 7/Ct99919$20.00
Nicotine Patch Step 1 - 21mg 7/Ct99918$20.00
Nicotine Patch Step 2 - 14mg 7/Ct99917$20.00
Nicotine Patches Step 1 - 21mg 14/Ct10407$32.00
Nicotine Gum 2mg 40/Ct99913$26.00
Nicotine Patches Step 2 - 14mg 14/Ct10423$35.00
Sleep Aid -Generic Unisom- 16/Ct90927$5.00
Eligible Items
35To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Nicotine Patches Step 3 - 7mg 14/Ct10437$35.00
Antacid and Pain Reliever 36/Ct90649$5.00
Chewy Delights Cherry Generic Tums 32/Ct00335$5.50
Famotidine Acid Reducer Tablets 10mg -Generic Pepcid 30/Ct90648$7.75
Gelusil Antacid 100/Ct10651$11.75
Lansoprazole -Generic Prevacid- 15mg Tablets 14/Ct90984$16.00
Omeprazole 20mg Tablets Generic Prilosec 14/Ct91070$17.00
Omeprazole 20mg Tablets Generic Prilosec- 28/Ct90982$26.50
Omeprazole Dissolving Tablets 42/Ct Strawberry Flavor10439$27.00
Smoking Cessation Limit: 6 units per this category per Quarter
Stomach - Antacids & Acid Reducers Limit: 6 units per this category per Quarter
Alka-Seltzer Heartburn Relief Chews Assorted 36/Ct99025$8.00
Generic Tums 96/Ct90919$4.50
Pepcid Complete Cool Mint Chewable Tablets 25/Ct00206$16.00
Nicotine Patches Step 1 - 21mg 28/Ct10414$52.00
Alka-Seltzer Original Foil Tablets 36/Ct91048$8.00
Eligible Items
36 To Order Online Visit us at www.Fieldtex-Gateway.com
Stomach - Antacids & Acid Reducers Limit: 6 units per this category per Quarter
Pepcid Complete On The Go Chewable Tablets 8/Ct10630$8.25
Prelief Dietary Supplement Caplets 120/Ct00334$14.25
Rolaids Softchews Antacid 12/Ct Flavors Vary99155$4.25
Rolaids Ultra Antacid Chewable Tablets Fruit 72/Ct99156$8.50
Tums 96/Ct Flavors Vary90466$7.50
Tums Chewy Bites 32/Ct Assorted Berry10623$7.00
Tums Chewy Delights Cherry 32/Ct00336$8.50
Ultra Strength Antacid Calcium Chewable Tablets Flavors Vary- 72/Ct99144$4.50
Pepto Bismol 4 fl. oz.90923$5.50
Rolaids Advanced Antacid Plus Anti-Gas Chewable Tablets 60/Ct99154$8.50
Prilosec 20mg OTC Tablets Wildberry Flavor 14/Ct91075$19.00
Prilosec 20mg OTC Tablets 28/Ct99105$30.00
Eligible Items
37To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Anti-Diarrheal Caplets 2mg 24/Ct90120$5.00
Anti-Diarrheal/Anti-Gas 2mg Tablets 12/Ct10504$5.50
Anti-Nausea Liquid Cherry 4 fl. oz.90596$3.75
Beano Tablets 30/Ct11824$8.25
Clearlax 17.9 fl. oz.10483$22.00
Clearlax 4.1 fl. oz.10477$7.00
Clearlax 8.3 fl. oz.10480$13.50
Enema Laxative 4.5 oz.90918$2.25
Equalactin Chews 48/Ct For Nervous Stomach00333$11.00
Ex-Lax Chocolate 24/Ct91053$8.25
Gas Relief And Prevention Caplets 20/Ct91054$6.25
Gas-X Extra Strength Softgels 10/Ct91052$5.00
Imodium AD Caplets 24/Ct00836$16.25
Imodium Liquid 4 fl. oz.90657$8.00
Stomach and Laxatives Limit: 6 units per this category per Quarter
Gentle Stool Softener 25/Ct90590$3.50
Eligible Items
38 To Order Online Visit us at www.Fieldtex-Gateway.com
Laxative Bisacodyl 25/Ct90589$2.50
Miralax OTC 7 Dose 4.1 oz.90883$10.50
Phillips Stool Softner 30/Ct99035$6.75
Senna Laxative Tablets 100/Ct90644$4.75
Procare Elastic Ankle Support Large - This product contains latex90618$6.75
Procare Elastic Ankle Support Medium - This product contains latex90619$6.75
Procare Elastic Ankle Support Small - This product contains latex90620$6.75
Procare Elastic Ankle Support XL - This product contains latex90621$6.75
Procare Elastic Ankle Support XXL - This product contains latex90629$7.00
Stomach and Laxatives Limit: 6 units per this category per Quarter
Supports - Ankle Limit: 6 units per this category per Quarter
Stomach Relief Tablets 30/Ct10429$4.25
Adjustable Ankle Support 10007$14.00
Eligible Items
39To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Back Stabilizer Large 39 in. - 50 in.90208$45.00
Back Support Small / Medium 29 in. - 39 in.90449$45.00
Mueller Back Brace Adjustable 28 in. - 50 in.90209$26.00
Mueller Back Brace Lumbar Universal Fits 28 in. - 50 in. Waist90210$35.25
Adjustable Arm Sling10659$11.50
Neoprene Elbow Support One Size Fits All10790$18.50
Procare Elastic Elbow Support Small 8 in. - 9 in. This product contains latex90627$7.00
Procare Elastic Elbow Support Large 10 in. - 11.5 in. This product contains latex90626$7.00
Procare Elastic Elbow Support XL 11.5 in. - 13 in. This product contains latex90628$7.00
Tera-Prene Tennis Elbow Sleeve XL 12 in. - 14 in.99089$22.25
Supports - Back Limit: 6 units per this category per Quarter
Supports - Elbow Limit: 6 units per this category per Quarter
Be sure to confirm your measurements before ordering any wearable item. Wearable items are Non-Returnable!
Eligible Items
40 To Order Online Visit us at www.Fieldtex-Gateway.com
Supports - Knee Limit: 6 units per this category per Quarter
DJ Orthopedics Reddie Brace Small 13 in. - 14 in.99920 $53.00
DJ Orthopedics Reddie Brace Medium 14 in. - 15 in.99921 $53.00
DJ Orthopedics Reddie Brace Large 15 in. -17 in.99922 $53.00
DJ Orthopedics Reddie Brace XL 17 in. - 19 in.99923 $53.00
DJ Orthopedics Reddie Brace 2XL 19 in.99084 $53.00
Extra Large Scott Specialties Tera-Prene Knee Support 21.75 in.99088 $33.50
Procare Knee Support Small 15.5 in. - 18 in. This product contains latex 90624 $6.25
Procare Knee Support Medium 18 in. - 20.5 in. This product contains latex90623 $6.25
Procare Knee Support Large 20.5 in. - 23 in. This product contains latex 90622 $6.25
Procare Knee Support X-Large 23 in. - 25.5 in. This product contains latex 90625 $6.25
Be sure to confirm your measurements before ordering any wearable item. Wearable items are Non-Returnable!
Eligible Items
41To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Supports - Stockings Limit: 6 units per this category per Quarter
Anti Embolism Stocking Inspection Toe$14.00
10435 - Small10436 - Small Long 10442 - Medium10450 - Medium Long10443 - Large10451 - Large Long10444 - XL10452 - XL long
Mens Black Light Support $22.00
00366 - Small 15-20 mmHg 00367 - Medium 15-20 mmHg 00368 - Large 15-20 mmHg 00369 - Extra Large 15-20 mmHg
Unisex Beige Firm Support $31.00 00386 - Small 30-40 mmHg
00387 - Medium 30-40 mmHg00388 - Large 30-40 mmHg 00389 - Extra Large 30-40 mmHg
Unisex Beige Medium Support $30.00
00382 - Small 20-30 mmHg 00383 - Medium 20-30 mmHg 00384 - Large 20-30 mmHg 00385 - Extra Large 20-30 mmHg
Womens Beige Light Support$20.00
00362 - Small 15-20 mmHg 00363 - Medium 15-20 mmHg 00364 - Large 15-20 mmHg 00365 - Extra Large 15-20 mmHg
Eligible Items
42 To Order Online Visit us at www.Fieldtex-Gateway.com
Adjustable Wrist Support Unisize91095$10.50
Quick-Fit Wrist Support Left Unisize91096$22.50
Quick-Fit Wrist Support Right Unisize99119$22.50
Wristlet91097$4.00
Pill Bottle Opener10677$14.75
Limit: 1 per Year
Key Turner10678$14.00
Limit: 2 per year
Auto Drop Eye Drop Guide10679$5.50
Limit: 1 per year
31 Day Pill Organizer10680$10.00
Limit: 1 per year
Mobility Light10681$11.00 Limit: 3 per year
Bath Sponge with Rigid Handles10682$6.50 Limit: 1 per quarter
Sock Horse Sock Aid10683$12.50 Limit: 1 per year
Supports - Wrist Limit: 6 units per this category per Quarter
Wholecare For You Limits Below
Bariatric Sock Aid Wide Formed with Foam Handgrips10686$17.50 Limit: 1 per year
Combination Dressing Stick and Shoe Horn10684$18.00
Limit: 1 per year
Eligible Items
43To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Jar opener10700$15.75
Limit: 1 per year
Bottle opener10688$12.50 Limit: 1 per year
Diabetic Patient Necklace10698$12.75 Limit: 1 per year
Heart Patient Necklace10699$12.75 Limit: 1 per year
Dual Purpose Item - Members must discuss the use of these items with their physician. Members can purchase these items once their physician recommends using them to treat a specific condition.
Dual-Purpose Items
Blood Pressure Monitors Limit: 1 unit per this category per Year
**Advocate Blood Pressure Monitor XL Cuff Circumference: 12.6 in. - 20.5 in.
00112 Automatic Arm Blood Pressure Monitoring System provides accurate and precise measurements giving you the reassurance you need while testing.
$36.50
**Healthmate Cuff Digital Blood Pressure Monitor Cuff Circumference: 9 in. - 13 in.
90327 Enjoy comfortable self-adjusting cuff inflation. Measurement algorithm clinically validated. Easy to read display window.
$43.50
**Omron Upper Arm Blood Pressure Monitor Cuff Circumference: 9 in. - 17 in.
00358 Quick and easy home blood pressure monitor helps ensure consistent, precise readings and utilizes a simple one touch mode.
$69.00
Wholecare For You Limits below
Universal Built-Up Handle 4 Pack10689$7.00 Limit: 2 per year
Zipper and Button Puller10685$8.50
Limit: 1 per year
Vitamins, Minerals and Special Supplements Limit: 6 units per this category per Quarter
**B-12 1000mcg Melts 100/Ct 00294 $9.75 **B-Complex Softgels 100/Ct 90298 $8.75 **Biotin 10,000mcg 100/Ct 10642 $12.50 **Biotin 2,000mcg Quick Dissolve 90/Ct 10647 $6.25 **Calcium 500mg + D Tablets 130/Ct 00339 $13.25 **Calcium 600mg + D 200 IU Tablets 60/Ct 90230 $3.00 **Calcium Citrate Plus D3 Tablets 60/Ct 10520 $7.75 **Calcium Citrate Tablets 100/Ct 10506 $7.50 **Chocolate Calcium Chews 60/Ct 90966 $7.75 **Co Q10 100mg Softgels 40/Ct 00360 $31.25 **Daily Men/Women Maximum Vitamin Pak 30/Ct 00361 $24.00 **Daily One Multivitamin For Women 100/Ct 90961 $11.00 **Ferosul 5 Iron Tablets 100/Ct 90245 $3.00 **Fish Oil Cholesterol Free 1000mg Softgels 120/Ct 90964 $8.00 **Folic Acid 400mcg Tablets 250/Ct 00343 $7.50 **Generic Centrum Silver 125/Ct 00345 $8.00 **Geritol Multivitamin 100/Ct 10652 $14.00 **Glucoflex Glucosamine and Chondroitin Caplets 60/Ct 11869 $17.00 **Iron 65mg Tablets 180/Ct 00346 $11.25 **K 100mcg Tablets 100/Ct 99069 $4.75 **Magnesium 500mg Tabs 100/Ct 90240 $5.50 **Magnesium Citrate 250mg Softgels 60/Ct 00347 $15.00 **Mega Red Omega 3 Krill Oil 500mg 40/Ct 10471 $46.00 **Multi-Vitamin with Iron 100/Ct 90257 $4.00
**Thinner Analog Dr. Scale by ConAir Maximum Weight: 330 lbs.
10405 This analog scale features an extra-large dial and 330 lb. weight capacity with a comfort grip platform and an easy-to-read rotating dial.
$48.00
**Platform Scale Maximum Weight: 440 lbs.
01070 This digital scale features a large readout that immediately calculates your weight when you step onto the scale, an extra-wide platform covered in a non-slip rubber for your safety, and includes 1 lithium battery.
$34.00
**Stainless Steel Digital Scale Maximum Weight: 500 lbs.
01072 This Stainless Steel Scale features a large 15.3 in. x 12.8 in. stainless steel platform for extra foot space and an easy to read LED display.
$49.00
Scales Limit: 1 unit per this category per Year
Dual-Purpose Items
44 To Order Online Visit us at www.Fieldtex-Gateway.com
Vitamins, Minerals and Special Supplements Limit: 6 units per this category per Quarter
Weight Loss - Kitchen Scales Limit: 2 units per this category per Year
**Digital Kitchen Food Scale - Stainless 10507 $24.00
**Premium Stainless Steel Food Scale 10521 $29.75
**One A Day Proactive 65plus For Men And Women 150/Ct 99033 $14.75 **One A Day Womens 50plus Advantage 65/Ct 90663 $14.25 **Oyster Shell 500mg Plus D Tablets 150/Ct 90237 $6.50 **Potassium Gluconate 595mg Tablets 100/Ct 99076 $6.75 **Sustain Release B-Complex Tablets 60/Ct 11863 $9.00 **Vitamin B-12 1000mcg Quick Dissolve 200/Ct 10649 $18.00 **Vitamin B-12 250mcg Tablets 100/Ct 11864 $7.00 **Vitamin B-12 500mcg Tablets 100/Ct 91083 $10.50 **Vitamin B-6 50mg Tablets 100/Ct 90577 $4.25 **Vitamin C 1000mg Tablets 100/Ct 00349 $17.50 **Vitamin C Chewables Wafers 500mg 60/Ct 00350 $11.75 **Vitamin C-500 Tablets 100/Ct 11861 $5.50 **Vitamin D 10mcg Tablets 100/Ct - Equivalent to 400 IU 90309 $3.50 **Vitamin D 5000 IU Softgels 100/Ct 99073 $22.00 **Vitamin E 100 IU Dl-Alpha Softgels 100/Ct 90316 $4.00 **Vitamin E-400 IU Dl-Alpha Softgels 90/Ct 11862 $7.75
Dual-Purpose Items
45To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Active IngredientsActive Ingredients - The following list contains the active ingredients included in each product listed in the catalog. If the item you are looking for is not on the below list it means it has no active ingredients. Please note that products are listed in order by part number.
00049 Triple Antibiotic Ointment Tube 1 oz. Bacitracin Zinc USP* 400 Units, Neomycin Sulfate USP* 3.5 mg, Polymyxin B Sulfate USP* 5,000 Units
00050F Alcohol Wipes 200/Ct Isopropyl Alcohol -2-Propanol- 70%
00065 Bacitracin 1 oz. Bacitracin Zinc 500 Units00098F Extra Strength Tylenol 500mg 50
packets of 2 100/CtAcetaminophen 500mg
00142 Safetec Hand Sanitizer 8 Oz. Ethyl Alchhol 66.5%
00203 Zyrtec 10mg Tablets 30/Ct Cetirizine HCL* 10mg 00206 Pepcid Complete Cool Mint
Chewable Tablets 25/CtFamotidine 10mg
00226 Uristat Ultra with Cranberry UTI Pain Relief Tablets 30/Ct
Phenazopyridine HCL* 99.5mg
00247 Complete Lice Treatment Kit Includes: Lice Killing Shampoo, Nit Combing Gel and Bedding Spray
Piperonyl Butoxide 4%, Pyrethrum Extract equivalent to 0.33% Pyrethrins
00294 B-12 1000mcg Melts 100/Ct Vitamin B12 as Cyanocobalamin 1000mcg
00296 Glucose 4 gram tablets - Orange Flavor - 50/Ct
Vitamin C 10%
00301 Fexofenadine Tablets 30/Ct - Generic Allegra Fexofenadine HCL* USP*, 180mg
00302 Vicks Nyquil Liqui-Caps 24/Ct Acetaminophen 325mg, Dextromethorphan HBr 15mg, Doxylamine Succinate 6.25mg
00303 Dentek Instant Oral Pain Relief 50/Applications Benzocaine 20%
00304 Biotene Dry Mouth Oral Mouth Rinse 16 fl. oz.
Purified Water, Glycerine, Xylitol, Sorbitol, Propylene, Glycol, Poloxamer 407, Sodium Benzoate, Hydroxyethyl Cellulose, Methylparaben, Propylparaben, Flavor, Sodium Phosphate, Disodium Phosphate
00305 Parodontax Extra Fresh Toothpaste 3.4 oz.
Stannous Flouride 0.454%
00316 Melatonin 3mg Tablets 100/Ct
Melatonin 3 mg, Dicalcium Phosphate, Microcrystalline Cellulose, Stearic Acid, Croscarmellose Sodium, Magnesium Stearate, Silica
Acronym Quick Reference Guide The following acronyms have been Identified with an asterisk (*) in the Active Ingredients Section ALU - Aluminium Hydroxide FCC - Food Chemical Codex GALU - Galacsosidase Units HBr - Hydrobromide Syrup HCL - HydrochlorideIU - International Units NSAID - Nonsteroidal Anti-inflammatory Drug
PVM/MA - Abstract Polyvinylmethylether/maleic acid TAED - Tetraacetylethylenediamine USP - United States Pharmacopeia VP/VA - Polyvinylpyrrolidone/Vinyl Acetate W/V - Weight by volume W/W - Percent weight/weight
Units of measurementmg - milligrams mcg - micrograms g - grams
46 To Order Online Visit us at www.Fieldtex-Gateway.com
00319 Lipo-Flavonoid Ear Ringing Relief Caplets 72/Ct
Choline Bitartrate, Inositol, High Potency Lemon Bioflavonoid Complex
00324 Zeasorb Athletes Foot Powder 2.5 oz.
Miconazole Nitrate
00325 Blistex Medicated Lip Balm Dimethicone 2%, Octinoxate 6.6%, Octisalate 4.4%
00326 Blistex Medicated Lip Ointment Camphor .5%, Dimethicone 1.1%, Menthol .625%, Phenol .5%
00327 Medicated Lip Balm -Generic Carmex-
Camphor 1.7%, Menthol .7%
00328 Aspercreme Lidocaine No Mess Liquid Roll On 2.5 oz.
Lidocaine HCL* 4 %
00329 Bactine Maximum Pain Relieving Cleansing Spray 5 oz.
Benzalkonium Chloride 0.13% W/W*, Lidocaine HCL* 2.5% W/W*
00330 Dermarest Medicated Psoriasis Gel 4 fl. oz. Salicylic Acid 3%
00331 Melatonin 3mg Tablets 120/Ct Melatonin 3mg
00333 Equalactin Chews 48/Ct Calcium Polycarbophil 625mg
00334 Prelief Dietary Supplement Caplets 120/Ct
Calcium Glycerophosphate
00335 Chewy Delights Cherry -Generic Tums- 32/Ct
Calcium Carbonate
00336 Tums Chewy Delights Cherry 32/Ct Calcium Carbonate USP* 1177mg
00339 Calcium 500mg + D Tablets 130/Ct Vitamin D as Calcium 500mg00340 Biotene Dry Mouth Balance Gel
1.5 oz.Glycerin, Sorbitol, Xylitol, Carbomer, Hydroxyethyl Cellulose, Sodium Hydroxide
00343 Folic Acid 400mcg Tablets 250/Ct Folic Acid 400mcg, Calcium 74mg
00345 Generic Centrum Silver 125/Ct
Vitamin A 2500 IU*, Vitamin C 60mg, Vitamin D 1000 IU*, Vitamin E 50 IU*, Vitamin K 30mcg, Thiamin 1.5mg, Riboflavin 1.7mg, Niacin 20mg, Vitamin B6, Folic Acid 400mcg, Vitamin B12 25mcg, Biotin 30mcg, Pantothenic Acid 10mg, Calcium 220mg, Phosphorus 20mg, Iodine 150mcg, Magnesium 50mg, Zinc 11mg, Selenium 19mcg, Copper .5mg, Manganese 2.3mg, Chromium 50mcg, Molybdenum 45mcg, Chloride 72mg, Potassium 80mg
00346 Iron 65mg Tablets 180/Ct Calcium 18mg, Iron 65mg00347 Magnesium Citrate 250mg Softgels
60/CtMagnesium 250mg
00349 Vitamin C 1000mg Tablets 100/Ct Vitamin C 1000mg
00350 Vitamin C Chewables Wafers 500mg 60/Ct Vitamin C 500mg, Sodium 50mg
00359 Metamucil Capsules 0.52 gram 100/Ct
Dietary Fiber 2g, Soluble Fiber 2g, Protein less than 1g, Iron .4mg, Potassium 25mg
00360 Co Q10 100mg Softgels 40/Ct Coenzyme Q-10 100mg
Active Ingredients
47To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
00361
Daily Men/Women Maximum Vitamin Pak 30/Ct
Ascorbic Acid, Calcium Carbonate, dl-Alpha Tocopheryl Acetate, Cellulose Gel, Gelatin -from one or more of the following: Cod, Cusk, Flounder, Haddock, Hake, Pollock, Redfish, and Sole- Dibasic Calcium Phosphate, Glycerin, Hydroxypropyl Methylcellulose, d-Calcium Pantothenate, Magnesium Oxide, Thiamin Mononitrate, Pyridoxine HCL*, Potassium Chloride, Riboflavin, Niacinamide, Malto-dextrin, Niacinamide Ascorbate, Stearic Acid, Rose Hips, Croscarmellose Sodium, Crospovidone, Water, Soybean Oil, Magnesium Stearate, Silicon Dioxide, Acacia, Zinc Oxide, Polyethylene Glycol, Manganese Sulfate, Yellow Beeswax, Sunflower Oil, Copper Oxide, Starch -Corn and Tapioca-, Vitamin A Acetate, Beta Carotene, Folic Acid, Sodium Borate, Chromium Chloride, Lutein, Potassium Iodide, Cyanocobal-amin, Biotin, Corn Oil, Sodium Selenate, Sodium Molybdate, Sodium Metavanadate, Stannous Chloride, Phylloquinone, Vitamin D, Nickelous Sulfate, Sodium Metasilicate.
00372 Ecotrin Tablets 325mg 125/Ct Aspirin NSAID* 325mg00438 ACT Total Care Dry Mouth Rinse
Mint 18 oz.Sodium Flouride .02%
00830 Benefiber 38 Servings Wheat Dextrin
00835 Neosporin Ointment .5 oz. Neomycin Sulfate, Bacitracin Zinc and Polymixin B
00836 Imodium AD Caplets 24/Ct Loperamide HCL* 2mg10050 Aspercreme 1.25 oz. Trolamine Salicylate 10%
10053 Icy Hot Cream 1.25 oz. Methyl Salicylate 30%
10057 Hydrocortisone Cream 1% 1 oz. Hydrocortisone USP* 1%10220 Gold Bond Eczema Relief Cream
5.5 ozColloidal Oatmeal 2%
10221 Anbesol Maximum Strength .33 oz. Benzocaine 20%
10222 Nasacort Allergy 24 Hour 60/Spray Triamcinolone Acetonide -Glucocorticoid- 55mcg
10223 Gold Bond Diabetic Foot Cream 3.4 oz.
3% Dimethicone, 30% White Petrolatum
10224 Biotene Moisturizing Mouth Spray 1.5 fl. oz.
Purified Water, Glyercin, Xylitol, PEG-60, Hydrogenated Castor Oil, VP/VA* Copolymer, Flavor, Sodium Benzoate, Xanthan Gum, Methylparaben, Propylparaben, Sodium Saccharin, Cetylpyridinium Chloride
10225 Unisom Sleep Gels 32/Ct Diphenhydramine HCL* 50mg10226 ACT Dry Mouth Lozenges 18/Ct Isomalt, Xylitol, Glycerin
10321 J and J Hurt Free Antiseptic Wash 6 oz. Benzalkonium Chloride 0.13%, Lidocaine HCL* 2%
10322 New Skin Liquid Bandage 50 Applications Benzethonium Chloride 0.2%
10323 Bengay Greaseless Topical Analgesic Cream 2 oz. Menthol 10%, Methyl Salicylate 15%
10400 Flonase Nasal Spray For Allergies 120/Spray Fluticasone Propionate -glucocorticoid- 50mcg
10401 Theraflu Nighttime Severe Cough & Cold 6/Ct
Acetaminophen 650mg, Diphenhydramine 25mg, Phenylephrine HCL* 10
10406 Neosporin Lip Overnight Renewal .27 oz. White Petrolatum 77.4%
Active Ingredients
48 To Order Online Visit us at www.Fieldtex-Gateway.com
10407 Nicotine Patches Step 1 - 21mg 14/Ct Nicotine 21mg delivered over 24 hours
10411 Coppertone Sport Sunscreen SPF 30 - 7 oz.
Avobenzone 3.0%, Homosalate 8.0%, Octisalate 4.5% Octocrylene 6.0%
10414 Nicotine Patches Step 1 - 21mg 28/Ct
Nicotine 21mg delivered over 24 hours
10416 Tylenol 8 hr Arthritis 650mg 100/Ct Acetaminophen 650mg
10419 Neosporin Burn Relief Ointment .5 oz.
Bacitracin Zinc 500 units, Neomycin Sulfate 3.5mg, Polymyxin B Sulfate, 10,000 units, Pramoxine HCL* 10mg, Purpose First Aid Antibiotic External Analgesic
10421 Rid Lice Control Spray 5 oz. Permethrin 0.50%
10423 Nicotine Patches Step 2 - 14mg 14/Ct
Nicotine 14mg delivered over 24 hours
10424 Bengay Vanishing Scent Topical Gel 2 oz.
Menthol 2.5%
10428 Coppertone Sport sunscreen SPF 50 - 7 oz.
Avobenzone 3%, Homosalate 10%, Octisalate 4.5%, Octocrylene 8%
10429 Stomach Relief Tablets 30/Ct Bismuth Subsalicylate 262mg
10430 Melatonin Soothers 30/Ct Melatonin 1mg10434 Rid Lice Killing Shampoo 8 oz. Piperonyl Butoxide 4%, Pyrethrum Extract
10437 Nicotine Patches Step 3 - 7mg 14/Ct
Nicotine 7mg delivered over 24 hours
10439 Omeprazole Dissolving Tablets 42/Ct Strawberry Flavor
Omeprazole 20mg
10445 Lido Aid Pain Relieving gel .17 oz Lidocaine HCL* 4%
10446 Glucose SOS Instant Dissolve Powder 6/Ct Fruit Medley
Dextrose, Malic Acid, Citric Acid, Tricalcium Phosphate, Natural Fruit Punch Flavor
10448 Salonpas Lidocaine Plus Cream 3 oz.
Benzyl Alcohol 10%, Lidocaine HCL* 4%
10453 Salonpas Lidocaine Plus liquid Roll On 3 fl.oz
Benzyl Alcohol 10%, Lidocaine HCL* 4%
10457 Pain Relief Lidocaine Patches 5/Ct Lidocaine 4%
10462 Tiger Balm Rub Ultra .63 oz Camphor, Menthol
10463 Vicks VapoInhaler Menthol Scent Camphor, Menthol, Methyl Salicylate, Siberian Fir Oil
10464 Tiger Balm Pain Relieving Hydrogel Patch Large 4/Ct
Camphor, Menthol, Capsicum Extract
10465 Tiger Balm Pain Relieving Patch 5/Ct
Camphor 80mg/Patch, Menthol 24mg/Patch, Capsicum Extract 16mg/Patch
10466 Aim Toothpaste 5.5 oz. Sodium Fluoride 0.24%
10471 Mega Red Omega 3 Krill Oil 500 mg 40/Ct Krill Oil
10472 Vaseline Healing Jelly 13 oz. White Petrolatum, USP* 100%
10475 Wound Seal Topical Powder 4/Ct Hydrophilic Polymer and Potassium Ferrate
10477 Clearlax 4.1 oz. Polyethylene Glycol 3350
10478 Johnsons Baby Powder with Aloe and Vitamin E 15 oz.
Zea Mays -Corn- Starch, Tricalcium Phosphate, Fragrance, Aloe Barbadensis Leaf, Tocopheryl, Vitamin E
10480 Clearlax 8.3 oz. Polyethylene Glycol 3350
Active Ingredients
49To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
10482 Wound Seal + Applicator 4/Ct Hydrophilic Polymer, Potassium Ferrate
10483 Clearlax 17.9 oz. Polyethylene Glycol 335010484 DynaWound Wound Cleanser
8 fl. oz.Benzethonium Chloride 0.13%
10485 A & D Ointment 15 oz. White Petrolatum USP* 76% W/W*
10504 Anti-Diarrheal/Anti-Gas 2mg Tablets 12/Ct
Loperamide HCL* 2mg, Simethicone 125mg
10505 Rest Simply Nighttime Sleep-Aid 24/Caplets
Diphenhydramine HCL*
10506 Calcium Citrate Tablets 100/Ct Calcium 400mg
10508 Crest Gum Detoxify Deep Clean Toothpaste 4.1 oz
Stannous Fluoride -0.454%- -0.14% w/v Fluoride Ion
10509 Crest Regular Cavity Protection Toothpaste 4.2 oz
Sodium Fluoride .243%
10512 Close-Up Cinnamon Flavored Toothpaste 4 oz
Sodium Fluoride 0.24%
10514 Visine Advanced Redness Plus Irritation Relief 1/2 Fl Oz. Alivio Avanzado Visine ½ Fl. Oz.
10516 Banana Boat Sport 30 SPF 3 oz Avobenzone 2.7%, Homosalate 9%, Octisalate 4.5%, Octocrylene 6.5%
10517 Banana Boat Sport 50 SPF 8 oz Avobenzone 2.7%, Homosalate 9%, Octisalate 4.5%, Octocrylene 6.5%
10520 Calcium Citrate Plus D3 Tablets 60/Ct
Vitamin D 12.5mcg, Calcium 630mg
10523 Scar Relief Gel 1.76 oz. Aloe, Chamomile and Allantoin
10524 ZZZQuil Sleepaid 24/Ct Diphenhydramine HCl 25 mg
10528 Urinary Pain Relief Max Strength 24/Ct
Phenazopyridine HCL* 99.5mg
10605 Armor Gel Wound Dressing 1.5 oz. Patented Nano Silver Technology10615 Petroleum Jelly 13 oz White Petrolatum USP 100%
10616 Fresh Mint Sensitive Toothpaste 4.3 oz. Potassium Nitrate 5%, Sodium Flouride .24%
10619 Bayer 200/CT Aspirin 325mg NSAID
10620 ES Bayer 100/Ct Aspirin 500mg NSAID
10622 Tylenol Arthritis 8 hr. 225/Ct Acetaminophen 650 mg
10623 Tums Chewy Bites 32/Ct Calcium Carbonate 750mg
10624 Afrin No Drip Allergy/Sinus .5 oz. Oxymetazoline HCL* .05%
10625 Aleve Back and Muscle Pain 100/Ct Naproxen sodium 220mg10626
Sambucol Cold & Flu Tablets Bryonia 6x, Gelsemium Sempervirens 6x, 12x, 30x, Sambucus Nigra 3x, 6x, Sulphur 12x, Zincum Gluconicum 2x, 6x
10627 Dmanna UTI Prevention D-mannose
10628 Scar Away Gel .35 oz. Polysiloxanes, Silicon dioxide
10629 Zyrtec 90/Ct Cetirizine HCL* 10mg
10630
Pepcid Complete On The Go 8/Ct Famotidine 10mg, Calcium Carbonate 800mg, Magnesium Hydroxide 165mg
10631 No Drip Original Afrin .5 oz. Oxymetazoline HCL* .05%
Active Ingredients
50 To Order Online Visit us at www.Fieldtex-Gateway.com
10636 Tiger Balm Arthritis Rub 4 oz. Camphor 11%, Menthol 11%10637 Silver Immune Support 16 oz. Purified Silver 50 mcg
10638 Red Cross Canker Sore Pain Relief Medicine .25 oz Benzocaine 20%
10639 Mentholatum No-Mess Roll On 1.76 oz.
Camphor 5.3%, Eucalyptus Oil 1.3%, Menthol 2.8%
10641 Greaseless Mentholatum 1.76 oz. Camphor 5.3%, Eucalyptus Oil 1.3%, Menthol 2.8%
10642 Biotin 10,000mcg 100/Ct Biotin 10,000mcg10643 Motion Sickness All Day Less
Drowsy 8/CtMeclizine HCL* 25mg
10644 Biotene Lozenges 27/Ct Isomalt, Xylitol, Water, Glycerin, Sodium Citrate, Natural and Artificial Flavor, Pectin, Sucralose, FD&C blue 1
10647 Biotin 2000mcg Quick Dissolve 90/Ct
Biotin 2,000mcg
10648 Melatonin 500mcg Fast Melt 60/Ct Melatonin 500mcg
10649 Vitamin B-12 1000mcg Quick Dissolve 200/Ct
B-12 1,000mcg
10650 Cold-Eeeze Cherry Flavor 18/Ct Zincum Gluconicum 2x -13.3 mg Zinc10651
Gelusil Antacid 100/CtAluminum Hydroxide Dried Gel 200mg, Magnesium Hydroxide 200mg, Simethicone 25mg
10652 Geritol Multivitamin 100/Ct
Vitamin A 6000 IU, Vitamin C 60mg, Vitamin D-3 400 IU, Vitamin E 30 IU, Vitamin K 24 mcg, Vitamin B-1, 1.5mg, Vitamin B-2 1.7mg, Niacin 20mg, Vitamin B-6 2mg, Folic Acid 400mcg, Vitamin B-12 6.6 mcg, Biotin 44mcg, Pantothenic Acid 13mg, Calcium 148mg, Iron 16.2mg, Phosphorus 115mg, Iodine 120mcg, Magnesium 80mg, Zinc 13.5mg, Selenium 1mcg, Copper 1.8mg, Maganese 2.4mg, Chromium 12mcg, Molybdenum 1 mcg, Chloride 33mg, Potassium 36mg, Nickel 23mcg, Tin 19mcg, Vanadium 24mcg.
10653 Bonine Motion Sickness 16/Ct Meclizine HCL 25mg
10655 Micatin Antifungal Cream .5 oz. Miconazole Nitrate 2%10656
PreserVision AREDS 2 Multi 100/Ct
Vitamin C 250mg, Vitamin D 300 IU, Vitamin E 200 IU, Vitamin K 15ug, Thiamin .75mg, Riboflavin .85mg, Niacin 10mg, Vitamin B6 1mg, Folic Acid 200ug, Vitamin B-12 12.5ug, Biotin 15ug, Pantothenic Acid 5mg, Iodine 75ug, Magnesium 50mg, Zinc 40mg, Selenium 9.5ug, Copper 1mg, Maganese 25ug, Molybdenum 22.5ug, Lutein 5mg, Zeaxanthin 1mg
10661
PreserVision Chewable 60/Ct Vitamin C 250mg, Vitamin E 200 IU, Zinc 40mg, Copper 1mg, Lutein 5mg, Zeaxanthin 1mg
10662 Estroven Caplet Extra Strength 28/Ct
Dicalcium phosphate 90mg, Black Cohosh Root Extract 80mg, Soy Isoflavones 60mg, Green Tea Lea Extract 100mg, Yerba Mate Leaf Extract 30mg, Magnolia Bark Extract 15mg
10663 Zicam Cold Remedy Nasal Swabs 20/Ct Galphimia Glauca 4x, Luffa Operculta 4x, Sabadilla 4x
10664 Voltaren Topical Gel 1% 100 grams Diclofenac Sodium -NSAID- 1%
10667 Estroven PM Caplet 30/Ct Dicalcium Phosphate 112mg, Black Cohosh Root Extract 40mg, Soy Isoflavones 56mg, Melatonin 2mg
10668 Zicam Citrus Rapid Melts 25/Ct Zincum Aceticum 2x, Zincum Gluconium 1x10669 Epsom Salt Pouch 1 lb Magnesium Sulfate USP 100
10671 Biofreeze Roll On 2.5 oz. Menthol 4%
Active Ingredients
51To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
10674 Arm & Hammer Saline Wound Wash 7 oz.
Sterile 0.9% Sodium Chloride Solution.
10691 Mucinex Fast-Max Cold, Flu and Sore Throat 6 oz
Acetaminophen-650mg, Dextromethorphan HBr-20mg, Guaifenesin-400mg, Phenylephrine HCl-10 mg.
10752 Antifungal Cream 1 oz. Miconazole Nitrate USP* 2%
10874 Benadryl Allergy Tablets 24/Ct Diphenhydramine HCL* 25mg
11561 Mucinex DM Tablets 20/Ct Dextromethorphan HBr* 30mg, Guaifenesin 600mg
11562 Chloraseptic Lozenges - Citrus 18/Ct Benzocaine 6mg, Menthol 10mg
11569N Complete Allergy Medicine Tablets 100/Ct Diphenhydramine 25mg
Diphenhydramine HCL* 25mg
11571 Ricola Cough Drops 21/Ct Menthol 4.8mg
11575
Coricidin HPB Liqui-Gels 20/Ct Chlorpheniramine Maleate 4mg, Destromethorphan Hydrobromide 30mg
11580 Claritin Reditabs 10/Ct Loratadine 10mg
11584 Ludens Wild Cherry Throat Drops 30/Ct Pectin 2.8 mg/Oral Demulcent
11591 Sucrets Sore Throat Cherry Lozenges 18/Ct
Dyclonine HCL* 2mg
11601 Halls Honey Lemon Cough Drops 30/Ct
Menthol 9.1mg
11625 Vicks VapoRub 3.53 oz. Camphor-Synthetic- 4.8%, Eucalyptus Oil 1.2%, Menthol 2.6%
11633 Campho-Phenique Cold Sore Treatment Gel .23 oz. Camphorated Phenol Camphor 10.8% And Phenol 4.7%
11640 A & D Original Ointment 1.5 oz. Lanolin 15.5%, Petrlatum 53.4%11655 Swim-Ear Ear Drops 1 fl. oz. Isopropyl Alcohol 95 %
11668 Stye Eye Ointment 0.125 oz. Mineral Oil 31.9% Emollient, White Petrolatum 57.7% Emollient11703 Halls Menthol-Lyptus Cough Drops
30/CtMenthol 6.5mg
11704 Aleve Easy Open Cap 220mg Gelcaps 40/Ct
Naproxen Sodium 220mg NSAID*
11824 Beano Tablets 30/Ct Alpha-Galactosidase Enzyme
11861 Vitamin C-500 Tablets 100/Ct Vitamin C 500mg11862 Vitamin E-400 IU Dl-Alpha Softgels
90/CtVitamin E 400 IU*
11863 Sustain Release B-Complex Tablets 60/Ct
Vitamin B1 50mg, Vitamin B2 50mg, Niacin 50mg, Vitamin B6 50mg, Folate 100mcg, Vitamin B12 50mcg
11864 Vitamin B-12 250mcg Tablets 100/Ct Vitamin B 12 -as cyanocobalamin- 250mcg
11869 Glucoflex Glucosamine and Chondroitin Caplets 60/Ct
Glucosamine HCL* 1500mg, Chondroitin Sulfate 1200mg
11876N Low Dose Aspirin Tablets 81mg 120/Ct Aspirin 81mg
11950 Medicated Corn Remover Pads 9/Ct Salicylic Acid
11952 Vicks DayQuil Cold and Flu LiquiCaps 24/Ct
Acetaminophen 325mg, Dextromethorphan HBr 10mg, Phenylephrine HCL* 5mg
12001 Hand Sanitizer 4 oz. Ethyl Alcohol 70%
Active Ingredients
52 To Order Online Visit us at www.Fieldtex-Gateway.com
12002 Coretex Hand Sanitizer 8 oz. SD Alcohol 40-B 62.5%
12022 Hand Sanitizer 2 oz. Ethyl Alcohol 70%
90058 Coppertone Sunscreen SPF 30 8 oz. Avobenzone, Homosalate, Octisalate, Oxybenzone
90063 Sunscreen SPF 50 - 8 oz. Avobenzone 3%, Homosalate 13%, Octisalate 5%,
90080 Orajel Medicated Mouth Sore Swabs 12/Ct
Benzocaine 20%
90090 Cough / Cold High Blood Pressure Tablets 16/Ct
Chlorpheniramine Maleate 2mg, Dextromethorphan HBr* 30mg
90095 Itch Relief Cream Extra Soothing 1 oz.
Diphenhydramine HCL* 2%, Topical Analgesic; Zinc Acetate 0.1%, Skin Protectant
90120 Anti-Diarrheal Tablets 2mg 24/Ct Loperamide HCL* 2mg
90122 Maximum Strength Cold and Hot Pain Relief Liquid Roll On 2.5 fl. oz.
Menthol 16%
90128
Fixodent Original 1.4 oz. Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, Silica, Petrolatum
90139 Hemorrhoid Relief Ointment 2 oz. Petrolatum 71.9%, Mineral Oil 14.0%, Phenylephrine HCL* 0.25%.
90154 Suppositories 12/Ct Cocoa Butter 85.39%, Phenylephrine HCL* 0.25%.90157 Colgate Total Clean Mint
Toothpaste 4.8 oz. Stannous Fluoride .454%
90201 Dramamine Tablets 12/Ct Dimenhydrinate 50mg
90230 Calcium 600mg + D 200 IU Tablets 60/Ct
Calcium Carbonate 600mg, Cholecalciferol 200 Unit
90237 Oyster Shell 500mg Plus D Tablets 150/Ct Cholecalciferol 200 Unit, Oyster Shell 500mg
90240 Magnesium 500mg Tabs 100/Ct Magnesium -as Magnesium Oxide-500mg
90245 Ferosul 5 Iron Tablets 100/Ct Iron 65mg
90257 Multi-Vitamin with Iron 100/Ct
Ascorbic Acid 60mg, Cyanocobalamin 6mcg, Ergocalciferol 400 Unit, Folic Acid, Iron 18 mg, Niacinamide 20 mg, Pyridoxine, HCL* 2mg, Riboflavin 2mg, Thiamine HCL* 2mg, Vitamin A Acetate 5000 Unit, Viatmin E 15 Unit
90298 B-Complex Softgels 100/Ct Thiamine 3mg
90309 Vitamin D 10 mcg Tablets 100/Ct - Equivalent to 400 IU Vitamin D 400 IU*
90316 Vitamin E 100 IU Dl-Alpha Softgels 100/Ct Vitamin E 100 IU*
90444 Mentholatum Ointment 1 oz. Jar Camphor 9%, Menthol, Natural 1.3%90446 Tussin DM 4 fl. oz. Dextromethorphan HBr, USP* 10mg, Guaifenesin, USP*100mg
90447 Ricola Sugar Free Lemon Mint Throat Drops 19/Ct
Menthol 4.8mg
90453N Eye Drops Original .5 oz. Tetrahydrozoline HCL* 0.05%90459 Extra Strength Cold and Hot
Therapy Patch 5/CtMenthol 5%
90466 Tums 96/Ct Flavors Vary Calcium Carbonate USP*
90471 Safetec First Aid Burn Gel 4 oz. Purified Water, Aloe
90485 Sensodyne Deep Clean Toothpaste 4.0 oz.
Potassium Nitrate -5%-, Sodium Fluoride -0.15% W/V* Fluoride Ion
Active Ingredients
53To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
90486 Polident Overnight Tablets 84/Ct
Polyethylene Glycol, Potassium Monopersulfate, Sodium Benzoate, Sodium Bicarbonate, Sodium Carbonate, Sodium Lauryl Sulfoacetate, Sodium Percarbonate, TAED*, VP/VA* Copolymer
90490 Poligrip Super Extra Care 2.2 oz.PVM/MA* Sodium-Calcium Mixed Partial Salt, Petrolatum, Cellulose Gum, Mineral Oil, Dl-Alpha-Tocopheryl Acetate, Methylparaben, Ethylparaben. Does not contain zinc
90491 Poligrip Super Original 2.4 oz. PVM/MA* Sodium-Calcium Mixed Partial Salt; Petrolatum90516 Robitussin Cough and Chest Sugar
Free 4 fl. oz.Dextromethorphan HBr*
90553 Airborne Original Orange Tablets 10/Ct
Vitamins A, C and E, Zinc, Selenium, Manganese, Proprietary Herbal Blend 350mg Proprietary Ammino Acid Blend 50mg
90575 Best Fiber Powder Sugar Free 62 Servings Fiber 6g
90576 Mucus Relief DM Tablets 30/Ct Dextromethorphan HBr* 20mg, Guaifenesin 400mg90577 Vitamin B-6 50mg Tablets 100/Ct Vitamin B-6 50mg, Calcium 40mg
90578 Tussin DM Sugar Free 4 fl. oz. Dextromethorphan HBr*, USP* 10mg, Guaifenesin USP* 100 90579 Effervescent Cold Relief Tablets
20/CtAcetaminophen 250 mg, Chlorpheniramine Maleate 2mg, Phenylephrine HCL* 5mg
90580 Allergy / Sinus Headache Caplets 20/Ct
Acetaminophen 325mg, Diphenhydramine HCL* 25mg, Phenylephrine 5mg
90582 Allergy 10mg Tablets 30/Ct Loratidine Loratadine 10mg
90584 All Day Allergy Tablets 30/Ct Cetirizene Cetirizine HCL* 10mg
90588 Sterile Irritation Eye Drops .5 oz. Tetrahydrozoline HCL* .05%, Zinc Sulfate 0.25%
90589 Laxative Bisacodyl 25/Ct Bisacodyl USP* 5mg90590 Gentle Stool Softener 25/Ct Docusate Sodium 100mg
90596 Anti-Nausea Liquid Cherry 4 oz. Dextrose 1.87g, Levulose 1.87g, Phosperic Acid 21.5mg
90598 Aspirin 81mg Chewable Tablets Orange 36/Ct
Aspirin 81mg NSAID*
90599N Non-Aspirin Acetaminophen Extra Strength Caplets 500mg APAP 100/Ct
Acetaminophen 500mg
90600N Ibuprofen IB Caplets 200mg 100/Ct Ibuprofen 200mg
90601 Arthritis Pain Relief Tablets APAP 650mg 24/Ct Acetaminophen 650mg
90602N Naproxen -Generic Aleve- Caplets 220mg 100/Ct
Naproxen Sodium 220mg NSAID*
90605 Liquid Wart Remover .31 fl. oz. Salicylic Acid 17.5%
90608 Corn and Callus Remover .3 fl. oz. Salicylic Acid 17.5%
90610 Clotrimazole Cream Usp 1% - 1 oz. Clotrimazole 1%
90617 Pepsodent Complete Care Toothpaste 5.5 oz.
Sodium Fluoride 0.24%
90639 Night Time Cold-Flu Relief SoftGels 16/Ct
Acetaminophen 325mg, Dextromethorphan HBr* 15mg, Doxylamine Succinate 6.25mg
90640 Saline Nasal Spray 1.5 oz. Sodium Chloride 0.65%
90641 Ear Wax Removal Kit 0.5 fl. oz. Carbamide Peroxide 6.5% Non USP*
Active Ingredients
54 To Order Online Visit us at www.Fieldtex-Gateway.com
90643 Black Cherry Sugar Free Cough Drops 25/Ct
Menthol 6.8mg
90644 Senna Laxative Tablets 100/Ct Sennosides 8.6mg
90648 Famotidine Acid Reducer Tablets 10mg -Generic Pepcid- 30/Ct
Famotidine 10mg
90649 Antacid and Pain Reliever 36/Ct Aspirin 325mg NSAID, Citric Acid 1000 mg, Sodium bicarbon-ate -heat-treated- 1916 mg
90651 Medicated Pads 100/Ct Witch Hazel 50%90657 Imodium Liquid 4 oz. Loperamide HCL* 1mg
90658 Advil Coated Tablets 200mg 100/Ct 200mg Ibuprofen NSAID*
90659 Motrin IB Caplets 100/Ct Ibuprofen 200mg NSAID*
90662 Bayer Chewable Aspirin Tablets 81mg Cherry 36/Ct Aspirin 81mg NSAID*
90663 One A Day Womens 50plus Advantage 65/Ct
Vitamin A 3500 IU*, Vitamin C 120mg, Vitamin D 1000 IU*, Vitamin E 30 IU*, Vitamin K 20mcg, Thiamin 4.5mg, Riboflavin 3.4mg, Niacin 20mg, Vitamin B6 6mg, Folic Acid 400mcg, Vitamin B12 25mcg, Biotin 30mcg, Pantothenic Acid 15mg, Calcium 500mg, Iodine 150mcg, Magnesium 50mg, Zinc 24mg, Selenium 27mcg, Copper 2.2mg, Manganese 4.2mg, Chromium 180mcg, Molybdenum 90mcg
90883 Miralax OTC 7 Dose 4.1 oz. Polyethylene Glycol 3350 17g90889 Salonpas Pain Relieving Hot-Gel
Patch 6/CtCapsicum Extract 0.025% as Capsaicin, Menthol 1.25%
90897 Nasal Decongestant Spray -Afrin- 1 oz. Osymetazoline HCL* 0.05%
90900 Muscle Rub Ultra Strength Pain Relieving Cream 3 oz. Menthol 10%, Methyl Salicylate 15%
90901 Muscle and Joint Vanishing Scent Gel 3 oz.
Menthol 2.5%
90902 Chewable Aspirin 81mg Tablets Orange 36/Ct Aspirin 81mg
90903 Non-Aspirin Acetaminophen Regu-lar Strength Tablets 325mg 100/Ct Acetaminophen 325mg
90904 Non Aspirin Acetaminophen PM Caplets 500mg 50/Ct
Acetaminophen 500mg, Diphenhydramine HCL* 25mg
90905 Tolnaftate Antifungal Cream .5 oz. Tolnaftate 1%90908
Freshmint Denture Adhesive 2.4 oz.
Cellulose Gum, Mineral Oil, Petrolatum, Beeswax, Polythylene Oxide, PVM/MA* Calcium-Sodium Salt, D and C Red 27 Aluminum Lake, Tocopheryl Acetate.
90911 Freshmint Anticavity Toothpaste 4.6 oz.
Sodium Fluoride 0.243% - 0.15% W/V Fluoride Ion
90912 Halls Defense Assorted Sugar Free Citrus 25/Ct Vitamin C 60mg Sugar Alcohols 3g
90913 Halls Defense Assorted Citrus 30/Ct
Vitamin C 60mg
90914 Vitamin C Drops 30/Ct Vitamin C 106mg
90917
Blink Contacts Lubricating Eye Drop 10mL
Purified Water, Sodium Hyaluronate, Sodium Chloride, Potassium Chloride, Calcium Chloride, Magnesium Chloride, Boric Acid
Active Ingredients
55To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
90918 Enema Adult 4.5 oz. Monobasic Sodium Phosphate 19g, Dibasic Sodium Phosphate 7g
90919 Generic Tums 96/Ct Calcium Carbonate USP* 500mg
90923 Pepto Bismol 4 fl. oz. Bismuth Subsalicylate 262mg90925 Sleep Aid -Generic Sominex- 32/Ct Diphenhydramine HCL* 25mg
90927 Sleep Aid -Generic Unisom- 16/Ct Doxylamine Succinate 25mg90932 Triple Antibiotic Ointment -Generic
Neosporin - Plus 1 oz.Bacitracin Zinc 500 Units, Neomycin 3.5mg, Polymyxin B Sulfate 10,000 Units, Pramoxine HCL*
90933 Calamine Lotion 6 fl. oz. Calamine 8%, Zinc Oxide 8%
90935 Hydrocortisone 1% with Aloe Anti-Itch Maximum Strength Hydrocortisone 1%.
90940 Tucks Medicated Pads 40/Ct Witch Hazel 50%
90943 Lotrimin Spray 4.6 oz. Miconazole Nitrate 2%
90950
Aloe Vera 16 oz.
Water, Alcohol Denat., Glycerin, Polysorbate 20, Carbomer, Triethanolamine, PEG-4 Dilaurate, PEG-4 Laurate, Aloe Barbadensis Leaf Extract, PEG-4, Benzophenone-4, Imidazolidinyl Urea, Iodopropynyl Butylcarbamate, Fragrance, Yellow 5, Blue1
90951 Aloe With Lidocaine Gel 8 oz. Lidocaine HCL* 0.5%
90961 Daily One Multivitamin For Women 100/Ct
Vitamin A 100mg, Vitamin C 100mg, Vitamin D 800 IU, Vitamin E 35 IU, Vitamin K 50mcg, Thiamin 1.1mg, Riboflavin 1.1mg, Niacin 14mg, Vitamin B6 5mg, Folic Acid 400mcg, Vitamin B12 50mcg, Biotin 30mcg, Pantothenic Acid 5mg, Calcium 500mg, Iron 8mg, Phospharus 20mg, Iodine 150 mcg, Magnesium 50mg, Zinc 15mg, Selenium 55mcg, Copper 0.5mg, Mangnese 2.3mg, Chromium 50mcg, Molybdenum 50mcg, Chloride 72mg, Potassium 80mg, Boron 150mcg, Nickel 5mcg, Silicon 2mg, Vanadium 10mcg, Lutein 300mcg
90964 Fish Oil Cholesterol Free 1000mg Softgels 120/Ct
Fish Oil 1000mg, Total Omega-3 Fatty Acids 300mg
90966 Chocolate Calcium Chews 60/Ct Calcium 500mg
90980 Allegra 24 Hour 180mg Tablets 30/Ct Fexofenadine HCL* 180mg
90982 Omeprazole 20mg Tablets Generic Prilosec- 28/Ct Omeprazole 20mg
90984 Lansoprazole -Generic Prevacid- 15mg Tablets 14/Ct Lansoprazole 15mg
91030 Salonpas Deep Relieving Gel 2.75 oz.
Camphor 3.1%, Menthol 10%, Methyl Salicylate 15% NSAID*
91043 Balmex Adult Cream 3 oz. Zinc Oxide 11.3%91045
Clear Eyes Triple Action Relief .5 oz.Polyvinyl Alcohol 0.5%, Povidone 0.6% ,Tetrahydrozoline HCL* 0.05%
91047 Visine A.C. Seasonal Itching .5 oz. Tetrahydrozoline HCL* 0.05%, Zinc Sulfate 0.25%
91048 Alka-Seltzer Original Foil Tablets 36/Ct
Anhydrous Citric Acid 1000mg, Aspirin 325mg NSAID*, Sodi-um Bicarbonate -heat-treated- 1916mg
91052 Gas-X Extra Strength Softgels 10/Ct
Simethicone 180mg
91053 Ex-Lax Chocolate 24/Ct Sennosides USP* 15mg
Active Ingredients
56 To Order Online Visit us at www.Fieldtex-Gateway.com
91054 Gas Relief And Prevention Caplets 20/Ct Alpha-Galactosidase Enzyme 600 GALU*
91057 St. Joseph Low Dose Chewable Aspirin 81mg 36/Ct Aspirin 81mg NSAID*
91058 St. Joseph Low Dose Aspirin Micro Tablets 81mg 120/Ct Aspirin 81mg NSAID*
91065 Advil PM Coated Caplets 200mg 40/Ct
200mg Ibuprofen NSAID*, 38mg Diphenhydramine Citrate
91070 Omeprazole 20mg Tablets -Generic Prilosec- 14/Ct
Omeprazole 20mg
91071 Allegra 12 Hour 60mg Tablets 12/Ct Fexofenadine HCL* 180mg, Pseudoephedrine HCL* 240mg
91074 Motrin IB Caplets 200mg 50/Ct Ibuprofen 200mg NSAID*91075 Prilosec 20mg OTC Tablets
Wildberry Flavor 14/CtOmeprazole Magnesium 20.6mg
91077 Advil Coated Caplets 200mg 50/Ct 200mg Ibuprofen NSAID* 91079
Polident Overnight Tablets 40/Ct
Polyethylene Glycol, Potassium Monopersulfate, Sodium Benzoate, Sodium Bicarbonate, Sodium Carbonate, Sodium Lauryl Sulfoacetate, Sodium Percarbonate,TAED*, VP/VA* Copolymer
91080 Clear Eyes Itchy Eye Relief .5 oz. Glycerin 0.25%, Naphazoline HCL 0.012%, Zinc Sulfate 0.25%
91082 Flex-All Ultra Plus 2 oz. Menthol 16% 91083 Vitamin B-12 500mcg Tablets
100/CtVitamin B-12 -Cyancobalamin- 500mcg and Calcium
91088 Balmex Zinc Oxide Cream 2 oz. Zinc Oxide 11.3%
91091 Decolorized Iodine 2 oz. Alcohol 45%
91092 Monistat 7 Day Miconazole Nitrate 2%
91101 Monistat Chafing Relief Powder Gel 1.5 oz.
Dimethicone 1.2%
99021 Benefiber Assorted Sugar-Free Chewables 100/Ct
Wheat Dextrin
99023 Aleve PM Caplets 220mg 20/Ct Diphenhydramine HCL 25mg, Naproxen Sodium 220mg Naproxen 200mg NSAID*
99025 Alka-Seltzer Heartburn Relief Chews Assorted 36/Ct
Calcium Carbonate 750mg
99026 Bayer Aspirin Low Dose Tablets 81mg 120/Ct Aspirin 81mg
99027 Bayer Aspirin Tablets 325mg 100/Ct Aspirin 325mg NSAID* 99033
One A Day Proactive 65plus For Men And Women 150/Ct
Vitamin A 2500 IU*, Vitamin C 90mg, Vitamin D 1200 IU*, Thiamin 1.5mg, Riboflavin 1.7mg, Niacin 20mg, Vitamin B6 2mg, Folic Acid 400mcg, Vitamin B12 50mcg, Biotin 30mcg, Pant thenic Acid 10mg, Calcium 500mg, Iodine 150mcg, Magnesium 100mg, Zinc 15mg, Selenium 55mcg, Copper 1mg, Manganese 2mg, Chromium 24mcg
99035 Phillips Stool Softner 30/Ct Docusate Sodium 100mg
99038 Alka Seltzer Plus Severe Sinus Congestion LiquiGels 20/Ct
Acetaminophen 325mg, Dextromethorphan HBr* 10mg, Doxylamine Succinate 6.25mg, Phenylephrine HCL* 5mg
99043 Abreva Oral Care Pump 2.0 Gram Docosanol 10%
Active Ingredients
57To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
99044 Aquafresh Cavity Protection Toothpaste 5.6 oz.
Sodium Fluoride 0.15% w/ Fluoride Ion
99045 Biotene Fresh Mint Toothpaste 4.3 oz.
Sodium Fluoride
99046 Flonase Nasal Spray For Allergies 60/Spray
Flucticasome Propinate -glucocorticoid-50mcg
99047 Poligrip Super SPG Free 2.4 oz. PVM/MA* Sodium-Calcium Mixed Partial Salt; Petrolatum
99049
Polident 3-Minute Tablets 40/Ct
Sodium Bicarbonate, Potassium Monopersulfate, Sodium Carbonate, Sodium Percarbonate, TAED*, Sodium Benzoate, PEG-180, Sodium Lauryl Sulfoacetate, VP/VA* Copolymer, Aroma
99050 Polident Tablets for Smokers 40/Ct
Sodium Bicarbonate, Citric Acid, Potassium Monopersulfate, Sodium Percarbonate, Sodium Carbonate, TAED*, Sodium Benzoate, PEG-180, Sodium Lauryl Sulfoacetate, Aroma, VP/VA* Copolymer, Red 33, Red 30 Aluminum Lake
99052 Dairy Digestive Fast Acting Caplets 60/Ct Lactase Enzyme 9000 FCC* Lactase Units
99054 Honey Lemon Cough Drops 30/Ct Menthol 9.1mg
99056 Aveeno Anti-Itch Lotion 4 oz. Calamine 3%, Pramoxine HCL* 1%99058 Benadryl Extra Itch Cooling Spray
2 oz.Diphenhydramine HCL* 2%, Zinc Acetate 0.1%
99059 Tylenol Extra Strength Caplets 500mg 100/Ct
Acetaminophen 500mg
99061 Tylenol PM Caplets 24/Ct Acetaminophen 500mg, Diphenhydramine HCL* 25mg
99062 Tylenol Regular Strength Tablets 325mg 100/Ct
Acetaminophen 325mg
99064 Visine Eye Allergy Relief Eye Drops .5 oz.
Naphazoline HCL* 0.025%, Pheniramine Maleate 0.3%
99065 Tylenol Cold / Flu Severe Caplets 24/Ct
Acetaminophen 325mg, Dextromethorphan HBr* 10mg, Guaifenesin 200mg, Phenylephrine HCL* 5mg
99069 K 100mcg Tablets 100/Ct Vitamin K 100mcg
99073 Vitamin D 5000 IU Softgels 100/Ct Vitamin D 5000 IU*
99076 Potassium Gluconate 595mg Tablets 100/Ct Potassium -elemental- as Gluconate 99mg
99078 Compound W Plantar Pads 20/Ct Salicylic Acid 40%
99083 Ludens Sugar Free Wild Cherry Cough Drop 25/Ct Pectin 2.8mg
99093 Careall Medicated Chest Rub 3.53 oz. Camphor 4.8%, Menthol 2.6%, Eucalyptus Oil 1.2%
99094 Vitamin A & D Ointment 4 oz. White Petrolatum 76% W/W*99097 Advil Liqui-Gels 200mg 80/Ct Ibuprofen 200mg
99098 Advil Migraine Liqui-Gels 200mg 20/Ct
Solubilized Ibuprofen equal to 200mg Ibuprofen NSAID*
99100 Cortizone-10 Cream 2 oz. Hydrocortisone 1%.
99101 Excedrin Extra Strength Caplets 100/Ct
Acetaminophen 250mg, Aspirin 250mg NSAID* Caffeine 65mg
99102 Excedrin Migraine Caplets 24/Ct Acetaminophen 250mg, Aspirin 250mg, Caffeine 65mg
99103 Motrin IB Liquid Gels 200mg 20/Ct Ibuprofen 200mg NSAID*
Active Ingredients
58 To Order Online Visit us at www.Fieldtex-Gateway.com
99105
Prilosec 20mg OTC Tablets 28/CtOmeprazole delayed-release tablet 20mg - equivalent to 20.6mg Omeprazole Magnesium
99106 Headache Relief Extra Strength Tablets 50/Ct
Acetaminophen 250mg, Aspirin 250mg NSAID* Caffeine 65mg
99107 Fixodent Adhesive Neutral Zinc Free 2.4 oz.
Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, Petrolatum, Silica
99109
Fixodent Free Cream 2.4 oz.Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, Petrolatum, Silica
99110
Fixodent Plus Scope Adhesive 2 oz.Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, Petrolatum, Silica
99114 Ricola Cherry Honey Throat Drops 24/Ct Menthol 2mg
99116 Aleve Easy Open Cap Caplets 100/Ct
Naproxen Sodium 220mg NSAID*
99117 Aleve Liquid Gels 220mg 80/Ct Naproxen Sodium 220mg NSAID*
99144
Ultra Strength Antacid Calcium Chewable Tablets -Flavors Vary- 72/Ct
Calcium Carbonate USP* 1000mg
99145 Preparation H Suppositories 24/Ct Cocoa Butter 88.44%, Phenylephrine HCL* 0.25%99147 Listerine Essential Care Original
Gel Toothpaste 4.2 oz.Sodium Monofluorophosphate 0.76% -0.13% W/V* Fluoride Ion
99152 Preparation H Totable Wipes 10/Ct Witch Hazel 50%
99154 Rolaids Advanced Antacid Plus Anti-Gas Chewable Tablets 60/Ct
Calcium Carbonate USP* 1000mg, Magnesium Hydroxide USP* 200mg, Simethicone USP* 40mg
99155 Rolaids Softchews Antacid -Flavors Vary- 12/Ct
Calcium Carbonate USP* 1330mg, Magnesium Hydroxide USP* 235mg
99156 Rolaids Ultra Antacid Chewable Tablets Fruit 72/Ct
Calcium Carbonate USP* 1000mg, Magnesium Hydroxide USP* 200mg
99157 Preparation H Cooling Gel 0.9 oz. Phenylephrine HCL* 0.25%, Witch Hazel 50%
99158 Arm and Hammer Odor Control Foot Powder 7 oz.
Zea Mays -Corn- Starch, Sodium Bicarbonate, Benzethonium Chloride, Tricalcium Phosphate, Fragrance
99912 Alka Seltzer Plus Cold and Cough LiquiGels 20/Ct
Acetaminophen 325mg, Chlorpheniramine Maleate 2mg, Dextromethorphan HBr* 10mg, Phenylephrine HCL* 5mg
99913 Nicotine Gum 2mg - 40/Ct Nicotine Polacrilex 2mg -nicotine-
99914 Nicotine Gum 4mg - 40/Ct Nicotine Polacrilex 4mg -nicotine-
99915 Nicotine Lozenges 2mg - 72/Ct Nicotine Polacrilex 2mg -nicotine-
99916 Nicotine Lozenges 4mg - 72/Ct Nicotine Polacrilex 4mg -nicotine-
99917 Nicotine Patch Step 2 - 14mg - 7/Ct Nicotine 14mg delivered over 24 hours
99918 Nicotine Patch Step 1 - 21mg - 7/Ct Nicotine 21mg delivered over 24 hours
99919 Nicotine Patch Step 3 - 7mg - 7/Ct Nicotine 7mg delivered over 24 hours
Active Ingredients
59To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m.
Gateway HealthSM complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Gateway Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Gateway Health:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
o Written information in other formats (large print, audio, accessible electronic formats, otherformats)
Provides free language services to people whose primary language is not English, such as:
o Qualified interpreters
o Information written in other languages
If you need these services, contact Member Services at 1-800-685-5209, 8 a.m - 8 p.m., 7 days a week fromOctober 1 through March 31. From April 1 through September 30 our business hours are 8 a.m. - 8p.m., Monday through Friday. TTY users should call 711.
If you believe that Gateway Health has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Gateway Health Appeals and Grievances PO Box 22278 Pittsburgh, PA 15222 Phone: 1-844-207-0336 Fax: 1-412-255-4503
You can file a grievance by mail, or by fax. If you need help filing a grievance, Gateway Health Appeals andGrievances 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 at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201,1-800-368-1019, 800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ENGLISH ATTENTION: If you speak English, language assistance services, free of charge, are available to you.Call 1-800-685-5209, (TTY: 711).
SPANISH ATENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costoalguno. Llame al 1-800-685-5209, (TTY: 711).
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TAGALOG Pansinin: Kung nagsasalita ka ng Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit saiyo. Tawagan ang 1-800-685-5209, (TTY: 711).
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ITALIAN ATTENZIONE: Se lei parla italiano, sono disponibili servizi gratuiti di assistenza linguistica nella sua lingua.Chiami 1-800-685-5209, (TTY: 711).
ARABIC لامحظة: ذاإ كنت تتحدث الربيعة، توترف دمخات المساعدة اللغوية مجاناا من أجلك. اتصل بالرقم ,1-800-685-5209
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FARSI .گرفت خواهد قرار شما اختیار در رایگان، صورت به زبانی، کمک خدمات کنید،می صحبت فارسی زبان به چنانچه :توجه
:TTY) ,5209-685-800-1 (711 شماره با .بگیرید تماس
SERBO-CROATIAN OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite1-800-685-5209, (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711).
PENNSYLVANIA DUTCH Wann du Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-800-685-5209, (TTY: 711).
OROMOXIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama.Bilbilaa 1-800-685-5209, (TTY: 711).
BANTUICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona1-800-685-5209, (TTY: 711).
HMONGLUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau1-800- 685-5209, (TTY: 711).
NEPALIध य न ि दनह स: तप इल नप ल ब ल नहनछ भन तप इक ि िनमत भ ष स ह य त स व ह ि न शल क प म उपल ब धछ । फ न गन ह स 1-800-685-5209, (�ट�टव इ: 711) ।
CAMBODIAN របយត៖ េ េេបើស នអកនយ ែ ខរ, េ សជនយែ ផក េយមនគតឈល គចនសេបប រអក។ ច ទរស ព 1-800-685-5209, (TTY: 711)។
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GUJARATIસચના: જો તમ ગજરાતી બોલતા હો, તો નિ:શલક ભાષા સહાય સવાઓ તમારા માટ ઉપલબધ છ. ફોન કરો 1-800-685-5209, (TTY: 711).
DUTCHAANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel1-800-685-5209, (TTY: 711).
UKRAINIANУВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-800-685-5209, (телетайп: 711).
ROMANIANATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la1-800-685-5209, (TTY: 711).
HINDI ध यान द: यदद आप ह ि दी बोलत ह तो आपक ललए म त म भाषा सहायता सवाए उपलब ध ह। 1-800-685-5209, (TTY: 711) पर कॉल कर।
LAOໂປດຊາບ: ຖາວາ ທານເວາພາສາ ລາວ, ການບລການຊວຍເຫອດານພາສາ, ໂດຍບເສຽ ຄາ, ແມນມພອມໃຫທານ. ໂທຣ 1-800-685-5209, (TTY: 711).
2021 Over-the-Counter Ordering CatalogToll-free: 1-855-350-0074 TTY Hearing impaired: 711
Hours Monday - Saturday 8 a.m. to 5 p.m. Sunday 10 a.m. to 5 p.m.
Online: www.Fieldtex-Gateway.com
Gateway Health offers HMO plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
444 Liberty Avenue, Suite 2100Pittsburgh, PA 15222
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