Disclaimers
*These items are considered dual purpose items. Prior to ordering these items, the enrollee must have an appropriate conversation with the enrollee’s personal provider who verbally recommends the OTC item for a specific diagnosable condition.
1. OTC items may only be purchased for the enrollee; it is prohibited to purchase supplies for family members, and friends.
2. The following supplies are not covered as they are non-eligible supplies: Alternative Medicines
(Includes botanicals, herbals, probiotics, homeopathic, and nutraceuticals), baby supplies,
contraceptives, convenience & comfort supplies (insoles, gloves, etc.), cosmetics, food products
or supplements, replacement & attachments such as contact lens containers or batteries.
3. To minimize mailing costs the plan may impose a limited ordering quantity per purchase.
4. Items, quantity and size may change depending on availability.
5. This benefit is only available if your plan offers the OTC service as a benefit. Orders will be
shipped via UPS or USPS. Please allow 7-14 business days to receive your order from the time the order is placed.
6. Please consult with your doctor before using any OTC products
7. All OTC supplies are generic comparable to Off Brand. Any branded item may be substituted
for its Generic Comparable based on availability.
8. All items are shipped based on manufacturer availability.
9. All items may not be available all the time.
10. If Generic item is not acceptable, plan will not ship Brand Name Item.
11. The plan does not allow to rollover any remaining OTC benefits into the next month.
12. Items may vary based on the manufacturer and availability (For example, caplets, tablets,
or soft gels may be substituted for one another).
13. For all people who have diabetes (insulin and non-insulin users) supplies to monitor your
blood glucose: Blood glucose monitor, blood glucose test strips, lancet devices and lancets, and
glucose-control solutions for checking the accuracy of test strips and monitors are available
through the Plan Mail-Order service by calling Member Services.
Authorization and/or a prescription may be required from a physician.
14. The plan may ship an item label for children if the dosage for children and adults are the same.
15. Orders will be shipped via UPS or USPS. Estimated time to receive your order from the time the order is placed is approximately 7-14 business days.
16. Shipping time may vary depending upon product availability, order volume and other circumstances.
17. Plan may add and remove any item without notice.
18. Plan may impose or change yearly or monthly quantity limit any time without notification.