1CeltiCareHealthPlan.com

Catalog of Items

TABLE OF CONTENTS

Baby Care 1

Diabetes Care 2

Digestive Health 2

Eye and Ear Care 3

First Aid 3

Groceries 4

Household Products 5

Over-the-Counter (OTC) Medicines 5

Personal Care 7

Wellness and Fitness 11

1

Baby Care BABY FEEDING ACCESSORIES • Nipples • Nursing Accessories (Includes Nursing Pads &

Creams) • Bottles, Bottle Accessories & Kits • Mixed/Miscellaneous (Includes Utensils, Cups, Bibs,

Etc.) • Pacifiers • Teethers • Private Label Baby Feeding Accessories • Generic Baby Feeding Accessories

BABY FORMULA, NUTRITIONALS, ELECTROLYTES & FOOD • Formula • Nutritionals • Baby Food • Mixed/Miscellaneous Baby Formula, Nutritionals,

Electrolytes & Food • Private Label Baby Formula, Nutritionals, Electrolytes

& Food • Generic Baby Formula, Nutritionals, Electrolytes &

Food

BABY GROOMING • Cotton Swabs • Mixed/Miscellaneous Baby Grooming Products • Private Label Baby Grooming • Generic Baby Grooming

BABY HEALTH, BEAUTY & WELLNESS • Baby Oil • Baby Lotion & Creams • Baby Therapeutic Skin Care (Includes Diaper Rash) • Baby Powder • Mixed/Miscellaneous Baby Health, Beauty & Wellness • Baby Bath & Hair Care • Baby Oral & Teething Pain • Private Label Baby Health, Beauty & Wellness

• Generic Baby Health, Beauty & Wellness

BABY LAYETTE • Baby Clothing • Baby Towels & Washcloths • Baby Bedding • Mixed/Miscellaneous Baby Layette • Private Label Baby Layette • Generic Baby Layette

BABY ROOM & TRAINING ACCESSORIES • Baby Room & Training Accessories (Potty Seats, Etc.) • Baby Safety Devices • Baby Strollers, Carriers, Car Seats & Accessories • Mixed/Miscellaneous Baby Room & Training

Accessories (Potty Seats, Etc.) • Private Label Baby Room & Training Accessories (Potty

Seats, Etc.) • Generic Baby Room & Training Accessories (Potty

Seats, Etc.)

BABY TOYS, PLAYTHINGS & GIFT SETS • Baby Toys, Playthings & Gift Sets • Mixed/Miscellaneous Baby Toys, Playthings & Gift Sets • Private Label Baby Toys, Playthings & Gift Sets • Generic Baby Toys, Playthings & Gift Sets

DIAPERS, WIPES & RELATED ITEMS • Diapers • Wipes & Flushables • Baby Diaper Bags, Pins, Pails, Etc. • Training Pants & Swimmers • Overnight Pants • Mixed/Miscellaneous Diapers, Wipes & Related Items • Private Label Diapers, Wipes & Related Items • Generic Diapers, Wipes & Related Items

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

2

Diabetes Care DIABETES CARE ACCESSORIES • Mixed/Miscellaneous Diabetes Care Accessories • Alcohol Swabs • Private Label Diabetes Care Accessories • Generic Diabetes Care Accessories

DIABETES NUTRITIONALS, ETC. • Glucose Tablets, Gels, Etc. • Diabetes Nutritionals & Foods • Diabetes Candy • Diabetes Supplements • Mixed/Miscellaneous Diabetes Nutritionals, Etc. • Private Label Diabetes Nutritionals, Etc. • Generic Diabetes Nutritionals, Etc.

URINE TESTING • Urine Test Strips • Urine Test Tablets • Mixed/Miscellaneous Urine Testing • Private Label Urine Testing • Generic Urine Testing

Digestive Health ACID CONTROLLERS • Acid Controllers • Mixed/Miscellaneous Stomach Acid Controllers • Private Label Acid Controllers • Generic Acid Controllers

ANTI-DIARRHEALS • Anti-Diarrheal Tabs • Anti-Diarrheal Liquids • Mixed/Miscellaneous Anti-Diarrheals • Private Label Anti-Diarrheals • Generic Anti-Diarrheals

ANTI-GAS • Anti-Gas Products • Mixed/Miscellaneous Anti-Gas • Private Label Anti-Gas • Generic Anti-Gas

CHILDREN’S DIGESTIVE HEALTH • Children’s Stomach Remedies • Children’s Laxatives (Includes Fiber) • Children’s Anti-Diarrheals • Children’s Anti-Gas • Mixed/Miscellaneous Children’s Digestive Health • Children’s Prebiotics & Probiotics • Private Label Children’s Digestive Health • Generic Children’s Digestive Health

HEMORRHOIDAL PREPARATIONS • Hemorrhoidal Treatments • Hemorrhoidal Wipes & Washes • Mixed/Miscellaneous Hemorrhoidal Preparations • Private Label Hemorrhoidal Preparations • Generic Hemorrhoidal Preparations

LACTOSE INTOLERANCE & DIGESTIVE AIDS • Lactose Intolerance • Generic Digestive Aids • Mixed/Miscellaneous Digestive Aids • Prebiotics & Probiotics • Private Label Digestive Aids

LAXATIVES • Fiber Products • Enemas, Laxative Suppositories, Kits, Etc. • Laxative Tabs & Powders (Includes Combination

Products) • Laxative Liquids (Includes Combination Products) • Stool Softeners • Mixed/Miscellaneous Laxatives • Private Label Laxatives • Generic Laxatives

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

3

STOMACH REMEDIES • Antacid Liquids • Antacid Tabs & Other Forms • Antacid Effervescent • Multi-Symptom & Nausea Products • Mixed/Miscellaneous Stomach Remedies • Private Label Antacids • Generic Antacids

Eye and Ear Care CONTACT LENS CARE • Soft Lens Multi-Purpose Solutions • Soft Lens Disinfecting • Soft Lens Saline Solutions

• Private Label Eye Preparations • Generic Eye Preparations

READING GLASSES & MAGNIFYING GLASSES • Reading Glasses • Magnifying Glasses • Mixed/Miscellaneous Reading Glasses & Magnifying

Glasses • Private Label Reading Glasses & Magnifying Glasses • Generic Reading Glasses & Magnifying Glasses

SUNGLASSES & ACCESSORIES • Sunglasses • Mixed/Miscellaneous Sunglasses & Accessories

• Soft Lens Cleaners First Aid • Soft Lens Rewetting Drops • Gas Permeable & Hard Lens Care • Mixed/Miscellaneous Contact Lens Care • Private Label Contact Lens Care • Generic Contact Lens Care

EAR CARE • Ear Drops & Syringes • Mixed/Miscellaneous Ear Care • Private Label Ear Care • Generic Ear Care • Ear Plugs

EYE GLASS & LENS ACCESSORIES • Eye Glass & Lens Accessories • Mixed/Miscellaneous Glass & Lens Accessories • Private Label Eye Glass & Lens Accessories • Generic Eye Glass & Lens Accessories

EYE PREPARATIONS • Eye Relief Products • Dry Eye Relief • Eye Wash • Mixed/Miscellaneous Eye Preparations (Includes Sleep

Masks)

ANTI-ITCH TREATMENTS • Hydrocortisone Products • Anti-Itch Treatments (Excludes Hydrocortisone), Jock

Itch & Insect Bite Remedies • Mixed/Miscellaneous Anti-Itch Treatments • Private Label Anti-Itch Treatments • Generic Anti-Itch Treatments

ANTIPARASITIC TREATMENTS • Lice Treatments & Accessories • Mixed/Miscellaneous Antiparasitic Treatments &

Accessories • Private Label Antiparasitic Treatments • Generic Antiparasitic Treatments

CHILDREN’S FIRST AID DRESSINGS & TREATMENTS • Children’s First Aid Dressings • Children’s First Aid Treatments • Mixed/Miscellaneous Children’s First Aid Dressings &

Treatments • Private Label Children’s First Aid Dressings & Treatments • Generic Children’s First Aid Dressings & Treatments

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

4

FIRST AID DRESSINGS • Adhesive & Liquid Bandages • First Aid Tapes • Gauze Pads & Dressings • Mixed/Miscellaneous First Aid Dressings • Surgical Bandages & Surgical Dressings • Private Label First Aid Dressings • Generic First Aid Dressings

FIRST AID KITS & SUPPLIES • First Aid Kits • Mixed/Miscellaneous First Aid Kits & Supplies • Private Label First Aid Kits & Supplies • Generic First Aid Kits & Supplies • Rubber Gloves • Masks (Respiratory, Barrier, Etc.)

FIRST AID TREATMENTS • Antibiotic Products • Antiseptics & Medicated Products (Includes Alcohol,

Peroxide, Epsom Salt, Etc.) • Mixed/Miscellaneous First Aid Treatments • Skin Remedies (Includes Burn & Scar Treatments) • Skin Protectants (Includes Petroleum Jelly) • Wound Cleansers (Salines) • Private Label First Aid Treatments • Generic First Aid Treatments

Groceries BEVERAGES • Dry Drink Mixes • Cocoa, Coffee & Tea (Bottle and Dry) • Juices • Bottled Waters • Enhanced Waters • Sports Drinks - Gatorade • Bottled Energy Drinks

FROZEN FOOD • Fruits & Vegetables • Meats • Seafood

NON-PERISHABLE FOOD • Baking/Cooking Supplies • Puddings, Gels, Gelatin • Flours, Cornmeals • Sugar • Tomato/Spaghetti/Nutritionally Significant Sauce • Jams/Jellys/Spreads/Syrups • Peanut Butter (and other nut butters) • Cereal • Granola Bars/Fruit Strips • Dry Pasta • Dry Beans • Rice • Dry Mixes • Canned Fruits and Vegetables • Prepared Food • Soup

PERISHABLE FOOD • Dairy • Eggs • Yogurt • Produce • Meats • Processed meats/Sausage/Jerkey • Seafood • Fruits & Vegetables

SNACKS & DESSERTS • Nuts

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

5

Household Products Over-the-Counter AIR & FABRIC FRESHENERS • Disinfectants ONLY

CLEANERS & WAXES • Abrasive Cleaners • Bathroom Cleaners • Multi-Purpose Cleaners/Disinfectants • Oven Cleaners • Drain Cleaners • Floor, Furniture Waxes/Polishes & Rug Cleaners • Window Cleaners • Private Label Cleaners & Waxes • Miscellaneous

CLEANING TOOLS & ACCESSORIES • Cleaning Tools & Accessories (Includes Mops, Vacuum

Bags, Household Gloves, Etc.)

DISH & LAUNDRY • Dishwashing Powders/Liquids • Laundry - Washer Products • Laundry - Dryer Products • After Laundry Products

INSECTICIDES, RODENTICIDES & PESTICIDES • Insecticides, Rodenticides & Pesticides

PLASTICS, FOIL & PAPER PRODUCTS • Plastic & Foil • Food Storage Bags • Facial Tissue • Bath Tissue • Paper Toweling • Premoistened Towels • Private Label Plastic, Foil & Paper • Generic Plastic, Foil & Paper • Disposable Napkins, Plates & Cups • Miscellaneous Plastic, Foil & Paper • Garbage Bags

(OTC) Medicine ADULT COUGH, COLD & FLU • Cough, Cold & Flu Liquids • Cough, Cold & Flu Tabs • Mixed/Miscellaneous Adult Cough, Cold & Flu • Cold & Flu Preventatives/Symptom Reducers • Private Label Cough, Cold & Flu • Generic Cough, Cold & Flu

ALLERGY, SINUS & COMBINATIONS • Allergy, Sinus & Combination Liquids • Allergy, Sinus & Combination Tabs • Mixed/Miscellaneous Allergy, Sinus & Combinations • Private Label Allergy, Sinus & Combinations • Generic Allergy, Sinus & Combinations

CHILDREN’S COLD & ALLERGY • Children’s Cough, Cold & Flu • Children’s Throat & Cough Relief • Children’s Allergy & Sinus • Children’s Nasal Products • Mixed/Miscellaneous Children’s Cold & Allergy • Private Label Children’s Cold & Allergy • Generic Children’s Cold & Allergy

COUGH DROPS, SORE THROAT RELIEF • Sore Throat Pain Relief • Throat & Cough Drops • Mixed/Miscellaneous Cough Drops, Sore Throat Relief • Private Label Cough Drops, Sore Throat Relief • Generic Cough Drops, Sore Throat Relief

HERBALS & BOTANICALS • Echinacea • Garlic • Ginkgo Biloba • Ginseng • St. John’s Wort

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

6

• Mixed/Miscellaneous Herbals & Botanicals • Colon Cleanse & Detox (non-weight loss) • Private Label Herbals & Botanicals • Generic Herbals & Botanicals

LIP CARE • Medicated Lip Treatments • Lip Moisturizers • Mixed/Miscellaneous Lip Care • Private Label Lip Care • Generic Lip Care

NASAL • Nasal Sprays, Drops & Inhalers • Nasal Moisturizing Products & Washes • Nasal Strips & Snore Relief • Mixed/Miscellaneous Nasal • Private Label Nasal • Generic Nasal

PAIN RELIEF • Adult Acetaminophen • Feminine Pain Relief • Adult Aspirin & Combinations • Adult Ibuprofen & Other Anti-inflammatories • Mixed/Miscellaneous Adult Pain Relief • Adult Nighttime Pain Relief • Adult Specialty (Includes Topical Headache & Fever

Relief) • Private Label Adult Pain Relief • Generic Adult Pain Relief • Children’s Acetaminophen • Children’s Ibuprofen • Mixed/Miscellaneous Children’s Pain & Fever Relief • Private Label Children’s Pain & Fever Relief • Generic Children’s Pain & Fever Relief • External Muscle/Joint Pain Relief Patches & Pads • External Muscle/Joint Pain Relief Rubs & Liquids • External Muscle/Joint Pain Relief Liquids,

Roll-ons and Sprays

• Mixed/Miscellaneous External Pain Relief • Private Label External Pain Relief • Generic External Pain Relief

SLEEP AIDS, STIMULANTS & MOTION SICKNESS • Sleep Aids & Sedatives • Stimulants • Motion Sickness • Restless Leg Treatments • Mixed/Miscellaneous Sleep Aids, Stimulants & Motion

Sickness • Private Label Sleep Aids, Stimulants & Motion Sickness • Generic Sleep Aids, Stimulants, & Motion Sickness

SPECIALTY SUPPLEMENTS • Joint Health • Soy • Enzymes, Amino Acids & Hormones • Mixed/Miscellaneous Specialty Supplements • Essential Fatty Acids (Fish Oil, Flax, GLA, Etc.) • Private Label Specialty Supplements • Generic Specialty Supplements

VITAMINS/DIETARY SUPPLEMENTS • Adult Multivitamins & Multivitamins w/Minerals • Eye Health Vitamins • Mixed/Miscellaneous Multivitamins & Multivitamins W/

Minerals • Private Label Multivitamins & Multivitamins w/Minerals • Generic Multivitamins & Multivitamins w/Minerals • Children’s Vitamins, Multivitamins, Multivitamins W/

Minerals & Minerals • Children’s Herbals • Mixed/Miscellaneous Children’s Vitamins/Dietary

Supplements • Private Label Children’s Vitamins/Dietary Supplements • Generic Children’s Vitamins/Dietary Supplements • Calcium • Iron • Mixed/Miscellaneous Mineral Supplements

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

7

• Multi-Mineral • Private Label Mineral Supplements • Generic Mineral Supplements • Prenatal Vitamins • Private Label Multivitamins & Multivitamins w/Minerals

- Prenatal • Generic Multivitamins & Multivitamins w/Minerals -

Prenatal • Vitamin B & Vitamin B Complex • Vitamin C • Vitamin E • Mixed/Miscellaneous Single Entity Vitamins • Vitamin D • Private Label Single Entity Vitamins • Generic Single Entity Vitamins

Personal Care ACNE MEDICATIONS (FACE & BODY)

• Acne Creams, Gels, Lotions & Patches • Acne Soaps & Cleansers • Acne Astringents & Pads • Mixed/Miscellaneous Acne Medications

Private Label Acne Medications • Generic Acne Medications

AFTER SUN & SUN ACCESSORIES • After Sun • Sun Accessories • Mixed/Miscellaneous After Sun & Sun Accessories • Private Label After Sun & Sun Accessories • Generic After Sun & Sun Accessories

ANTIFUNGAL TREATMENTS • Antifungal Powders • Antifungal Creams & Liquids • Antifungal Sprays • Nail Fungus Treatments • Mixed/Miscellaneous Antifungal Treatments • Private Label Antifungal Treatments

• Generic Antifungal Treatments

BREATH REMEDIES • Breath Fresheners (Includes Strips) • Mixed/Miscellaneous Breath Remedies • Therapeutic Breath Treatments • Private Label Breath Remedies • Generic Breath Remedies

CHILDREN’S ORAL CARE • Children’s Toothpaste • Children’s Toothbrushes • Children’s Oral Rinses • Children’s Miscellaneous Oral Care • Private Label Children’s Oral Care • Generic Children’s Oral Care

COSMETIC ACCESSORIES & IMPLEMENTS • Accessories & Implements

COSMETIC PUFFS & PADS • Cosmetic Puffs & Pads • Mixed/Miscellaneous Cosmetic Puffs & Pads • Private Label Cosmetic Puffs & Pads • Generic Cosmetic Puffs & Pads

DENTURE PRODUCTS • Denture Cleaners & Accessories

DEODORANTS - MEN’S • Men’s Solids & Gels • Men’s Sprays • Men’s Roll-Ons • Mixed/Miscellaneous Men’s Deodorants • Private Label Men’s Deodorants • Generic Men’s Deodorants

DEODORANTS - UNISEX • Unisex Solids & Gels • Unisex Sprays • Unisex Roll-ons

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

8

• Mixed/Miscellaneous Unisex Deodorants • Private Label Unisex Deodorants • Generic Unisex Deodorants

DEODORANTS - WOMEN’S • Women’s Solids & Gels • Women’s Sprays • Women’s Roll-Ons • Mixed/Miscellaneous Women’s Deodorants • Private Label Women’s Deodorants • Generic Women’s Deodorants

FACIAL CLEANSERS • Facial Cleansers & Scrubs • Mixed/Miscellaneous Facial Cleansers • Astringents, Toners, Pads & Towelettes • Pore Strips & Masks • Facial Sponges • Make Up Removers • Private Label Facial Cleansers • Generic Facial Cleansers

FACIAL MOISTURIZERS & TREATMENTS • Facial Moisturizers • Eye Treatments • Therapeutic Facial • Lip Treatments • Mixed/Miscellaneous Facial (Includes Firming,

Resurfacing, Fading, Etc.) • Private Label Facial Moisturizers & Treatments • Generic Facial Moisturizers & Treatments

FAMILY PLANNING • Condoms • Mixed/Miscellaneous Condoms • Private Label Condoms • Generic Condoms • Female Contraceptives • Mixed/Miscellaneous Female Contraceptives • Private Label Female Contraceptives • Generic Female Contraceptives

• Pregnancy Tests • Mixed/Miscellaneous Pregnancy & Fertility Tests • Private Label Pregnancy & Fertility Tests • Generic Pregnancy & Fertility Tests

FEMININE ANTIFUNGAL PRODUCTS* • Feminine Antifungal Products • Mixed/Miscellaneous Feminine Antifungal Products • Private Label Feminine Antifungal Products • Generic Feminine Antifungal Products

FEMININE PERSONAL CARE • Deodorants & Powders • Wipes & Washes • Anti-Itch Products • Feminine Moisturizing Products • Mixed/Miscellaneous Feminine Personal Care • Douches • Private Label Feminine Personal Care • Generic Feminine Personal Care

FEMININE PROTECTION • Feminine Pads • Tampons • Panty Liners • Mixed/Miscellaneous Feminine Protection • Private Label Feminine Protection • Generic Feminine Protection

FOOT CUSHIONING & TREATMENTS • Mixed/Miscellaneous Foot Cushioning & Treatments • Private Label Foot Cushioning & Treatments • Generic Foot Cushioning & Treatments

FOOT GROOMING & PAIN RELIEF • Implements • Foot Moisturizers & Exfoliators • Mixed/Miscellaneous Foot Grooming & Pain Relief • Private Label Foot Grooming & Pain Relief • Generic Foot Grooming & Pain Relief • Corn, Callus & Bunion Pads

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

9

• Corn & Callus Removers • Foot Pain Relief

HAIR - CHILDREN’S • Children’s Shampoo • Children’s Conditioners • Children’s Styling Aids • Mixed/Miscellaneous Children’s Hair Care • Private Label Children’s Hair Care • Generic Children’s Hair Care

HAIR - CONDITIONERS & HAIR TREATMENTS • Conditioners • Hair Treatments • Therapeutic Conditioners • Mixed/Miscellaneous Conditioners & Hair Treatments • Private Label Conditioners & Hair Treatments • Generic Conditioners & Hair Treatments

HAIR - MEN’S HAIR CARE • Men’s Hair Preparations • Men’s Hair Color • Men’s Grooming Implements (Manual Only) • Mixed/Miscellaneous Men’s Hair Care • Private Label Men’s Hair Care • Generic Men’s Hair Care

HAIR - MULTI-CULTURAL HAIR CARE • Relaxers & Curl Kits, Perms • Shampoos & Conditioners • Sheens, Activators & Moisturizers • Pomades, Hair Dressings & Styling Aids • Multi-Cultural Hair Color • Mixed/Miscellaneous Multi-Cultural Hair Care • Private Label Multi-Cultural Hair Care • Generic Multi-Cultural Hair Care

HAIR - PERMANENTS & CHEMICAL RELAXERS • Permanents • Chemical Relaxers

• Mixed/Miscellaneous Permanents & Chemical Relaxers

• Private Label Permanents & Chemical Relaxers • Generic Permanents & Chemical Relaxers

HAIR - SHAMPOO & THERAPEUTIC HAIR & SCALP TREATMENTS • Beauty Shampoos • Mixed/Miscellaneous Shampoo & Therapeutic Hair &

Scalp Treatments • Private Label Shampoo & Therapeutic Hair & Scalp

Treatments • Generic Shampoo & Therapeutic Hair & Scalp

Treatments

HAIR - STYLING AIDS • Mousses & Gels • Hair Sprays • Pomades & Waxes • Mixed/Miscellaneous Styling Aids • Private Label Styling Aids • Generic Styling Aids

HAND & BODY CLEANSING • Hand & Body Cleansing Bars & Soaps • Hand Cleansing Liquids • Body Cleansing Liquids (Body Washes & Gels) • Instant Hand Sanitizers • Mixed/Miscellaneous Hand & Body Cleansing

(Towelettes, Foaming, Etc.) • Private Label Hand & Body Cleansing • Generic Hand & Body Cleansing

HAND & BODY MOISTURIZERS & TREATMENTS • Hand & Body Moisturizers • Therapeutic Hand & Body • Skin Novelties & Gift Sets • Mixed/Miscellaneous Hand & Body Treatments

(Includes Firming, Resurfacing, Etc.) • Private Label Hand & Body Moisturizers & Treatments • Generic Hand & Body Moisturizers & Treatments

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

10

INTERDENTAL, GUM CARE, ETC. • Floss & Flossers • Interdental • Gum Care • Dental Gum • Mixed/Miscellaneous Interdental, Gum Care, Etc. • Private Label Interdental, Gum Care, Etc. • Generic Interdental, Gum Care, Etc.

MEDICATED & SPECIALTY SOAPS • Medicated & Specialty Soaps • Mixed/Miscellaneous Medicated & Specialty Soaps • Private Label Medicated & Specialty Soaps • Generic Medicated & Specialty Soaps

MOUTHWASH • Mouthwash • Mixed/Miscellaneous Mouthwash • Private Label Mouthwash • Generic Mouthwash

MULTI-CULTURAL ETHNIC SKIN CARE • Creams, Lotions & Soaps • Shaving Needs • Mixed/Miscellaneous Multi-Cultural Skin Care • Private Label Multi-Cultural Skin Care • Generic Multi-Cultural Skin Care

ODOR & WETNESS TREATMENTS • Odor & Wetness Powders • Odor & Wetness Creams & Liquids • Odor & Wetness Sprays • Mixed/Miscellaneous Odor & Wetness Treatments • Private Label Odor & Wetness Treatments • Generic Odor & Wetness Treatments

ORAL REMEDIES • Oral Pain Relief & Mouth Sores • Dry Mouth Products • Temporary Dental Repair

• Mixed/Miscellaneous Oral Remedies (Includes Fluoride Treatments)

• Private Label Oral Remedies • Generic Oral Remedies

PATIENT CLEANSING & BATHING • Cleansers & Washes • Towelettes & Wipes • Mixed/Miscellaneous Patient Cleansing & Bathing • Private Label Patient Cleansing & Bathing • Generic Patient Cleansing & Bathing

PATIENT SKIN SUPPORT* • Moisturizers, Barriers & Protectants • Antifungals • Mixed/Miscellaneous Patient Skin Support • Private Label Patient Skin Support • Generic Patient Skin Support

RAZORS & REFILLS • Men’s Razor Refills • Men’s Reusable System Razors • Men’s Disposable Razors • Women’s Razor Refills • Women’s Reusable System Razors • Women’s Disposable Razors • Mixed/Miscellaneous Razors & Refills • Private Label Razors & Refills • Generic Razors & Refills • Generic Patient Skin Support

SHAVING & SKIN CARE • Men’s Shaving & Hair Removal • Women’s Shaving • Men’s Aftershave & Skin Care • Mixed/Miscellaneous Shaving & Skin Care • Private Label Shaving Cream, Skin Care, Preshave &

Shaving Accessories • Generic Shaving Cream, Skin Care, Preshave &

Shaving Accessories

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

11

SHOE INSOLES, INSERTS & CUSHIONING • Heel & Arch • Insoles • Mixed/Miscellaneous Shoe Insoles,

Inserts & Cushioning • Private Label Shoe Insoles, Inserts & Cushioning • Generic Insoles, Inserts & Cushioning

SUN PROTECTION (SPF 15+) • Children’s Sun Protection • Sun Protection (SPF 15-49)) • Sun Protection (SPF 50+) • Mixed/Miscellaneous Sun Protection (SPF 15+) • Lip Protection (Sun Care Lines Only) • Sport Sun Protection • Private Label Sun Protection (SPF 15+) • Generic Sun Protection (SPF 15+)

SUN TANNING (SPF 0-14) • Sun Tanning (SPF 0-14) • Mixed/Miscellaneous Sun Tanning (SPF 0-14) • Private Label Sun Tanning (SPF 0-14) • Generic Sun Tanning (SPF 0-14)

TOOTHPASTE & TREATMENTS • Regular Toothpaste & Toothpowder • Sensitive Toothpaste & Treatments • Whitening Strips & Treatments • Mixed/Miscellaneous Toothpaste & Treatments • Private Label Toothpaste & Treatments • Generic Toothpaste & Treatments • Whitening Toothpaste

TOOTHBRUSHES • Manual Toothbrushes • Battery Toothbrushes & Refills • Rechargeable Toothbrushes & Refills • Mixed/Miscellaneous Toothbrushes & Accessories • Private Label Toothbrushes • Generic Toothbrushes

TRIAL/TRAVEL SIZES • Trial/Travel Sizes

WART REMOVERS • Pads & Liquids • Mixed/Miscellaneous Wart Removers • Private Label Pads & Liquids • Generic Pads & Liquids

WET & DRYS • Drys (Epsom Salt & Borid Acid in First Aid) • Liquids (Alcohol & Peroxide in First Aid) • Generic Drys • Generic Liquids • Private Label Drys • Private Label Liquids

WOMEN’S HAIR REMOVAL & BLEACHES • Women’s Hair Removal Products & Skin Treatments • Women’s Body & Facial Waxes • Women’s Body & Facial Bleaches • Mixed/Miscellaneous Women’s Hair Removal &

Bleaches • Private Label Women’s Hair Removal & Bleaches • Generic Women’s Hair Removal & Bleaches

Wellness and Fitness DIURETICS & WEIGHT LOSS CLEANSING & DETOX • Diuretics • Weight Loss Cleansing & Detox • Mixed/Miscellaneous Diuretics & Weight Loss

Cleansing & Detox • Private Label Diuretics & Weight Loss Cleansing

& Detox • Generic Diuretics & Weight Loss Cleansing & Detox

EXERCISE EQUIPMENT • Treadmills • Steppers & Ellipticals

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.

12

• Stationary Bikes • Mixed/Miscellaneous Exercise Equipment • Private Label Exercise Equipment

NUTRITIONAL FOODS • Mixed/Miscellaneous Nutritional Foods • Nutritional Liquids • Nutritional Powders • Nutritional Bars • Thickeners & Pre-thickened Foods • Private Label Nutritional Foods • Generic Nutritional Foods

PHYSICAL FITNESS • Strength/Range of Motion (Bands, Hand Exercisers,

Etc.) • Balls/Stability Devices (Balls, Boards, Etc.) • Foam Rollers/Massage Devices • Weights • Cardio (Aerobic Steps, Jump Ropes, Pedometers, Etc.) • Scales (Includes Body Fat Analyzers) • Mixed/Miscellaneous Physical Fitness (Includes Yoga/

Exercise Mats) • Private Label Physical Fitness • Generic Physical Fitness

SPORT/ENERGY • Sport/Energy Liquids • Sport/Energy Powders • Sport/Energy Bars • Mixed/Miscellaneous Sport/Energy • Sport/Energy Tablets, Caps, Etc. • Private Label Sport/Energy • Generic Sport/Energy

SUGAR & SALT SUBSTITUTES • Sugar & Salt Substitutes • Mixed/Miscellaneous Sugar & Salt Substitutes • Private Label Sugar & Salt Substitutes • Generic Sugar & Salt Substitutes

© 2015 CeltiCare Health Plan of Massachusetts, Inc. All rights reserved.

WEIGHT CONTROL • Weight Control Foods, Liquids & Powders • Weight Control Bars • Weight Control Tablets, Caps, Etc. • Mixed/Miscellaneous Weight Control (Includes Food

Scales) • Private Label Weight Control • Generic Weight Control

*If an item is prescribed by your doctor, you can also use your rewards card to pay for the co-pay.