medications and health products - cigna · pdf fileand health products that medicaid does not...

MY OVER-THE-COUNTER ALLOWANCE

MEDICATIONS AND HEALTH PRODUCTS

2018 catalog

MCDTX_18_56852 10102017

$10monthly allowance toward OTC items

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All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2017 Cigna

MY OVER-THE-COUNTER (OTC) ALLOWANCEUse your $10 monthly allowance to help pay for many over-the-counter medicines and health products that Medicaid does not cover – and enjoy delivery right to your home at no cost.

5 STEPS TO SAVE MONEY

Use your rollover $10 allowance toward OTC items once a month.STEP 1

Choose OTC items from the list that begins on page 7.STEP 2

Order by calling 1-866-575-3744 (TTY: 7-1-1) Monday to Friday, 7 a.m. to 8 p.m. Central Time.

STEP 3

Check that your address is correct while you’re on the phone.STEP 4

Get your OTC items delivered to your door at no cost.STEP 5

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What can I use my $10 monthly allowance toward?You can use your allowance to help pay for medicine and health items such as aspirin, vitamins, dental care, bandages and much more. See page 7.

Can I use my $10 OTC allowance toward prescription drugs?No. Your $10 monthly allowance is for items that can be bought without a prescription.

Can a family member use my $10 OTC allowance?No. An OTC allowance can only be used by a Member. If 2 people in a house are Members, each will have their own OTC allowance.

Does my allowance add up if I don’t use it?Yes. Unused funds will roll over from month to month beginning September 1, 2017 and end on August 31, 2018.

Can I use parts of my allowance to order at different times throughout a month?No. You can use your $10 monthly allowance once a month.

Can my total order be more than $10?The total cost of your order should be equal to or less than your roll over allowance amount.

How long will my order take?Your order will take up to 2 weeks to arrive. If you have any questions about your order, call 1-866-575-3744 (TTY: 7-1-1), Monday to Friday, 7 a.m. to 8 p.m. Central Time.

Can I return my items?No. Received items cannot be returned.

Common questions about myQA over-the-counter allowance&

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Brand Catalog Item Page

21st Century Glucosamine / Chondroitin

11

Glucosamine Joint/Muscle

11

Abreva Abreva 7

Ace Ankle Support 8

Elastic Bandage 2 in x 5 yd

9


9


9


9

Anbesol Oral Pain Relief 8

Band-Aid Sheer Adhesive Bandages

8

BD Digital Thermometer

Thermometer, Digital 10

BenadrylAnti-Itch

Diphenhydramine HCL / Zinc Acetate

7

Bengay Pain Relieving Muscle Rub

10

Braun Thermometer, Digital Ear

10

Breathe Right Nasal Strips, Small / Medium

11

Nasal Strips, Medium / Large

11

Carex Bath Tub Safety Rail 9

Cepacol Sore Throat Lozenges 7

ChloesTrak Home Access Cholesterol Test

10

Citrucel Methlcellulose Fiber Therapy

7

Colace Docusate Sodium 7

Colgate Toothbrush, Colgate, Adult Soft

8


Compound W Wart Remover (liquid) 11

Coppertone Sunscreen Lotion SPF 30

11

Curad Alcohol Pads 8

First Aid Kit, 48 pcs 9

First Aid Kit, 175 pcs 9

Dr. Scholls Callus Remover Pads 10

Corn Remover Pads 10

Diabetic Socks, White, Medium

8

Diabetic Socks, White, Large

8

Diabetic Socks, Black, Medium

8

Diabetic Socks, Black, Large

8

Dramamine Dramamine Chewables, Orange

10

Drive Medical Cushion, Gel / Foam Seat

9

Efferdent Denture Cleaning Tablets

7

Essential Shower Bench

Bath Bench with Back 9

Bath Bench without Back

9

Fibercon Fiber Tablets 11

Fixodent Fixodent 7

Fruit of the Earth

Aloe Vera Cream 10

Hall’s Cough Drops, Cherry 7

Herpecin-L Herpecin-L Lip Balm 7

Hydrogen Peroxide

Hydrogen Peroxide 9

Lactaid Lactase Capsules 7

Metamucil Natural Vegetable Laxative

7

Nature’s Bounty Fish Oil Tablets 11

BRAND NAME INDEX

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BRAND NAME INDEX


Nexcare Hot/Cold Packs 1 small and 1 large

9

Nix Permethrin Lice Treatment

10

Ocean Nasal Spray, Saline 7

Omron Desktop Blood Pressure Monitor Replacement Cuff

10

Wrist Blood Pressure Monitor

10

Orajel Orajel Pain Relief 8

Oral-B Interdental Flossups 7

Toothbrush, Rechargeable

8

Pepsodent Toothpaste - Pepsodent 8

ProCheck Thermometer, Flexible Tip, Digital 10-seconds

10

Purell Hand Sanitizer 11

Q-Tips Cotton Tipped Swabs 8

Quick-Lock Raised Toilet Seat 10


Reach Dental Floss

Reach Waxed Dental Floss - Mint

8

Releev Cold Sore Treatment 7

Renu Multi-PurposeContact Lens Solution

8

Reveal EZ Detect Colon Cancer Test Kit

10

Rid Lice Treatment Shampoo

10

Robitussin Guaifenesin Cough Expectorant

7

Salonpas Pain Relief Patches 10

Tek-Pro Toothbrush, Tek Pro, Straight Soft

8

Tucks Pre-Moist Hemorrhoidal Pads

10

Vicks® NyQuil All-Nite Cold/Flu 7

Vitamin D Vitamin D 11

1-866-575-3744 (TTY: 7-1-1)

You can place your order Monday to Friday, 7 a.m. to 8 p.m. Central Time

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Category Product Item # Brand/Description Cost

Allergy, Cold, Flu Decongestant and Sinus

All-Nite Cold/Flu 1361 Compare to Vicks® NyQuil® Cough, 6 oz per bottle; A registered trademark of Procter & Gamble

$7

Cough Drops, Cherry

1056 Compare to Hall’s Cough Drops, 30 ct per bottle; A registered trademark of Mondelēz International, Inc.

$6

Guaifenesin Cough Expectorant

1180 Compare to Robitussin®, 60 ct per bottle; A registered trademark of Pfizer-Wyeth Consumer Healthcare

$9

Nasal Spray, Saline 1052 Compare to Ocean® Premium Saline Nasal Spray, 1.5 oz spray; A registered trademark of Fleming Pharmaceuticals

$5

Sore Throat Lozenges

1360 Compare to Cepacol®, 16 ct per box; A registered trademark of Rickett Benckiser

$7

Anti-diarrheal, Laxatives, and Digestive Health

Docusate Sodium 1126 Compare to Colace®, 100 mg capsules, 100 ct per bottle; A registered trademark of Purdue Products

$6

Lactase Capsules 1067 Compare to Lactaid®, 9000 ICC, 60 tablets;A registered trademark of McNeil Nutritionals, LLC

$10

Methylcellulose Fiber Therapy

1354 Compare to Citrucel®, 16 oz per bottle;A registered trademark of GlaxoSmithKline

$12

Natural Vegetable Laxative

1340 Compare to Metamucil®, 13 oz powder per bottle; A registered trademark of Procter & Gamble

$10

Anti-fungal and Anti-itch

Diphenhydramine HCL / Zinc Acetate

1140 Compare to Benadryl® Anti-Itch, 1 oz per tube; A registered trademark of Pfizer Consumer Healthcare

$5

Cold Sore and Medicated Lip Products

Abreva 1152 Compare to Abreva®, 10%, 2 gm per tube;A registered trademark of GlaxoSmithKline

$26

Herpecin-L Lip Balm

1153 Compare to Herpecin-L® Lip Balm, 0.1 oz per stick; A registered trademark of Chattem, Inc.

$8

Releev Cold Sore Treatment

1359 Releev® Cold Sore Treatment, Strength0.13%, Quantity 6 ml; A registered trademarkof Merix Pharmaceutical Corporation

$25

Dental and Denture Care

Denture Cleaning Tablets

1032 Compare to Efferdent® Anti-Bacterial Denture Cleanser, 40 ct per box; A registered trademark of Medtech Products

$7

Fixodent 1187 Compare to Fixodent, 0.75 oz per tube; A registered trademark of Procter & Gamble

$7

Interdental Flossups

1751 Compare to Oral-B®, Complete Floss Picks, 90 ct; A registered trademark of Procter & Gamble

$8

MEDICATIONS AND PRODUCTSBefore ordering any of the items below, you should talk with your doctor.


Reach Dental Floss


8

Releev Cold Sore Treatment 7

Renu Multi-PurposeContact Lens Solution

8

Reveal EZ Detect Colon Cancer Test Kit

10

Rid Lice Treatment Shampoo

10

Robitussin Guaifenesin Cough Expectorant

7

Salonpas Pain Relief Patches 10

Tek-Pro Toothbrush, Tek Pro, Straight Soft

8

Tucks Pre-Moist Hemorrhoidal Pads

10

Vicks® NyQuil All-Nite Cold/Flu 7

Vitamin D Vitamin D 11

7


Dental and Denture Care(continued)

Orajel Pain Relief 1454 Compare to Orajel®, 7 gm tube;A registered trademark of Church & Dwight Co., Inc.

$11

Oral Pain Relief 1286 Compare to Anbesol®, .5 oz; A registered trademark of American Home Products Corporation

$6


1455 Compare to Reach® Dental Floss 55 Yards,Quantity 1; A registered trademark ofJohnson & Johnson Consumer Products Co.

$5

Toothpaste - Pepsodent

1414 Compare to Pepsodent® Toothpaste, 6 oz per tube; A registered trademark of Church & Dwight Co., Inc.

$6

Toothbrush, Rechargeable

1450 Compare to Oral B® Vitality 1 ct;A registered trademark of Procter & Gamble

$40

Toothbrush, Tek Pro, Straight Soft

1412 Compare to Tek-Pro Toothbrush 1 ct; A registered trademark of Dr. Fresh

$4

Toothbrush, Colgate, Adult Soft

1413 Compare to Colgate® Toothbrush 1 ct; A registered trademark of Procter & Gamble

$5

Diabetes Diabetic Socks, White, Medium

1489 Compare to Dr. Scholls®, White, Size Medium, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.

$8

Diabetic Socks, White, Large

1490 Compare to Dr. Scholls®, White, Size Large, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.

$8

Diabetic Socks, Black, Medium

1491 Compare to Dr. Scholls®, Black, Size Medium, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.

$8

Diabetic Socks, Black, Large

1492 Compare to Dr. Scholls®, Black, Size Large, Quantity 1 pair; A registered trademark of MSD Consumer Care Inc.

$8

Ear Care Cotton Tipped Swabs

1742 Compare to Q-Tips® Cotton Swabs, 300 ct; A registered trademark of Unilever

$7

Eye Care Multi-Purpose Contact Lens Solution

1468 Compare to Renu® Multi-Purpose Solution, 4 oz per bottle; A registered trademark of Bausch & Lomb

$6

First Aid and Medical Supplies

Adhesive Bandages*

1344 Compare to Band-Aid® Sheer, 60 ct per box; A registered trademark of Johnson & Johnson Consumer Products

$7

Alcohol Pads* 1200 Compare to Curad® Alcohol Swabs, 100 ct per box; A registered trademark of Medline Inc.

$6

Ankle Support 1225 Compare to Ace Elastic Ankle Support, 1 ct per pack; A registered trademark of 3M Consumer Healthcare

$8

MEDICATIONS AND PRODUCTS

8

1-866-575-3744 (TTY: 7-1-1)



First Aid and Medical Supplies(continued)

Bath Bench with Back

1728 Compare to Essential® Shower Bench with back; A registered trademark of Essential Medical Supply

$65

Bath Bench without Back

1727 Compare to Essential® Shower Bench;A registered trademark of Essential Medical Supply

$55

Bath Tub Safety Rail 1730 Compare to Carex® Bathrub Rail with chrome finish; A registered trademark of Carex Health Brands

$37

Cushion, Gel / Foam Seat

1466 Compare to Drive Medical®; A registered trademark of Drive Medical Design and Manufacturing

$42

Elastic Bandage - 2 in x 5 in*

1207 Compare to Ace® Elastic Bandage, 1 ct per pack; A registered trademark of 3M Consumer Healthcare

$4



$4



$5



$5

First Aid Kit, 48 Pieces

1215 Compare to Curad, 1 ct; A registered trademark of Medline Industries

$10

First Aid Kit, 175 Pieces

1738 Compare to Curad® First Aid Kit, 175 pieces;A registered trademark of Medline Industries.

$19

Hot / Cold Pack, 1 small and 1 large

1062 Compare to Nexcare®, 1 ct per pack; A registered trademark of 3M Consumer Healthcare

$7

Hydrogen Peroxide 1228 Compare to Hydrogen Peroxide, 8 oz / 236 ml $5

9


First Aid and Medical Supplies(continued)

Raised Toilet Seat 1729 Compare to Quick-Lock® Raised Toilet Seat;A registered trademark of Carex Health Brands

$35

Thermometer, Digital

1063 Compare to BD® Digital Thermometer, 1 ct per pack; A registered trademark of Becton Dickinson and Company

$5

Thermometer, Digital Ear

1285 Compare to Braun® ThermoScan Compact Ear Thermometer, 1 per pack; A registered trademark of Procter & Gamble

$24

Thermometer, Flexible Tip, Digital 10-seconds

1697 Compare to ProCheck®;A registered trademark of Microlife Corporation

$12

Foot Care Callus Remover Pads

1238 Compare to Dr. Scholls® 6 ct; A registered trademark of Schering-Plough Healthcare Products, Inc.

$7

Corn Remover Pads 1236 Compare to Dr. Scholls® 9 ct; A registered trademark of Schering-Plough Healthcare Products, Inc.

$7

Hemorrhoidal Preparations

Pre-Moist Hemorrhoid Pads

1364 Compare to Tucks®, 100 ct per box; A registered trademark of Johnson & Johnson Consumer

$8

In-Home Diagnostics

Desktop Blood Pressure Monitor Replacement Cuff ‡

1504 Compare to Omron®;A registered trademark of Omron Healthcare, Inc.

$19

EZ Detect Colon Cancer Test Kit ‡

1416 Compare to Reveal Colon Disease Test®;A registered trademark of American Screening Corp.

$13

Home Access Cholesterol Test ‡

1251 Compare to CholesTrak®, 1 piece;A registered trademark of AccuTech, LLC

$35

Wrist Blood Pressure Monitor ‡

1501 Compare to Omron®;A registered trademark of Omron Healthcare, Inc.

$40

Motion Sickness Dramamine Chewables, Orange

1264 Compare to Dramamine®, 8 ct per pack; A registered trademark of Medtech Products

$7

Pain Relievers and Fever Reducers

Pain Relief Patches 1739 Compare to Salonpas® Pain Relief Patch, 5 per box; A registered trademark of Hisamitsu America, Inc.

$14

Pain Relieving Muscle Rub

1475 Compare to Bengay, 2 oz bottle;A registered trademark of Johnson &Johnson Consumer Companies, Inc.

$6

Pediculicide (lice treatment)

Lice Treatment Shampoo

1271 Compare to Rid®, 4 oz per bottle; A registered trademark of Pfizer Consumer Healthcare

$9

Permethrin Lice Treatment

1269 Compare to Nix®, 1%, 59 ml per bottle; A registered trademark of Insight Pharmaceuticals Corporation

$14

Personal Care Aloe Vera Cream 1070 Compare to Fruit of the Earth®, 8 oz per tube; A registered trademark of Fruit of the Earth, Inc.

$6

MEDICATIONS AND PRODUCTS

10


Personal Care(continued)

Hand Sanitizer 1065 Compare to Purell®, 8 oz per bottle; A registered trademark of GOJO Ind.

$6

Sunscreen Lotion SPF 30

1284 Compare to Coppertone®, 3.5 oz per bottle; A registered trademark of Bayer AG

$6

Sleep Aids Nasal Strips, Small / Medium

1724 Compare to Breathe Right®, 30 ct per box; A registered trademark of Glaxo Smith Kline

$12

Nasal Strips, Medium / Large

1725 Compare to Breathe Right®, 30 ct per box; A registered trademark of Glaxo Smith Kline

$12

Vitamins and Minerals

Fiber Tablets ‡ 1155 Compare to Fibercon®, 500 mg tablets, 60 ct per bottle; A registered trademark of Pfizer-Wyeth Consumer Healthcare

$10

Fish Oil Tablets 1741 Compare to Nature’s Bounty®, 1000 mg tablets, 60 per bottle; A registered trademark of Nature’s Bounty, Inc.

$12

Glucosamine / Chondroitin ‡

1003 Compare to 21st Century Glucosamine & Chondroitin Original Formula, 250-200 mg capsules, 60 per bottle; A registered trademark of 21st Century HealthCare, Inc.

$11

Glucosamine Joint / Muscle ‡

1114 Compare to 21st Century; 60 ct per bottle; A registered trademark of 21st Century Healthcare, Inc.

$10

Vitamin D ‡ 1383 Compare to Vitamin D 400 iu 100, 100 ct per bottle $5

Wart Remover Wart Remover (Liquid)

1075 Compare to Compound W® Wart Remover, 9 ml; A registered trademark of Medtech Products, Inc.

$9

1-866-575-3744 (TTY: 7-1-1)


11

Date Item

KEEP TRACK OF YOUR ORDERS

12

Date Item

KEEP TRACK OF YOUR ORDERS

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Notice of Nondiscrimination: Discrimination is Against the LawCigna-HealthSpring complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Cigna-HealthSpring does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.Cigna-HealthSpring:

� Provides free aids and services to people with disabilities to communicate effectively with us, such as:

§ Qualified sign language interpreters § Written information in other formats (large print, audio, accessible electronic formats, other formats)

� Provides free language services to people whose primary language is not English, such as:

§ Qualified interpreters § Information written in other languages

If you need these services, contact Member Services.If you believe that Cigna-HealthSpring 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:

Cigna-HealthSpring Attention: Appeals, Complaints, and Grievances Department P.O. Box 211088 Bedford, Texas 76095

1-877-653-0327 (TTY: 7-1-1) 7 days a week 8 a.m. to 8 p.m. Central Time Fax: 1-877-809-0783

You can file a grievance in writing by mail or fax. If you need help filing a grievance, Member Services is available to help you.You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH BuildingWashington, D.C. 202011-800-368-1019, 800-537-7697 (TDD)Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

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