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Health Partners Medicare Special (HMO SNP) Over-the-Counter Catalog
This catalog lists over-the-counter items currently available through your Health Partners Medicare Special over-the-counter benefit. We may add or remove items on this list during the year.
Using Your OTC Benefit
As a Health Partners Medicare Special member, your benefit covers up to $300 of OTC items during each three months of the plan year. Unused amounts are not carried over to the next quarter.
You can order items from this catalog online or by phone, and they will be shipped to you within 3-5 days. You pay no shipping charges.
When items are marked as Dual Purpose, please talk with your doctor about whether they’re right for you before ordering.
Some items on this list may be covered by other Special plan benefits. These items are marked with a note that says “Possibly covered under Part B.” To avoid using your OTC coverage unnecessarily, check with the plan before ordering.
You can order online anytime at hpp.otcstores.com.
For help ordering by phone:
Call Health Partners Medicare Member Relations at 1-866-901-8000 (TTY 1-877-454-8477). Telephone orders can be placed Monday through Friday from 8 a.m. to 5 p.m. For general questions about your OTC coverage, Member Relations is available 24 hours a day, seven days a week.
Health Partners Medicare is an HMO plan with Medicare and Pennsylvania State Medicaid program contracts. Enrollment in Health Partners Medicare depends on contract renewal. Health Partners Medicare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. H9207_HPM-220S05-1709-004_C
OTC Catalog Categories
Oral Care .................................................................................................................... 1
Denture Care .............................................................................................................. 2
Antacids ..................................................................................................................... 3
Pain Killers ................................................................................................................. 4
Cough, Cold and Flu .................................................................................................. 6
Vitamins ..................................................................................................................... 9
Medical Devices (Thermometers and Blood Pressure Monitors) ............................. 17
Eye and Ear Care ..................................................................................................... 17
First Aid .................................................................................................................... 19
Support Bandages and Heating Pads ...................................................................... 20
Foot Care ................................................................................................................. 22
Feminine Hygiene .................................................................................................... 24
Allergy ...................................................................................................................... 24
Laxatives .................................................................................................................. 25
Sun Care .................................................................................................................. 27
Durable Medical Equipment ..................................................................................... 27
Skin Care ................................................................................................................. 28
Incontinence ............................................................................................................. 28
Nicotine Replacement Therapy ................................................................................ 29
Hand & Body Lotion ................................................................................................. 30
Health Partners Medicare Special (HMO SNP)OTC Catalog
CATEGORYSKU Title Price Category Dual
Purpose*
ORAL CARE0014 Crest Regular, 8.2 oz $6.03 ORAL CARE0259 ACT Dry Mouth Alcohol Free Rinse, 33.8 oz $14.62 ORAL CARE0260 Act Anti-Cavity fluoride Rinse Mint, 18 oz $8.58 ORAL CARE0261 ACT Total Care Dry Mouth Anti-Cavity Mouthwash,
Soothing Mint, 18 oz$9.25 ORAL CARE
0263 ACT Total Care Dry Mouth Lozenges, Soothing Mint, 18 ct
$8.00 ORAL CARE
0287 Arm & Hammer Spinbrush Pro Clean Powered Toothbrush Medium, 1 unit
$12.51 ORAL CARE
0288 Arm & Hammer Spinbrush Pro Clean Powered Toothbrush Soft, 1 unit
$12.73 ORAL CARE
0289 Aim Anticavity Toothpaste Ultra Mint, 5.5 oz $4.18 ORAL CARE0300 Colgate Cavity Protection Toothpaste, 8 oz $6.59 ORAL CARE0403 Sensodyne Maximum Strength Toothpaste, Fresh
Mint, 4 oz$11.32 ORAL CARE
0404 Sensodyne Extra Whitening Toothpaste, 4 oz $10.23 ORAL CARE0405 Sensodyne Pronamel Gentle Whitening Toothpaste,
4 oz$11.32 ORAL CARE
0406 Sensodyne Extra Whitening Toothpaste, 6 oz $13.58 ORAL CARE0407 Sensodyne Pronamel Multi-Action Toothpaste, 4 oz $11.32 ORAL CARE0408 Sensodyne Complete Protection Toothpaste Extra
Fresh, 3.4 oz$11.01 ORAL CARE
0409 Sensodyne Deep Clean Toothpaste, 4 oz $11.32 ORAL CARE0412 Tek Pro Toothbrush Medium Angled, 1 unit $4.29 ORAL CARE0413 Tek Professional Angled Toothbrush Soft, 1 unit $4.29 ORAL CARE0485 Listerine Antiseptic Adult Mouthwash Original,
8.5 fl. oz$6.98 ORAL CARE
0486 Listerine Essential Care Toothpaste, 4.2 oz $8.08 ORAL CARE0487 Listerine Antiseptic Mouthwash Cool Mint,
50.7 fl. oz$15.91 ORAL CARE
0488 Listerine Gentle Gum Care Interdental Floss, Oral Care, Mint, 50 Yards
$4.90 ORAL CARE
0489 Listerine Cool Mint Floss, 55 yards $4.32 ORAL CARE0490 Listerine Healthy White Floss, 30 yards $4.24 ORAL CARE0491 Listerine Ultraclean Mint Floss, 30 yards $4.24 ORAL CARE0492 Listerine Ultraclean Access Flosser + 8 Refill Dental
Flosser Heads, 1 unit$7.90 ORAL CARE
0614 Anbesol Maximum Strength Liquid, 0.41 fl. oz $9.44 ORAL CARE
* Talk with your doctor before using Dual Purpose products.
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0715 Crest Tartar Control And Whitening Toothpaste - Cool Mint, 6.4 oz
$9.18 ORAL CARE
0716 Crest Cavity Protection Toothpaste Gel, 6.4 oz $5.45 ORAL CARE0717 Crest Gel-Cool Mint, 8.20 oz $6.45 ORAL CARE0718 Crest Pro-Health Multi-Protection Mouthwash,
33.8 fl. oz$12.10 ORAL CARE
0719 Crest 3D White Toothpaste Radiant Artic Fresh, 4.8 oz
$10.77 ORAL CARE
0720 Crest Pro-Health Whitening Power Toothpaste, 6.3 oz.
$12.18 ORAL CARE
0758 Waterpik Cordless Water Flosser WP-360, 1 unit $52.84 ORAL CARE0759 Waterpik Ultra Water Flosser, 1 unit $79.62 ORAL CARE0760 Waterpik Cordless Plus Water Flosser - WP-462,
1 unit$75.94 ORAL CARE
0761 Waterpik Complete Care 5.0 Water Flosser + Toothbrush WP-862, Black, 1 unit
$139.99 ORAL CARE
0762 Waterpik Cordless Plus Water Flosser WP-450, 1 unit
$83.99 ORAL CARE
0763 Water Pik Complete Care 5.5, 1 unit $114.24 ORAL CARE0985 ACT Dry Mouth Xylitol Mint Lozenges, 36 ct $11.10 ORAL CARE0986 Act Dry Mouth Spray, 1 oz $11.88 ORAL CARE0987 ACT Dry Mouth Honey Lemon Xylitol Lozenges,
18 ct$6.94 ORAL CARE
1020 Waterpik Power Flosser, 1 unit $10.23 ORAL CARE1117 Anbesol Maximum Strength Gel, 0.33 oz $10.83 ORAL CARE1140 Orajel Severe toothache Gel, 0.25 oz $11.76 ORAL CARE1141 Colgate Extra Clean Full Head Toothbrush Soft,
1 unit$2.40 ORAL CARE
1169 Biotene Mouthwash-Dry Mouth, 16 oz $13.02 ORAL CAREDENTURE CARE
0010 Polident Smokers Denture Cleanser, 120 ct $13.98 DENTURE0347 Super Poligrip Free, 2.4 oz $10.13 DENTURE0348 Polident 3 Minute Denture Cleanser, 120 ct $13.15 DENTURE0349 Polident 3-Min Antibacterial Denture Cleanser Tabs
Triple Mint, 40 ct$7.11 DENTURE
0350 Super Poligrip Comfort Seal Strips, 40 ct $10.10 DENTURE0351 Super Poligrip Extra Care Denture Adhesive, 2.4 oz $10.12 DENTURE0366 Super Poligrip Original Denture Adhesive, 2.4 oz $9.26 DENTURE0367 Polident 3- Min Antibacterial Denture Cleanser Tabs
Triple Mint, 84 ct$9.63 DENTURE
0368 Polident Overnight Whitening Antibacterial Denture Cleanser Tabs, 84 ct
$10.24 DENTURE
0369 Polident Overnight Whitening Antibacterial Denture Cleanser Tabs, 40 ct
$8.29 DENTURE
0645 Efferdent Plus Mint Denture Cleansing Tabs, 44 ct $8.80 DENTURE
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0646 Efferdent Plus Mint Anti-Bacterial Denture Cleanser, 44 ct
$8.80 DENTURE
0685 Fixodent Denture Adhesive Cream Fresh Mint, 2.4 oz
$9.39 DENTURE
0686 Fixodent Denture Adhesive Cream, 2.4 oz $9.38 DENTURE0687 Fixodent Powder Extra Hold, 2.7 oz $8.70 DENTURE0688 Fixodent Denture Adhesive Cream, 1.4 fl. oz $8.06 DENTURE0689 Fixodent Denture Cream plus Scope, 2 fl. oz $8.70 DENTURE0799 Polident Smokers Denture Cleanser, 40 ct $8.29 DENTURE0800 Polident Overnight Whitening Antibacterial Denture
Cleanser, 120 ct$12.44 DENTURE
0801 Polident Smokers, Antibacterial Denture Cleanser, Bonus Pack Triple Mint Freshness, 84 ct
$10.19 DENTURE
0802 Polident Partials Antibacterial Denture Cleanser, 40 ct
$8.29 DENTURE
ANTACIDS0009 Tums Chewy Bites Extra Strength Berry, 60 ct $11.90 ANTACIDS0020 Alka-Seltzer Heart Burn Relief Chews, 36 ct $7.24 ANTACIDS0141 Alka-Seltzer Original Antacid, 36 ct $17.50 ANTACIDS0142 Zegerid OTC, 14 ct $18.94 ANTACIDS0143 Zegerid OTC, 42 ct $37.98 ANTACIDS0144 Alka-Seltzer Original, 36 ct $11.48 ANTACIDS0338 Gaviscon Chewable Antacid, 100 ct $20.00 ANTACIDS0340 Tums Chewy Bites Extra Strength Berry, 32 ct $9.60 ANTACIDS0479 Lactaid Fast Act, 12 ct $8.76 ANTACIDS0643 Dramamine Motion Sickness Relief Chewable, 8 ct $8.93 ANTACIDS0676 Prilosec OTC, 42 ct $42.98 ANTACIDS0677 Prilosec OTC Acid Reducer Tablets, 28 ct $30.44 ANTACIDS0678 Prilosec OTC, 14 ct $20.10 ANTACIDS0679 Prilosec OTC Acid Reducer Tablets, 14 ct $20.10 ANTACIDS0854 Pepcid AC Berry, 50 ct $29.99 ANTACIDS0855 Pepcid AC Complete Berry Tabs, 25 ct $15.99 ANTACIDS0856 Pepcid AC Berry, 8 ct $9.42 ANTACIDS0857 Pepcid AC Maximum Strength for Heartburn
Prevention & Relief, 25 ct$17.70 ANTACIDS
0858 Pepcid AC Acid Reducer Tablets Original Strength, 30 ct
$22.14 ANTACIDS
0859 Pepcid Complete Tablets Mint, 50 ct $29.99 ANTACIDS0860 Pepcid AC Original Strength for Heartburn
Prevention & Relief, 90 ct$34.80 ANTACIDS
0866 Pepcid Complete (famotidine) All-Day Heartburn Relief Tablets, Mint Flavored, 25 ct
$15.99 ANTACIDS
0909 Nexium 24-Hour Delayed Release Heartburn Relief Capsules, 14 ct
$21.29 ANTACIDS
0941 Nexium 24hr, 14 ct $18.06 ANTACIDS0942 Nexium 24hr, 42 ct $45.40 ANTACIDS
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0999 Tums Smoothies Assorted, 12 ct $3.38 ANTACIDS1085 Alka-Seltzer Original Antacid & Pain Relief with
Aspirin, 12 ct$3.38 ANTACIDS
1086 Tums Ultra Strength 1000, 72 ct $8.93 ANTACIDS1174 Prilosec OTC Acide Reducer Tablets, 14 ct $12.50 ANTACIDS
PAIN KILLERS0007 Tylenol PM Simply Sleep, 24 ct $9.99 PAIN0008 Advil Liqui-Gels, 20 ct $7.82 PAIN0015 Icy Hot Extra Strength Patch, Large, 5 ct $12.99 PAIN0129 Bayer Back and Body, 50 ct $12.12 PAIN0130 Aleve Tablets with Naproxen Sodium, 220mg, 24 ct $9.99 PAIN0131 Bayer Tabs, 24 ct $8.99 PAIN0133 Bayer Chewable Orange, 36 ct $6.49 PAIN0134 Bayer Low Dose Enteric Coated, 120 ct $13.45 PAIN0135 Bayer Tabs, 100 ct $11.71 PAIN0136 Aleve Gelcaps Arthritis, 40 ct $12.23 PAIN0137 Aleve Caplets, 150 ct $21.99 PAIN0138 Bayer Back and Body, 24 ct $9.73 PAIN0139 Aleve PM, 20 ct $9.99 PAIN0140 Aleve Liquid Gels, 40 ct $17.13 PAIN0218 Aspercreme Maximum Strength, 3 fl. oz. $11.99 PAIN0219 Unisom Sleep Tabs, 16 ct $13.83 PAIN0221 Icy Hot Extra strength Patch Extra Large, 3 ct $12.99 PAIN0222 Arthritis Hot Pain Creme, 3 oz $9.36 PAIN0223 Unisom QuickMelts Tablets, Cherry, 25mg, 24 сt $11.99 PAIN0224 Gold Bond Intensive Relief Anti-itch, 5.5 oz $15.73 PAIN0225 Icy Hot Maximum Strenght Gel, 1.75 oz $12.99 PAIN0226 Icy Hot No Mess Aplicator, 2.5 oz $9.84 PAIN0231 Icy Hot Spray, 3.7 oz $9.61 PAIN0232 Icy Hot Extra Strength Balm, 3.5 oz $10.19 PAIN0239 Gold Bond Medicated Anti-Itch Cream, 1 oz $9.19 PAIN0240 Gold Bond Pain & Itch Cream with Lidocaine,
1.75 oz$11.80 PAIN
0243 Icy Hot Muscle Pain Relief Patches, Small, 5 ct $9.99 PAIN0244 Gold Bond Pain And Itch Spray, 2 oz $16.94 PAIN0245 Gold Bond Cracked Skin Fill & Protect, 0.75 oz $12.99 PAIN0308 Mineral ice Pain Relieving Gel, 8 oz $15.62 PAIN0309 Mineral ice Pain Relieving Gel, 3.5 oz $9.49 PAIN0331 St.Joseph Aspirin, 36 ct $4.29 PAIN0332 St.Joseph Aspirin, 120 ct $9.79 PAIN0335 Excedrin Extra Strength, 24 ct $8.78 PAIN0336 Excedrin Migraine, 24 ct $9.99 PAIN0337 Excedrin Migraine, 200 ct $25.99 PAIN0667 Tiger Balm Ultra Pain Releiving Ointment, 1.70 oz $15.76 PAIN0668 Tiger Balm Arthritis Rub, 4 fl. oz $18.90 PAIN0669 Tiger Balm Ultra Strength, 0.63 oz $11.26 PAIN
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0670 Tiger Balm Pain relieving Patch, Large, 4 ct $8.69 PAIN0671 Tiger Balm Pain Relieving Patch, 5 ct $11.68 PAIN0672 Vicks ZZZQuil Night time sleep Aid, 12 ct $12.24 PAIN0673 Vicks ZZZQuil Night time sleep Aid, 24 ct $14.26 PAIN0675 Vicks ZZZQuil Night time sleep Aid, 6 fl. oz $11.29 PAIN0813 Bengay Gel Greaseless, 2 oz $8.97 PAIN0814 Bengay Ultra Strength Methyl Salic/M, 2 oz $12.99 PAIN0815 Bengay Gel Vanishing Scent, 2 oz $9.84 PAIN0818 Bengay Ultra Strength Pain Relief Patch Large, 4 ct $10.99 PAIN0819 Bengay Ultra Strength Pain Relief Patch, 4 ct $12.99 PAIN0820 Bengay Cold Therapy Pain Relief Gel with Pro-Cool
Technology, Cooling Topical Pain Reliever, 4 oz$16.43 PAIN
0823 Motrin Liqui-Gels, 20 ct $9.96 PAIN0824 Tylenol Extra Strength Tabs, 24 ct $7.98 PAIN0825 Tylenol Extra Strength Caplets, 100 ct $18.06 PAIN0826 Motrin Caplets, 100 ct $15.91 PAIN0827 Motrin Ib 50 Coated Tablets, 50ct $11.18 PAIN0828 Tylenol PM, 100 ct $19.99 PAIN0829 Tylenol PM, 24 ct $9.94 PAIN0830 Tylenol Extra Strength, 24 ct $7.99 PAIN0831 Tylenol Regular Strength, 100 ct $12.11 PAIN0833 Tylenol 8-hour Arthritis, 100 ct $21.49 PAIN0834 Tylenol 8-hour Arthritis Pain, 24 ct $9.72 PAIN0835 Tylenol PM Simply Sleep, 100 ct $19.99 PAIN0896 Advil Tabs, 100 ct $16.27 PAIN0897 Advil Coated Tabs, 24 ct $8.27 PAIN0899 Advil Caplets, 100 ct $11.41 PAIN0901 Advil PM, 80 ct $19.98 PAIN0904 Advil Migraine Liqui-Gels, 20 ct $8.11 PAIN0905 Advil Liqui-Gels, 40 ct $12.13 PAIN0906 Advil Liqui-Gels, 80 ct $17.10 PAIN0935 Advil Tabs, 24 ct $7.54 PAIN0936 Advil Tabs, 50 ct $10.99 PAIN0937 Advil Cplt Ibuprofen, 50 ct $12.05 PAIN0938 Advil PM, 40 ct $12.57 PAIN0939 Advil PM Liqui-Gels, 20 ct $12.51 PAIN0940 Advil PM Liqui-Gels, 80 ct $23.99 PAIN0943 Advil PM, 20 ct $9.74 PAIN0959 Aspercreme, 5 oz $13.49 PAIN0960 Gold Bond Maximum Strength Anti-itch, 2 oz $9.84 PAIN0973 Gold Bond Friction Defense Stick Unscented,
1.75 oz$9.62 PAIN
0974 Icy Hot Advanced Pain Relief Cream, 2 oz $9.22 PAIN0975 Icy Hot Smart Relief Back Pain Therapy, 1 unit $39.99 PAIN0976 Icy Hot Smart Relief Tens therapy Back and Hip,
1 unit$19.82 PAIN
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0977 Aspercreme Lidocaine, 2.7 oz $12.49 PAIN0978 Aspercreme Lidocaine Patch, 5 ct $13.98 PAIN0998 Solanpas Jet Spray, 4 oz $12.42 PAIN1006 Mentholatum Ointment, 3 oz $9.99 PAIN1013 Vicks ZZZQuil Night time sleep Aid, 12 fl. oz $17.73 PAIN1084 Capzasin HP Arthritis Pain Relief, 1.5 oz $18.99 PAIN1157 Aleve Liquid Gels, 20 ct $9.49 PAIN1158 Bengay Cold Therapy Gel, 4 oz $16.43 PAIN1173 Bengay 30-10-4% Methyl Salic/Men, 4 oz $18.14 PAIN
COUGH, COLD and FLU0005 Robitussin 12-Hour Cough Relief, Orange, 5 fl. oz $17.29 COUGH+
COLD+FLU0006 Robitussin Cough+Chest Congestion DM, 4 fl. oz $12.56 COUGH+
COLD+FLU0011 Halls Mentho-Lyptus Drops Cherry, 9 ct $2.18 COUGH+
COLD+FLU0012 Nyquil Cherry Cold & Flu, 8 fl. oz $13.07 COUGH+
COLD+FLU0101 Diabetic Tussin DM Cough Suppressant &
Expectorant, Maximum Strenghth, 8 fl. oz$17.48 COUGH+
COLD+FLU0102 Diabetic Tussin DM Maximum Strength, 4 fl. oz $15.31 COUGH+
COLD+FLU0106 Diabetic Tussin Extra Cough Relief, 4 fl. oz $15.68 COUGH+
COLD+FLU0107 Diabetic Tussin DM Expectorant Cough Supressant,
4 fl. oz$9.31 COUGH+
COLD+FLU0145 Coricidin HBP Nighttime Mutli-Symptom Cold Liquid,
12 fl. oz$13.28 COUGH+
COLD+FLU0146 Afrin No Drip Nasal Spray Sever Congestion,
0.5 fl. oz$13.35 COUGH+
COLD+FLU0148 Afrin Original, 0.5 oz $11.59 COUGH+
COLD+FLU0190 Blistex Lip Ointment, 0.21 oz $4.18 COUGH+
COLD+FLU0205 Carmex Cold Sore Treatment, 0.07 oz $19.82 COUGH+
COLD+FLU0303 Rompe Pecho Sugar Free, 6 fl. oz $25.49 COUGH+
COLD+FLU0311 Zarbee's Cough Lozenges and Immune Support,
30 ct$15.73 COUGH+
COLD+FLU0312 Zicam Cold Remedy Swabs Menthol, 20 ct $17.45 COUGH+
COLD+FLU0342 Abreva Cold Sore/Fever Blister Cream, 2 gr $33.65 COUGH+
COLD+FLU0344 Abreva Cold Sore/Fever Blister On-The-Go
Treatment, 2 gr$29.42 COUGH+
COLD+FLU
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0345 Abreva Docosanol 10% Cream Pump, FDA Approved Treatment, 0.07 fl. oz
$29.42 COUGH+ COLD+FLU
0346 Theraflu Multi Symptom Severe Cold Packets, 6 packets
$12.86 COUGH+ COLD+FLU
0500 Vicks Vapo Steam Liquid, 8 oz $23.66 COUGH+ COLD+FLU
0501 Vicks Vapo Rub Ointment, 1.76 oz $9.52 COUGH+ COLD+FLU
0502 Vicks Nightlight & Waterless Vaporizer, 1 unit $36.00 COUGH+ COLD+FLU
0503 Vicks VapoRub Ointment, Lemon Scent, 1.76 oz $9.54 COUGH+ COLD+FLU
0505 Vicks Soothing Vapors Plug-In Waterless Vaporizer & Nightlight, 1 unit
$13.11 COUGH+ COLD+FLU
0506 Vicks Vapo Rub Ointment, 3.53 oz $13.84 COUGH+ COLD+FLU
0508 Vicks VapoRub Lavender, Lavender, 1.76 oz $9.23 COUGH+ COLD+FLU
0519 Halls Triple Soothing Action Cherry Bag, 30 ct $9.17 COUGH+ COLD+FLU
0520 Halls Triple Soothing Menthol Bag, 30 ct $5.18 COUGH+ COLD+FLU
0521 Halls Cough Drops Sugar Free, 20 ct $2.18 COUGH+ COLD+FLU
0522 Halls Cough Drops Honey/Lemon Sugar Free Bag, 25 ct
$3.98 COUGH+ COLD+FLU
0523 Halls Cough Drops Honey/Lemon Bag, 30 ct $9.10 COUGH+ COLD+FLU
0524 Halls Cough Drops Sugar Free Menthol Bag, 25 ct $5.90 COUGH+ COLD+FLU
0680 Dayquil Liquid Caps, 24 ct $16.78 COUGH+ COLD+FLU
0681 Nyquil Severe Cold & Flu, 8 fl. oz $16.78 COUGH+ COLD+FLU
0682 Nyquil Liquid Caps, 24 ct $16.78 COUGH+ COLD+FLU
0683 Nyquil Cold & Flu Liquid, 8 fl. oz $14.79 COUGH+ COLD+FLU
0684 Dayquil Cold & Flu Liquid, 8 fl. oz $14.46 COUGH+ COLD+FLU
0722 Delsym Adult 12 hour Cough Suppressant, 5 fl. oz $20.85 COUGH+ COLD+FLU
0723 Delsym, 3 fl. oz $19.50 COUGH+ COLD+FLU
0724 Mucinex Fast-Max Congestion & Cough, 6 fl. oz $20.20 COUGH+ COLD+FLU
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0725 Mucinex Sinus-Max, 20 ct $21.10 COUGH+ COLD+FLU
0726 Ricola Original Natural Herb Cough Drops, 21 ct $4.84 COUGH+ COLD+FLU
0727 Ricola Herb Throat Drops, 24 ct $5.98 COUGH+ COLD+FLU
0728 Ricola Cough Suppressant Throat Drops Sugar Free Swiss Herb, 19 ct
$3.84 COUGH+ COLD+FLU
0730 Ricola Sugar Free Lemon Mint Herb Throat Drops, 19 ct
$4.84 COUGH+ COLD+FLU
0731 Ricola Mixed Berry With Vitamin C Supplement Drops, 19 ct
$4.84 COUGH+ COLD+FLU
0732 Ricola Cherry Honey Herb Throat Drops, 24 ct $5.98 COUGH+ COLD+FLU
0733 Ricola Cough Drops Natural Herb, 24 ct $5.98 COUGH+ COLD+FLU
0735 Ricola Cough Suppressant Throat Drops Sugar Free Green Tea with Echinacea, 19 сt
$9.24 COUGH+ COLD+FLU
0737 Ricola Honey Lemon with Echinacea, 19 ct $9.06 COUGH+ COLD+FLU
0883 Robitussin Nighttime Cough DM Max Strength Berry Liquid, 4 fl. oz
$13.15 COUGH+ COLD+FLU
0884 Robitussin Adult Max Strength Nighttime Cough DM Max, 8 fl. oz
$16.74 COUGH+ COLD+FLU
0885 Robitussin Maximum Strength Cough+Chest Congestion DM Non-Drowsy Liquid, 4 fl. oz
$13.15 COUGH+ COLD+FLU
0886 Robitussin Max Strength Cough + Chest Congestion DM Non-Drowsy, 8 fl. oz
$18.86 COUGH+ COLD+FLU
0887 Robitussin Adult Peak Cold Non-Drowsy Multi-Symptom Cold CF Liquid, 8 fl. oz
$16.62 COUGH+ COLD+FLU
0888 Packs Robitussin Max Strength Severe Cough + Sore Throat CF Max, 4 fl. oz
$15.38 COUGH+ COLD+FLU
0889 Robitussin Adult Maximum Strength Severe Multi-Symptom Cough Cold+Flu Liquid, 8 fl. oz
$18.86 COUGH+ COLD+FLU
0890 Robitussin Adult Severe Multi-Symptom Cough Cold + Flu CF Nighttime Max, 4 fl. oz
$17.87 COUGH+ COLD+FLU
0891 Robitussin Adult Maximum Strength Severe Multi-Symptom Cough Cold+Flu Nighttime Liquid, 8 fl.oz
$18.86 COUGH+ COLD+FLU
0892 Robitussin 12 Hour Cough Relief, Grape, 3 fl. oz $17.29 COUGH+ COLD+FLU
0893 Robitussin Cough+Chest Congestion DM Sugar Free, 4 fl. oz
$12.20 COUGH+ COLD+FLU
0945 Tylenol Cold Max Multi-Symptom Citrus, 8 fl. oz $12.48 COUGH+ COLD+FLU
1001 Zarbee's Cough and Throat Relief Apple Spice Tea, 6 ct
$13.98 COUGH+ COLD+FLU
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Health Partners Medicare Special (HMO SNP)OTC Catalog
1004 Vicks Advanced Soothing Vapors Waterless Vaporizer, 1 unit
$15.91 COUGH+ COLD+FLU
1005 Vicks VapoSteam, 8 fl. oz $15.70 COUGH+ COLD+FLU
1014 Ricola Dual Action Lozenges - Cherry, 19 ct $7.98 COUGH+ COLD+FLU
1015 Ricola Dual Action Cough Drops, 19 ct $9.98 COUGH+ COLD+FLU
1016 Ricola Cough Suppressant Drops Glacier Mint, 19 ct
$9.80 COUGH+ COLD+FLU
1087 Ayr Nasal Mist Allergy & Sinus, 1.7 fl. oz $9.46 COUGH+ COLD+FLU
1159 Robitussin Adult Maximum Strength Severe Multi-Symptom Cough Cold+Flu Liquid, 4 fl. oz
$14.28 COUGH+ COLD+FLU
1160 Robitussin Extended-Release 12 Hour Cough Relief Grape Flavored Liquid, 5 fl. oz
$20.78 COUGH+ COLD+FLU
1161 Rompe Pecho, 4 fl. oz $17.48 COUGH+ COLD+FLU
1177 Sambucol Black Elderberry Cold and Flu Relief Tabs, 30 ct
$20.78 COUGH+ COLD+FLU
1178 Abreva Cold Sore/Fever Blister Cream Pump, 0.07 oz
$33.65 COUGH+ COLD+FLU
1179 Vicks VapoInhaler, 0.07 oz $9.80 COUGH+ COLD+FLU
VITAMINS0001 Vitafusion Extra Strength Biotin Gummies -
Blueberry, 100 ct$14.89 VITAMINS Dual
Purpose0001 21st Century Calcium 500 + D3 Plus Extra Tablets,
90 ct$9.50 VITAMINS Dual
Purpose0002 Vitafusion Vitamin D3 Gummy Vitamins, 150 ct $14.60 VITAMINS Dual
Purpose0003 Vitafusion Men's Complete Multivitamin Gummy,
70 ct$13.81 VITAMINS Dual
Purpose0018 21st Century 600 Calcium Supplement Tablets,
400 ct$13.10 VITAMINS Dual
Purpose0029 21st Century B Complex With C Tablets, 100 ct $9.86 VITAMINS Dual
Purpose0030 21st Century Lutein 10 mg Tablets, 60 ct $14.48 VITAMINS Dual
Purpose0031 21st Century D3, 10 ct $8.70 VITAMINS Dual
Purpose0032 21st Century Therapeutic-M, 130 ct $12.98 VITAMINS Dual
Purpose0033 21st Century's One Daily Women's, 100 ct $9.65 VITAMINS Dual
Purpose
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Health Partners Medicare Special (HMO SNP)OTC Catalog
0034 21st Century Chromium Picolinate 200 mcg, 100 ct
$8.30 VITAMINS Dual Purpose
0035 21st Century, One Daily Men's Health, 100 ct $9.14 VITAMINS Dual Purpose
0036 21st Century C-500, 250 ct $9.98 VITAMINS Dual Purpose
0037 21st Century Melatonin, 90 ct $9.62 VITAMINS Dual Purpose
0038 21st Century Multivitamin & Multimineral, Mega Multi, For Women, 90 ct
$16.18 VITAMINS Dual Purpose
0039 21st Century Sentry, 130 ct $8.92 VITAMINS Dual Purpose
0040 21st Century Sentry Senior, 125 ct $8.92 VITAMINS Dual Purpose
0041 21st Century Tea Tree Oil, 2 oz $15.79 VITAMINS Dual Purpose
0042 21st Century Niacin 100 mg, 110 ct $15.36 VITAMINS Dual Purpose
0043 21st Century, L-Arginine, 1,000 mg, 100 ct $16.60 VITAMINS Dual Purpose
0044 21st Century Vitamin D3 2000 IU Tablets, 110 ct $10.23 VITAMINS Dual Purpose
0045 21st Century C 500 mg Orange Chewable Tablets, 110 ct
$12.98 VITAMINS Dual Purpose
0046 21 Century HealthCare 21st Century Vitamin D3, 110 ct
$14.48 VITAMINS Dual Purpose
0047 21st Century MgO 400 mg Tablets, 90 ct $10.25 VITAMINS Dual Purpose
0048 21st Century One Daily, Women's 50+, Tablets, 100 ct
$12.22 VITAMINS Dual Purpose
0049 21st Century Therapeutic-M, 100 ct $12.73 VITAMINS Dual Purpose
0050 21st Century Lutein 20 mg, 60 ct $19.98 VITAMINS Dual Purpose
0051 21st Century One Daily, Women's, Tablets, 100 ct $9.48 VITAMINS Dual Purpose
0052 21st Century Balanced B50 Comples Vitamin 50mg, 60 ct
$9.09 VITAMINS Dual Purpose
0053 21st Century B-6 100 mg, 110 ct $9.98 VITAMINS Dual Purpose
0054 21st Century Cal Mag Zinc +D Vitamin, 90 ct $8.58 VITAMINS Dual Purpose
0055 21st Century 600 Calcium Supplement Tablets, 75 ct $5.98 VITAMINS Dual Purpose
0056 21st Century Niacin 250 mg, 110 ct $9.00 VITAMINS Dual Purpose
10
Health Partners Medicare Special (HMO SNP)OTC Catalog
0057 21st Century Health Care, Selenium, 200 mcg, 60 ct
$9.80 VITAMINS Dual Purpose
0058 21st Century DHEA 25 mg, 90 ct $9.95 VITAMINS Dual Purpose
0059 21st Century C-500, 110 ct $9.29 VITAMINS Dual Purpose
0060 21st Century Iron - 65 mg, 120 ct $9.59 VITAMINS Dual Purpose
0061 21st Century Calcium 1000 + D3, 90 ct $9.61 VITAMINS Dual Purpose
0062 21st Century Iron, Slow Release, Tablets, 60 ct $7.98 VITAMINS Dual Purpose
0063 21st Century Mega Multi, for Men, Tablets, 90 ct $16.78 VITAMINS Dual Purpose
0064 21st Century One Daily, Men's Health, Tablets, 100 ct
$8.90 VITAMINS Dual Purpose
0065 21st Century Chewable D3 400 IU, Orange Flavor, 110 ct
$7.30 VITAMINS Dual Purpose
0066 21st Century Healthy Eyes Extra, 50 ct $10.20 VITAMINS Dual Purpose
0067 21st Century Apple Cider Vinegar Tablets, 300 mg, 250 ct
$9.98 VITAMINS Dual Purpose
0068 21st Century Healthy Eyes with Lutein, 60 ct $9.98 VITAMINS Dual Purpose
0070 21st Century, Sentry, Multivitamin & Multimineral Supplement, 300 ct
$18.58 VITAMINS Dual Purpose
0071 21st Century Sentry Senior Tablets, 265 ct $19.70 VITAMINS Dual Purpose
0072 21 Century HealthCare 21st Century B-100 Complex, 60 ct
$12.20 VITAMINS Dual Purpose
0073 21 Century HealthCare 21st Century Vitamin B-12, 110 ct
$8.90 VITAMINS Dual Purpose
0074 21st Century, Calcium Citrate Maximum + D3, 120 ct
$8.90 VITAMINS Dual Purpose
0075 21st Century Century Ultra Strength D3-10,000 IU, 110 ct
$13.20 VITAMINS Dual Purpose
0077 21st Century 600mg+D3 Calcium Supplement Tablets, 75 ct
$5.30 VITAMINS Dual Purpose
0078 21st Century 600+D3 Calcium Supplement Tablets, 400 ct
$17.48 VITAMINS Dual Purpose
0079 21st Century Men's 50+ Sentry Senior, 100 ct $10.98 VITAMINS Dual Purpose
0080 21st Century Sentry Senior, Women's 50+, Tablets, 100 ct
$10.98 VITAMINS Dual Purpose
0081 21st Century, B-12, 500 mcg, 110 ct $8.98 VITAMINS Dual Purpose
11
Health Partners Medicare Special (HMO SNP)OTC Catalog
0082 21st Century Calcium Citrate + D3 Petites, 200 ct $14.48 VITAMINS Dual Purpose
0083 21st Century Digestive Enzymes Capsules, 60 ct $9.20 VITAMINS Dual Purpose
0084 21 Century HealthCare 21st Century Vita Joy Biotin, 120 ct
$14.70 VITAMINS Dual Purpose
0085 21st Century Ultra Potency 10,000 mcg Biotin Tablets, 120 ct
$15.73 VITAMINS Dual Purpose
0086 21st Century VitaJoy Melatonin 5 mg Gummies, Strawberry, 120 ct
$14.48 VITAMINS Dual Purpose
0087 21 Century HealthCare 21st Century Super Vision 2, 120 ct
$22.99 VITAMINS Dual Purpose
0088 21st Century Vitajoy Multi Gummies, Orange, Cherry and Strawberry, 75 ct
$10.23 VITAMINS Dual Purpose
0189 Phillips' Fiber Good Gummies, Assorted Flavors, 90 ct
$20.03 VITAMINS Dual Purpose
0290 Vitafusion Power C Gummy Vitamins Absolutely Orange, 70 ct
$8.06 VITAMINS Dual Purpose
0291 Vitafusion Sleep Well Sugar Free Gummy, 60 ct $12.20 VITAMINS Dual Purpose
0292 Vitafusion Extra Strength D3 Gummies, 120 ct $17.89 VITAMINS Dual Purpose
0293 Vitafusion Extra Strength Melatonin Blackberry, 120 ct
$17.89 VITAMINS Dual Purpose
0294 Vitafusion Extra Strength B-12 Gummies, Natural Cherry, 90 ct
$17.89 VITAMINS Dual Purpose
0295 Vitafusion Women's Gummy Vitamins, 150 ct $17.29 VITAMINS Dual Purpose
0296 Vitafusion Calcium Supplement Gummy Vitamins, 100 ct
$18.64 VITAMINS Dual Purpose
0297 Vitafusion Vitamin D3 Gummy Vitamins, 75 ct $11.52 VITAMINS Dual Purpose
0298 Vitafusion Men's Complete Multivitamin Gummy, 150 ct
$21.64 VITAMINS Dual Purpose
0299 Vitafusion MultiVites Gummy Vitamins, 150 ct $16.18 VITAMINS Dual Purpose
0323 Sambucol Black Elderberry Gummies, 30 ct $16.96 VITAMINS Dual Purpose
0324 Nature's Way Alive! Men's Energy Tablets Multivitamin Supplement, 50 ct
$18.20 VITAMINS Dual Purpose
0325 Nature’s Bounty B-12 500 MCG, 100 ct $11.99 VITAMINS Dual Purpose
0535 Nat-Rul Magnesium, 100 ct $8.80 VITAMINS Dual Purpose
0536 Nature's Bounty B-6, 100 ct $12.83 VITAMINS Dual Purpose
12
Health Partners Medicare Special (HMO SNP)OTC Catalog
0537 Nature’s Bounty Melatonin, 60 ct $12.74 VITAMINS Dual Purpose
0538 Nature’s Bounty Biotin, 72 ct $20.14 VITAMINS Dual Purpose
0539 Sundown Naturals B Complex Tablets, 100 ct $8.84 VITAMINS Dual Purpose
0540 Nature's Bounty B Complex Sublingual Liquid, 2 oz
$9.93 VITAMINS Dual Purpose
0541 Sundown Naturals Herbal Supplement Natural Water Pills, 60 ct
$7.18 VITAMINS Dual Purpose
0545 Nature's Bounty Your Life Gummies, 75 ct $11.20 VITAMINS Dual Purpose
0546 Nature's Bounty Vitamin D3-2000 IU, Softgels, 200 ct
$24.18 VITAMINS Dual Purpose
0548 Sundown Naturals Vitamin C mg, 100 ct $9.23 VITAMINS Dual Purpose
0549 Nature's Bounty D3 5000, 100 ct $23.84 VITAMINS Dual Purpose
0552 Nature's Bounty D3 1000, 120 ct $11.73 VITAMINS Dual Purpose
0553 Nature's Bounty L-Lysine 1000 mg, 60 ct $8.93 VITAMINS Dual Purpose
0554 Sundown Naturals Vitamin B6, 50 mg, Tablets, 150 ct
$8.78 VITAMINS Dual Purpose
0556 Nature's Bounty Garcinia Cambogia & Coconut Oil Rapid Rel Softgel, 60 ct
$24.99 VITAMINS Dual Purpose
0557 Nature's Bounty Green Coffee Bean with Raspberry Ketones & Green Tea, 60 ct
$22.99 VITAMINS Dual Purpose
0615 Centrum Silver Men Multivitamin / Multi Suppl Tablet, Vitamin D3, Age 50+, 50 ct
$16.98 VITAMINS Dual Purpose
0616 Emergen-C Dietary Supplement, Tangerine, 10 ct $8.30 VITAMINS Dual Purpose
0617 Emergen-C Tangerine, 0.33 oz $21.78 VITAMINS Dual Purpose
0618 Centrum Silver Women 50+ Multivitamin Tablets, 100 ct
$17.98 VITAMINS Dual Purpose
0619 Nature Made Folic Acid 400 mcg, 250 ct $9.83 VITAMINS Dual Purpose
0620 Nature Made Vitamin A 8000 IU Softgels, 100 ct $8.98 VITAMINS Dual Purpose
0621 Nature Made Vitamin C 500 mg, 250 ct $17.99 VITAMINS Dual Purpose
0622 Nature Made Multi For Her with Iron, 90 ct $14.15 VITAMINS Dual Purpose
0623 Nature Made Vitamin B-12 Dietary Supplement Tablets, 100 ct
$12.08 VITAMINS Dual Purpose
13
Health Partners Medicare Special (HMO SNP)OTC Catalog
0624 Nature Made Vitamin C 500 mg, 60 ct $18.99 VITAMINS Dual Purpose
0625 Nature Made Calcium 500 mg + Vitamin D3 Tabs, 300 ct
$22.99 VITAMINS Dual Purpose
0626 Nature Made B6 Vitamin, 100 mg, 100 ct $11.99 VITAMINS Dual Purpose
0627 Nature Made Balanced B-100 Complex Tablets, 60 ct
$23.99 VITAMINS Dual Purpose
0628 Nature Made Vitamin D3 2000 IU, 90 ct $14.94 VITAMINS Dual Purpose
0629 Nature Made D3 5000, 90 ct $25.79 VITAMINS Dual Purpose
0630 Nature Made Calcium with Vitamin D 400IU, 130 ct $14.94 VITAMINS Dual Purpose
0631 Nature Made Vitamin D3 2000 IU, 100 ct $12.48 VITAMINS Dual Purpose
0633 Nature Made Sublingual Vitamin B12 3000 mcg, 40 ct
$15.66 VITAMINS Dual Purpose
0634 Nature Made Adult Gummies Calcium, 80 ct $19.09 VITAMINS Dual Purpose
0635 Nature Made Adult Gummies Vitamin D3, 90 ct $14.28 VITAMINS Dual Purpose
0636 Nature Made Adult Gummies Energy B12, 80 ct $13.20 VITAMINS Dual Purpose
0637 Nature Made Vitamin B-1 Dietary Supplement Tablets, 100 ct
$8.94 VITAMINS Dual Purpose
0638 Nature Made Vitamin E Softgels, 100 ct $18.06 VITAMINS Dual Purpose
0639 Nature Made Magnesium Tablets, 250 mg, 100 ct $7.98 VITAMINS Dual Purpose
0640 Nature Made Biotin 1000 mcg Softgels, 120 ct $19.18 VITAMINS Dual Purpose
0641 Nature Made Adult Gummies Multi, 90 ct $17.49 VITAMINS Dual Purpose
0764 Windmill Melatonin 3 mg Tablets, 100 ct $8.80 VITAMINS Dual Purpose
0765 Windmill Adult Chewable Hi-Potency Multi Vitamin Wafers, 60 ct
$17.48 VITAMINS Dual Purpose
0766 Windmill Daily Vitamin Tablets Maximum Formula, 100 ct
$17.48 VITAMINS Dual Purpose
0767 Windmill Vitamin B-12 100mcg, 100 ct $8.74 VITAMINS Dual Purpose
0768 Windmill Daily-Vitamin Tablet Complete Multivitamin for Nutrition, 100 ct
$8.80 VITAMINS Dual Purpose
0769 Windmill Daily Vitamin Tablets Men's Health Formula, 60 ct
$8.76 VITAMINS Dual Purpose
14
Health Partners Medicare Special (HMO SNP)OTC Catalog
0770 Windmill Biotin 1000 mcg Tablets, 60 ct $7.84 VITAMINS Dual Purpose
0771 Windmill Daily Women's Health Formula Multivitamin Tablets, 100 ct
$15.27 VITAMINS Dual Purpose
0772 Windmill Daily Vitamin Tablets With Iron, 100 ct $9.96 VITAMINS Dual Purpose
0773 Windmill Vitamin B-50 Complex, 100 ct $19.33 VITAMINS Dual Purpose
0774 Windmill Natural Vitamins Vitamin C-250, 100 ct $9.82 VITAMINS Dual Purpose
0777 Windmil Dhea 50 mg, 50 ct $9.43 VITAMINS Dual Purpose
0778 Windmill 5-Htp Griffonia Extract, Dietary Supplement, 50 ct
$16.10 VITAMINS Dual Purpose
0779 Foods Plus Vitamin C 500mg, 100 ct $9.90 VITAMINS Dual Purpose
0780 Food Plus Vitamin B1 100mg, 60 ct $9.00 VITAMINS Dual Purpose
0869 Sundown Naturals Sundown Garcina Cambogia 1000mg, 90 ct
$21.99 VITAMINS Dual Purpose
0870 Nature's Bounty Quick Dissolve Vitamin C Plus Zinc, 60 ct
$9.84 VITAMINS Dual Purpose
0871 Sundown Naturals B6 100 mg, 150 ct $9.84 VITAMINS Dual Purpose
0872 Sundown Naturals Vitamin A, 100 ct $8.79 VITAMINS Dual Purpose
0925 Food Plus Calcium With Vitamin D 500Mg Tablets, 60 ct
$8.08 VITAMINS Dual Purpose
0926 Windmill Vitamin B-12 500 Mcg Dietary Supplement Tablets By Food Plus, 60 ct
$17.08 VITAMINS Dual Purpose
0927 Food Plus Vitamin C-500mg Chewable Tablets, 60 ct
$9.12 VITAMINS Dual Purpose
0928 Food Plus Vitamin C 1000 Mg Sustained Released Tablets, 60 ct
$15.94 VITAMINS Dual Purpose
0929 Windmill Vitamins Calcium Magnesium Mineral Tablets By Food Plus, 180 ct
$5.70 VITAMINS Dual Purpose
0930 Windmill Foods Plus Folic Acid 400 Mcg Tablets, 60 ct
$13.91 VITAMINS Dual Purpose
0931 Windmill Food Plus Magnesium 400mg, 60 ct $16.96 VITAMINS Dual Purpose
0946 21st Century Potassium Gluconate, 595 mg, Tablets, 110 ct
$9.42 VITAMINS Dual Purpose
1007 Natures Bounty Vitamin E Softgels, 120 ct $16.98 VITAMINS Dual Purpose
1008 Nature's Bounty Calcium Magnesium Zinc Caplets, 100 ct
$8.61 VITAMINS Dual Purpose
15
Health Partners Medicare Special (HMO SNP)OTC Catalog
1009 Nature’s Bounty B-12 1000 MCG, 100 ct $13.20 VITAMINS Dual Purpose
1010 Nature's Bounty Vitamin C-500mg, 100 ct $8.98 VITAMINS Dual Purpose
1011 Nature's Bounty Magnesium 500 mg, 200 ct $14.22 VITAMINS Dual Purpose
1012 Nature Made Vitamin C 500 mg Chewable Tablets, 60 ct
$12.87 VITAMINS Dual Purpose
1119 21st Century Vitamin E-400 IU, 180mg, 110 ct $9.23 VITAMINS Dual Purpose
1121 Windmill Calcium With Vitamin mg Tablets, 60 ct $9.68 VITAMINS Dual Purpose
1122 One Daily Mens 50+, 100 ct $14.26 VITAMINS Dual Purpose
1123 21st Century Vitamin E, 30,000 IU, Oil, 2.5 fl. oz $17.48 VITAMINS Dual Purpose
1125 21st Century Zink, 90 ct $9.71 VITAMINS Dual Purpose
1126 21st Century D3 IU Softgels, 250 ct $11.65 VITAMINS Dual Purpose
1127 21st Century D3 IU Softgels, 250 ct $12.35 VITAMINS Dual Purpose
1128 Phillips' Fiber Good Gummies Plus Energy Support, 80 ct
$20.03 VITAMINS Dual Purpose
1129 Vitafusion Fiber Well Gummies, 90 ct $17.00 VITAMINS Dual Purpose
1130 VitaFusion Women's, 70 ct $15.73 VITAMINS Dual Purpose
1131 Vitafusion Fiber Well Fit Gummies - Peach, Strawberry & Berry, 90 ct
$22.64 VITAMINS Dual Purpose
1132 Vitafusion Gorgeous Hair, Skin & Nails Multivitamin Gummy Vitamins, 100 ct
$18.54 VITAMINS Dual Purpose
1133 Vitafusion Power C Vitamins, 150 ct $12.98 VITAMINS Dual Purpose
1135 Nature Made Vitamin D3 1000 IU, 100 ct $11.70 VITAMINS Dual Purpose
1136 Nature Made Vitamin K2 100 mcg, 30 ct $22.58 VITAMINS Dual Purpose
1137 Foods Plus Vitamin D3 5000 IU Tablets, 60 ct $9.93 VITAMINS Dual Purpose
1139 Windmill Foods Plus Daily Vitamin with Beta Carotene Tablets, 60 ct
$10.12 VITAMINS Dual Purpose
1142 21st Century, Chewable C, 500 mg, Orange Flavored Tablets, 110 ct
$10.25 VITAMINS Dual Purpose
1156 Nature's Way Alive! Women's 50+ Tablets, 50 ct $18.20 VITAMINS Dual Purpose
16
Health Partners Medicare Special (HMO SNP)OTC Catalog
1191 Centrum Silver Adults 50+, 80 ct $15.28 VITAMINS Dual Purpose
1195 21st Century Folic Acid, 180 ct $9.30 VITAMINS Dual Purpose
1196 Vitafusion Adult Vitamin B12 Gummies, Raspberry, 1000 mcg, 60 ct
$9.90 VITAMINS Dual Purpose
MEDICAL DEVICES (THERMOMETERS AND BLOOD PRESSURE MONITORS)
0013 Vicks Digital Thermometer V901F-24, 1 unit $19.14 MEDICAL DEVICES
0096 LifeSource Quick Response Blood Pressure Monitor UA-787EJ, 1 unit
$99.99 MEDICAL DEVICES
Dual Purpose
0097 LifeSource UA-789AC Arm Blood Pressure Monitor w/ XL Cuff, 1 unit
$182.18 MEDICAL DEVICES
Dual Purpose
0098 LifeSource Instant-Read Digital Ear Thermometer, 1 unit
$34.44 MEDICAL DEVICES
0099 LifeSource Premier Talking Blood Pressure Monitor, 1 unit
$90.99 MEDICAL DEVICES
Dual Purpose
0100 A&D Medical Deluxe Upper Arm Blood Pressure Monitor with Bluetooth, 1 unit
$76.99 MEDICAL DEVICES
Dual Purpose
0410 Lumiscope Professional Self-Taking Blood Pressure, 1 unit
$28.43 MEDICAL DEVICES
Dual Purpose
0497 Vicks Digital Thermometer V901, 1 unit $23.98 MEDICAL DEVICES
0498 Vicks Rapid Read Digital Thermometer, 1 unit $22.98 MEDICAL DEVICES
0534 Microlife Blood Pressure Cuff Large, 1 unit $28.42 MEDICAL DEVICES
Dual Purpose
0873 Omron 3 Series Wrist Blood Pressure Monitor (60 Reading Memory), 1 unit
$68.82 MEDICAL DEVICES
Dual Purpose
0874 Omron Blood Pressure Monitor Wrist, 1 unit $99.99 MEDICAL DEVICES
Dual Purpose
0876 Omron 7 Series Upper Arm Blood Pressure Monitor, 1 unit
$88.80 MEDICAL DEVICES
Dual Purpose
0934 Omron BP785N 10 Series Upper Arm Blood Pressure Monitor, 1 unit
$108.63 MEDICAL DEVICES
Dual Purpose
1003 Braun Thermoscan Thermometer, 1 unit $69.99 MEDICAL DEVICES
EYE and EAR CARE0017 Clear eyes Pure Relief Multi-Symptom Eye Drops,
0.34 fl. oz$18.06 EYE/EAR
0105 Thera Tears, 1 fl. oz $27.50 EYE/EAR0109 Systane Long Lasting Drops, 1 fl.oz $22.70 EYE/EAR0110 Systane Long Lasting Lubricant Eye Drops,
0.5 fl. oz$22.70 EYE/EAR
17
Health Partners Medicare Special (HMO SNP)OTC Catalog
0117 Bausch & Lomb Advanced Relief Eye Wash, 4 fl. oz
$7.96 EYE/EAR
0119 Bausch & Lomb Opcon Allergy Relief Eye Drops, 0.5 fl. oz
$10.55 EYE/EAR
0120 Bausch & Lomb Renu Lubricating And Rewetting Eye Drops, 0.27 fl. oz
$8.98 EYE/EAR
0121 Bausch + Lomb Renu Advanced Formula Multi-Purpose Eye Contact Lens Solution, 12 fl. oz
$16.94 EYE/EAR
0529 Rohto Eye Drops Cooling, 0.4 fl. oz $9.38 EYE/EAR0530 Rohto Eye Drops, Lubricant, Redness Relief,
0.4 fl. oz$9.01 EYE/EAR
0531 Rohto Cooling Eye Drops, 0.4 fl. oz $11.88 EYE/EAR0532 Rohto Dry-Aid Lubricant Eye Drops, 0.34 fl. oz $16.48 EYE/EAR0533 Rohto Dry Aid, 0.34 fl. oz $34.80 EYE/EAR0647 Clear Eyes Contact Lens Relief, 0.5 fl. oz $6.88 EYE/EAR0648 Clear Eyes Redness Relief Sterile Eye Drops,
0.5 fl. oz$9.24 EYE/EAR
0649 Clear Eyes Triple Action Lubricant/Redness Relief Eye Drops, 0.5 fl. oz
$8.58 EYE/EAR
0650 Clear Eyes Maximum Itchy Eye Relief, 0.5 fl. oz $7.24 EYE/EAR0651 Clear eyes Maximum Redness Relief Lubricant Eye
Drops, 1 fl. oz$12.23 EYE/EAR
0652 Clear Eyes Natural Tears Lubricant, 0.5 fl. oz $14.61 EYE/EAR0653 Clear Eyes Maximum Strength Redness Relief Eye
Drops, 0.5 fl. oz$12.69 EYE/EAR
0654 Stye Ointment, 0.125 fl. oz $12.78 EYE/EAR0655 Murine Ear Wax Removal System, 0.5 fl. oz $15.73 EYE/EAR0656 Clear Eyes Cooling Comfort Itchy Eye Relief Drop,
0.5 fl. oz$8.74 EYE/EAR
0657 Clear Eyes Cooling Comfort Redness Relief Eye Drops, 0.5 fl. oz
$9.88 EYE/EAR
0658 Debrox Earwax Removal Aid Liquid, 0.5 fl. oz $12.25 EYE/EAR0659 Clear Eyes Eye Drops, Redness Relief, 1 fl. oz $9.70 EYE/EAR0660 Clear Eyes Complete 7 Symptom Relief Eye Drops,
0.5 fl. oz$9.87 EYE/EAR
0812 Visine A.C Astringent Redness Reliever Eye Drops, 0.5 fl. oz
$9.26 EYE/EAR
0816 Visine Original, 0.5 fl. oz $7.98 EYE/EAR0817 Visine Tears Dry Eye Relief Lubricant Eye Drops, 0.5
fl. oz$10.41 EYE/EAR
0847 Visine Totality Multi Symptom Relief Drops, 0.5 fl. oz
$10.85 EYE/EAR
0861 Blink Contacts Lubricant Eye Drops, 0.34 fl. oz $10.45 EYE/EAR0862 RevitaLens Ocutec Multi-Purpose Disinfecting
Solution, 10 fl. oz$15.75 EYE/EAR
1002 Hyllands Ear Ache Drops, 0.33 fl. oz $11.95 EYE/EAR
18
Health Partners Medicare Special (HMO SNP)OTC Catalog
FIRST AID0019 Curad First Aid Kit, 1 unit $17.58 FIRST AID0115 Flents First Aid Cots, 12 ct $7.98 FIRST AID0150 RID Home Lice, Bed Bug & Dust Mite Spray, with
Permethrin, 5 oz$12.25 FIRST AID
0151 RID Lice Killing Shampoo, Maximum Strength, 2 fl. oz
$16.36 FIRST AID
0152 Lotrimin AF For Ringworm Cream, 0.42 oz $13.67 FIRST AID0153 RID Lice Elimination Kit, 8 fl. oz $25.37 FIRST AID0154 RID Lice Killing Shampoo, Maximum Strength,
4 fl. oz$17.68 FIRST AID
0192 Thermalon Moist Heat Sinus Compress, 1 unit $18.77 FIRST AID0194 Thermalon Stye Moist Heat Compress, 1 unit $16.83 FIRST AID0196 Cara Ice Bag & Wrap, 1 unit $20.78 FIRST AID0307 Betadine First Aid Spray, 3 oz $17.48 FIRST AID0313 Salonpas-Hot 5.12X7.09, 1 unit $9.84 FIRST AID0314 Salonpas Deep Relieving Gel Topical Analgesic,
2.75 oz$15.73 FIRST AID
0315 Salonpas Pain Relieving Patch, 60 Patches $14.79 FIRST AID0318 Salonpas Lidocaine Plus Pain Relieving Cream,
3 oz$15.31 FIRST AID
0319 Salonpas Lidocaine Plus Roll On Pain Relieving Liquid, 3 oz
$17.50 FIRST AID
0326 Prax Lotion, 4 fl. oz $31.74 FIRST AID0327 Bacitracin + Zinc, 1 oz $6.20 FIRST AID0416 Calaclear Lotion, 6 oz $14.89 FIRST AID0417 Humco Humco Calagesic Lotion, 6 oz $19.10 FIRST AID0481 Imodium A D Anti Diarrheal, Mint Flavor, 8 fl. oz $16.70 FIRST AID0525 Curad Sterile Pro-Gauze Pad, 3" X 3", 10 yd $4.00 FIRST AID0526 Curad First Aid Kit, 1 unit $9.70 FIRST AID0527 Curad Complete Kit In Hard Case, 175 Count,
1 unit$19.76 FIRST AID
0663 Stye Eye Therapy Warming Compress, 1 unit $17.48 FIRST AID0664 Nix Ultra Lice Removal Kit, 1 unit $44.79 FIRST AID0721 Alocane Maximum Strength Emergency Burn Gel,
2.5 fl. oz$13.67 FIRST AID
0754 Easy Care First Aid Chest Kit, 1 unit $23.98 FIRST AID0755 Vaseline 100% Pure Petroleum Jelly, 13 oz $9.43 FIRST AID0756 Vaseline Petroleum Jelly, 7.5 oz $11.13 FIRST AID0837 Neosporin Antibiotic Ointment, 1 oz $15.56 FIRST AID0838 Neosporin Antibiotic Ointment, 0.5z $8.66 FIRST AID0839 Neosporin + Pain Relief Ointment, 0.5 oz $10.22 FIRST AID0848 Band Aid Tough Strips XL, 10 ct $6.58 FIRST AID0850 Band-Aid Hurt-Free Antiseptic Wash, 6 oz $7.22 FIRST AID0851 Band-Aid Brand Water Block Plus Waterproof Clear
Adhesive Bandages, 30 ct$6.26 FIRST AID
19
Health Partners Medicare Special (HMO SNP)OTC Catalog
0852 Band-Aid flexible Fabric Adhesive Bandages, 8 ct $1.58 FIRST AID0853 Johnson & Johnson First Aid Kit, 70 ct $12.23 FIRST AID0868 Bandaid Guaze Pads 4x4 Sterile, 25 ct $14.82 FIRST AID0944 Band Aid Flex Assorted, 30 ct $6.46 FIRST AID0952 Thermalon Dry Eye Compress, 1 ct $16.45 FIRST AID0994 Salonpas Pain Relieving Patches, Large, 6 ct $12.23 FIRST AID0995 Salonpas Maximum Strength Lidocaine 4% Pain
Relieving Gel-Patch, 6 ct$20.78 FIRST AID
1099 Ace Reusable Cold Compress, 1ct $10.01 FIRST AID1100 Band-Aid+NEOS, 20 ct $9.24 FIRST AID1185 Swan 70% Isoprop. Alc., 16 fl. oz $11.01 FIRST AID1186 Bandaid One Size, 100 ct $22.88 FIRST AID1187 Qc Hydro Peroxide, 16 fl. oz $17.57 FIRST AID1188 Swan 99% Alcohol, 16 fl. oz $10.96 FIRST AID1189 Solimo 70% Ethyl Rubbing Alcohol First Aid
Antiseptic, 16 fl. oz$6.58 FIRST AID
1190 Hydrogen Peroxide Solution for Treatment, 32 fl. oz $12.34 FIRST AID1194 Humco Calagesic Lotion, 6 fl. oz $19.10 FIRST AID1197 Flents Finger Sleeves Elastic Wrap Provides Support
& Compression$19.10 FIRST AID
SUPPORT BANDAGES/HEATING PADS0016 Futuro Knee Support Sport Adjustable, 1 unit $17.48 SUPPORT
BANDAGES/HEATING PADS
Possibly Covered Under Part B
0090 Futuro Ankle Support Wrap Around, Large, 1 unit $13.98 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0091 Futuro Plantar Fasciitis Sleep Support, 1 unit $38.77 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0092 Futuro Ankle Support Comfort Lift, Medium, 1 unit $12.06 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0093 Futuro Knee Stabilizer Sport Adjustable, 1 unit $23.66 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0094 Futuro Hand Support Energizing, Small/Medium, 1 unit
$15.21 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
20
Health Partners Medicare Special (HMO SNP)OTC Catalog
0739 Neoprene Slip-On Ankle Brace (Blue), Large, 1 unit
$22.22 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0740 Sport Aid Slip-On Knee Brace (Tan), Large, 1 unit $21.26 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0741 Sport Aid Slip-On Knee Wrap Sm Beige, 1 unit $23.01 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0742 Sport Aid Slip-On Knee Brace (Tan), X Large, 1 unit
$21.26 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0744 Sport Aid Back Brace XLarge w/Suspenders, 1 unit
$44.23 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0745 Sport Aid Slip-On Wrist (Tan) Medium, 1 unit $17.38 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0746 Sport Aid Slip-On Wrist Support, Large, 1 unit $15.58 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0747 Wrist Support Small Slip-On 5 1/2 -6 1/2 Sportaid, 1 unit
$20.75 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0748 Sport Aid Slip-On Wrist Support, X Large, 1 unit $20.29 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0749 Sport Aid Slip-On Knee, Medium, 1 unit $21.90 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
0751 Sport Aid Slip-On Ankle Brace (Tan), Large, 1 unit $17.48 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
21
Health Partners Medicare Special (HMO SNP)OTC Catalog
1017 Neoprene Slip-On Ankle Brace (Blue), Small, 1 unit
$22.22 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
1018 Sport Aid Slip-On Ankle Brace (Tan), XLarge, 1 unit
$16.43 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
1144 Neoprene Slip-On Ankle Brace (Blue), XLarge, 1 unit
$25.11 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
1182 Neoprene Slip-On Knee Brace (Blue), Medium, 1 unit
$27.89 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
1183 Neoprene Slip-On Knee Brace (Blue), Large, 1 unit
$23.69 SUPPORT BANDAGES/HEATING PADS
Possibly Covered Under Part B
1208 Sport Aid Slip-On Wrist (Tan) Medium, 1 unit $14.11 SUPPORT BANDAGES/HEATING PADS
1210 Sunbeam Heating Pad for Pain Relief, Standard Size UltraHeat, 3 Heat Settings with Moist Heat, Light Blue, 12-Inch x 15-Inch
$21.10 SUPPORT BANDAGES/HEATING PADS
1211 CARA 53 Heating Pad, Moist / Dry, King Size $39.03 SUPPORT BANDAGES/HEATING PADS
FOOT CARE0095 Futuro Trouser Socks Large, Black, 1 ct $29.24 FOOT CARE Possibly
Covered Under Part B
0104 Zostrix Arthritis Pain Relief High Potency Cream, 2 oz
$29.99 FOOT CARE
0108 Zostrix Foot Pain Relief High Potency, 2 oz $23.94 FOOT CARE0155 Dr. Scholl's Wart Treatment, 14 Strips $16.87 FOOT CARE0156 Dr. Scholl's Bunion Cushions, 6 ct $5.98 FOOT CARE0157 Dr. Scholl's Extra Thick Callus Removers, 4 ct $11.11 FOOT CARE0158 Dr. Scholl's One Step Corn Remover Bandages,
6 ct$11.38 FOOT CARE
22
Health Partners Medicare Special (HMO SNP)OTC Catalog
0159 Lotrimin Antifungal Athlete's Foot Powder Spray, 4.6 oz
$16.80 FOOT CARE
0160 Dr. Scholl's Corn Cushions, 9 ct $7.98 FOOT CARE0161 Dr. Scholl's Freeze away Wart Remover kit, 7 ct $23.21 FOOT CARE0163 Dr. Scholl's Corn Remover, 9 ct $9.66 FOOT CARE0164 Lotrimin Antifungal Powder For Athlete's Foot,
3 oz$11.34 FOOT CARE
0165 Dr. Scholl's Liquid Corn/Callus Remover, 0.33 oz $10.48 FOOT CARE0166 Lotrimin ULTRA Athlete's Foot Cream, 0.42 oz $17.58 FOOT CARE0167 Dr. Scholl's Corn Cushions with Duragel Techology,
6 ct$10.47 FOOT CARE
0168 Dr. Scholl's Callus Cushions with Duragel Technology, 5 ct
$9.58 FOOT CARE
0169 Dr. Scholl's Callus Removers, 4 ct $10.48 FOOT CARE0170 Dr Scholl's Duragel Clearaway Wart Remover,
1 unit$17.58 FOOT CARE
0171 Dr Scholl's Duragel Bunion Pain Relief Cushions, 5 ct
$10.48 FOOT CARE
0320 Kerasal Fungal Nail Renewal Treatment, 0.33 fl. oz $36.24 FOOT CARE0803 Lamisil Athletes Foot Cream, 0.42 fl. oz $16.10 FOOT CARE0804 Lamisil AT Athlete's Foot Cream, 1 oz $22.30 FOOT CARE0933 Nonyx Fungal Nail Clarifying Gel, 4 oz $36.24 FOOT CARE0950 Dr. Scholl's Freeze Away Wart Remover, 7 ct $20.75 FOOT CARE0993 Gold Bond Foot Powder, 10 oz $16.63 FOOT CARE0996 Fungi Nail Brand Anti-Fungal Pen, 0.10 fl. oz $17.48 FOOT CARE1101 Dr. Scholl's Bunion Cushions with ComfortPlus, 6 ct $5.60 FOOT CARE1102 Dr. Scholl's Corn Cushions Regular, 9 ct $7.98 FOOT CARE1105 Dr. Teal's Epsom Salt-Soaking Solution, 96 oz $9.19 FOOT CARE1147 Jobst Anti-Embolism Knee Highs, Large, 1 unit $34.34 FOOT CARE Possibly
Covered Under Part B
1148 Jobst Compression Socks Black Knee-High, Large, 1 unit
$23.88 FOOT CARE Possibly Covered Under Part B
1150 Jobst Men SupportWear, Large, Black, 1 unit $24.20 FOOT CARE Possibly Covered Under Part B
1152 Jobst SupportWear Men, Medium, 1 unit $23.58 FOOT CARE Possibly Covered Under Part B
23
Health Partners Medicare Special (HMO SNP)OTC Catalog
1153 Jobst Pantyhose Women, Large, 1 unit $39.06 FOOT CARE Possibly Covered Under Part B
1162 Dr. Scholl's Freeze Away Wart Remover, 7 ct $20.75 FOOT CAREFEMININE HYGIENE
0111 AZO Urinary Tract Health Cranberry Tabs, 50 ct $11.32 FEMININE HYGIENE
0149 Midol Complete, 24 ct $12.69 FEMININE HYGIENE
0661 Monistat 3-Day Yeast Infection Treatment, Prefilled Applicators + Itch Cream, 1 unit
$32.32 FEMININE HYGIENE
0662 Monistat 3-Day Yeast Infection Treatment, Ovule Inserts + External Itch Cream, 1 unit
$27.11 FEMININE HYGIENE
1097 Midol Complete Pain Reliever Diuretic Antihistamine Caplets, 24 ct
$9.96 FEMININE HYGIENE
1098 Monistat 1 Day Treatment Kit, 1 unit $23.73 FEMININE HYGIENE
1184 AZO Urinary Pain Relief Max Strength Tablets, 12 ct
$12.23 FEMININE HYGIENE
ALLERGY0127 Claritin Redi Tabs, 10 ct $15.48 ALLERGY0208 Allegra 12 Hour Allergy Relief 60mg, 12 ct $17.34 ALLERGY0209 Allegra, 30 ct $28.13 ALLERGY0212 Allegra 12 Hour Allergy, 24 ct $22.56 ALLERGY0213 Allegra 24 Hour Allergy Relief 180mg Gelcaps,
24 ct$29.99 ALLERGY
0214 Allegra Allergy 24 Hour Gelcaps, 8 ct $18.80 ALLERGY0333 Flonase Nasal Allergy Spray, 0.34 fl. oz $23.49 ALLERGY0334 Flonase Nasal Allergy Spray, 0.53 fl. oz $35.98 ALLERGY0642 NasalCrom Nasal Spray, 0.44 fl. oz $15.61 ALLERGY0841 Benadryl Allergy Liqui-Gels, 24 ct $9.01 ALLERGY0842 Benadryl Allergy, 24 ct $9.78 ALLERGY0843 Benadryl Cream Extra Strength, 1 oz $9.78 ALLERGY0844 Zyrtec, 5 ct $13.44 ALLERGY0845 Zyrtec, 14 ct $25.25 ALLERGY0846 Zyrtec, 30 ct $29.99 ALLERGY0865 Benadryl Allergy Ultra Tabs, 48 ct $14.00 ALLERGY0948 Claritin, 10 ct $17.28 ALLERGY0957 Allegra 24 Hour Allergy Relief 180mg Gelcaps,
60 ct$28.99 ALLERGY
0969 Allegra, 5 ct $15.19 ALLERGY0970 Allegra 24 Hour Allergy, 45 ct $31.99 ALLERGY0971 Allegra 24 Hour Allergy Relief Antihistamine Tablets
Value Size, 70 ct$50.19 ALLERGY
24
Health Partners Medicare Special (HMO SNP)OTC Catalog
1083 Bayer Low Dose Enteric Coated, 32 ct $7.99 ALLERGY1171 Claritin 24 Hour Allergy Relief Liqui-Gels, 10 ct $17.44 ALLERGY1172 Rhinocort Nasal Allergy Spray, 0.17 fl. oz $24.53 ALLERGY
LAXATIVES0172 Phillips Milk of Magnesia Fresh Mint Saline Laxative,
12 oz$10.37 LAXATIVES
0173 Phillips Laxative Caplets, 55 ct $13.97 LAXATIVES0174 Phillips Stool Softener Liquid Gels, 30 ct $9.19 LAXATIVES0175 Phillips Milk of Magnesia, Cherry, 12 fl. oz $10.38 LAXATIVES0176 MiraLAX Single Dose Packets, 10 ct $19.99 LAXATIVES0177 Philips Milk Of Magnesia Saline Laxative, Original,
4 fl. oz$8.30 LAXATIVES
0178 Phillips Laxative Caplets, 24 ct $9.18 LAXATIVES0179 MiraLax Powder Laxative, 30 Day Supply, 17.9 oz $33.97 LAXATIVES0180 Phillips Milk of Magnesia Concentrated, 8 oz $9.83 LAXATIVES0191 Tucks Medicated Hemorrhoidal Pads, 100 ct $15.74 LAXATIVES0253 Dulcolax Medicated Laxative Suppositories, 4 ct $9.98 LAXATIVES0254 Dulcolax Laxative Comfort Coated Tablets, 25 ct $11.83 LAXATIVES0257 Rolaids Advanced Antacid Plus Anti-Gas Mixed
Berries, 60 ct$9.98 LAXATIVES
0258 Rolaids Advanced Tablets, Mixed Berries, 3 Rolls $7.74 LAXATIVES0306 Colace Stool Softener Capsules, 30 ct $18.98 LAXATIVES0418 Humco Castor Oil USP, 6 fl. oz $14.30 LAXATIVES0419 Humco Castor Oil, 2 fl. oz $10.59 LAXATIVES0480 Imodium Multi Symptom Relief, 12 ct $12.60 LAXATIVES0482 Imodium Multi-Symptom Relief Caplets, 18 ct $15.29 LAXATIVES0483 Imodium Anti-Diarrheal Liquid, Mint, 4 fl. oz $9.62 LAXATIVES0484 Imodium Anti-Diarrheal caplets, 24 ct $19.20 LAXATIVES0665 Fleet Mineral Oil Enema for Adults, 4.5 fl oz $5.98 LAXATIVES0666 Fleet Enema for Adults, 4.5 oz $3.78 LAXATIVES0691 Pepto Original Liquid 5 Symptom Relief, 8 oz $9.82 LAXATIVES0692 Pepto Bismol Liquid for Nausea, Heartburn,
Indigestion, Upset Stomach, and Diarrhea Relief, Cherry, 16 oz
$14.09 LAXATIVES
0693 Pepto-Bismol Upset Stomach Reliever/Antidiarrheal Caplets, 40 ct
$14.18 LAXATIVES
0694 Pepto Bismol Extra Strenght Liquid, 4 oz $8.38 LAXATIVES0695 Pepto-Bismol Upset Stomach Reliever/Antidiarrheal
Caplets, 24 ct$8.90 LAXATIVES
0696 Metamucil Multi-Health Psyllium Fiber Supplement Capsules With Calcium, 120 ct
$29.84 LAXATIVES
0697 Metamucil Fiber Wafer, Cinnamon Spice, 12ct $11.50 LAXATIVES0698 Pepto Bismol Extra Strenght Liquid, 30 ct $9.72 LAXATIVES0699 Metamucil MultiHealth Fiber Daily Fiber
Supplement/Therapy For Regularity, Fiber Singles, Orange Smooth Singles, 30 ct
$19.99 LAXATIVES
25
Health Partners Medicare Special (HMO SNP)OTC Catalog
0700 Metamucil MultiHealth Fiber Daily Fiber Supplement/Therapy For Regularity, Fiber Singles, Sugar-Free, Orange Smooth Single, 30 ct
$19.99 LAXATIVES
0701 Pepto-Bismol 5 Symptom Digestive Relief Original Liquid, 16 oz
$13.88 LAXATIVES
0702 Metamucil Psyllium Daily Fiber Supplement Original Smooth, 114 ct
$37.87 LAXATIVES
0703 Metamucil Sugar Free Psyllium Fiber For Regularity, Smooth Texture, Orange, 36.8 oz
$41.02 LAXATIVES
0704 Metamucil Multi-Health Psyllium Fiber Supplement Sugar-Free Powder, Orange Flavored, 44 ct
$30.28 LAXATIVES
0705 Pepto-Bismol Max Liquid Cherry, 12 oz $12.58 LAXATIVES0706 Pepto-Bismol Upset Stomach Reliever/Antidiarrheal
Chewable Tablets Original, 48 ct$13.98 LAXATIVES
0707 Pepto-Bismol To-Go Chewable 5 Symptom Digestive Relief, 24 ct
$11.97 LAXATIVES
0708 Pepto-Bismol To-Go Cherry Flavor Digestive Relief Chewable Tablets, 12 ct
$9.57 LAXATIVES
0710 Pepto-Bismol Chewable Tablets, 12 ct $5.80 LAXATIVES0711 Pepto Bismol Upset Stomach Reliever/Antidiarrheal,
Cherry, Chewable Tablets, 30 ct$8.60 LAXATIVES
0712 Pepto-Bismol Liquid 5 Symptom Medicine Cherry, 8 oz
$8.80 LAXATIVES
0713 Metamucil Free Multi-Health Psyllium Fiber Supplement Powder, 114 ct
$35.66 LAXATIVES
0714 Pepto Bismol Liquid, 4 oz $6.72 LAXATIVES0805 Ex-Lax Maximum Relief Tablets 25 mg, 24 ct $9.60 LAXATIVES0806 Gas-X Extra Strength Softgel For Gas Relief, 10 ct $5.34 LAXATIVES0807 Ex-Lax Regular Strength, 8 ct $5.11 LAXATIVES0808 Gas X Extra Strength Chewable Tabbs, 18 ct $8.85 LAXATIVES0809 Gas X Extra Strength Softgel, 20 ct $7.30 LAXATIVES0810 Ex-Lax Regular Strength Chocolate Stimulant
Laxative, 24 ct$7.30 LAXATIVES
0912 Preperation H Suppositories, 24 ct $22.00 LAXATIVES0983 Dulcolax Laxative Tablets, 10 ct $7.40 LAXATIVES0984 Dulcolax Pink Laxative for Women, 25 ct $11.90 LAXATIVES0992 Dulcolax Laxative liquid Gel Caps, 25 ct $11.11 LAXATIVES0997 Colace Stool Softener Capsules, 10 ct $8.18 LAXATIVES1000 Colon Cleanse Regular, 12 oz $19.20 LAXATIVES1109 Phillips Milk Of Magnesia, Original, 12 fl. oz $9.48 LAXATIVES1111 Pepto-Bismol 5 Symptom Relief, Cherry, 12 oz $13.90 LAXATIVES1112 Pepto Bismol Liquid for Nausea, Heartburn,
Indigestion, Upset Stomach, and Diarrhea Relief, Original Flavor, 12 fl. oz
$11.32 LAXATIVES
26
Health Partners Medicare Special (HMO SNP)OTC Catalog
1113 Pepto Bismol Liquid Ultra for Nausea, Heartburn, Indigestion, Upset Stomach, and Diarrhea Relief, Original, 12 oz
$15.73 LAXATIVES
1166 Humco Castor Oil Tasteless, 2 fl. oz $9.84 LAXATIVES1167 Metamucil Original Coarse Powder, 114 ct $29.50 LAXATIVES1168 Pepto-Bismol Upset Stomach Reliever/Antidiarrheal
Chewable Tablets Original, 30 ct$9.42 LAXATIVES
SUN CARE0181 Solarcaine Aloe Spray, 4.5 oz $10.99 SUN CARE0182 Solarcaine Aloe Gel, 8 oz $10.13 SUN CARE0183 Coppertone Sunscreen Sport SPF 70 Spray, 5.5 oz $17.04 SUN CARE0184 Coppertone Odyssey SPF 30, 8 oz $17.48 SUN CARE0185 Coppertone Sunscreen Tanning 8 SPF , 8 fl. oz $16.48 SUN CARE0186 Coppertone Sunscreen Sport SPF 30 Spray, 5.5 oz $14.65 SUN CARE0493 Neutrogena Beach Defense Sunscreen SPF 30
Spray, 6.5 oz$14.89 SUN CARE
0494 Aveeno Protect and Hydrate Sunscreen Lotion SPF 50, 3 oz
$14.58 SUN CARE
0495 Neutrogena Beach Defense Sunscreen SPF 30 Lotion, 6.7 oz
$16.28 SUN CARE
0496 Aveeno Protect+Hydrate Lotion - SPF 30, 3 oz $14.18 SUN CARE0915 Solbar Shield Sunscreen SPF 40, 4.0 oz $19.40 SUN CARE1170 Alba Botanic Soothing Sunscreen SPF 45 Pure
Lavender, 4 oz$12.12 SUN CARE
DURABLE MEDICAL EQUIPMENT0198 Carex White Bathtub Rail, 1unit $39.99 DME Possibly
Covered Under Part B
0202 Carex Classics Rolling Walker, 1 unit $130.55 DME0203 Carex Health Brands Ergo Offset Cane, 1 unit $22.58 DME0954 Carex Adjustable Bath & Shower seat W/NO BACK,
1 unit$39.79 DME Possibly
Covered Under Part B
0955 Carex Toilet Support Rail, 1 unit $39.72 DME Possibly Covered Under Part B
0956 EZ Bath& Shower seat with handles, 1 unit $82.39 DME Possibly Covered Under Part B
27
Health Partners Medicare Special (HMO SNP)OTC Catalog
1091 Exam Gloves Latex, Small, 100 ct $11.63 DME Possibly Covered Under Part B
1092 Carex Toilet Safety Frame, 1 unit $76.09 DME Possibly Covered Under Part B
1181 Dynarex Safe-Touch Nitrile Exam Gloves, Powder-Free, X-Large, 100 ct
$12.93 DME
1192 Exam Gloves Latex, Medium, 100 ct $11.63 DME Possibly Covered Under Part B
1213 Carex Push Button Aluminum Crutches - Height Adjustable Crutches Adult Size Fits Individuals from 5'2" to 5'10" Tall, Completely Assembled with Crutch Pads, Hand Grips and Crutch Tips
$49.99 DME
SKIN CARE0246 Cortizone-10 Intensive-Healing Formula, 2 oz $10.31 SKIN CARE0248 Cortizone-10 Hydrocortisone, 1 oz $9.41 SKIN CARE0863 Neutrogena Acne Wash, 4.2 fl. oz $12.57 SKIN CARE0864 Neutrogena Oil Free Acne Wash Pump, 6 fl. oz $10.20 SKIN CARE0988 Cortizone-10 Plus Hydrocortisone, 2 oz $10.61 SKIN CARE1175 Aveeno 1% Hydrocortisone Anti-Itch Cream, 1 oz $9.80 SKIN CARE1176 Aveeno Anti-Itch Concentrated Lotion with Calamine
and Triple Oat Complex, 4 fl. oz$15.29 SKIN CARE
INCONTINENCE0301 Convatec Aloe Vesta Bathing Cloths, 8 ct $6.98 INCONTI-
NENCE0329 Prevail® Premium Adult Washcloths, Softpak,
48 ct$11.38 INCONTI-
NENCE0330 Prevail Adult Wipes with Lotion, 48 ct $9.70 INCONTI-
NENCE0509 Poise Ultra Thin Pads, 30 ct $10.83 INCONTI-
NENCE0510 Poise Liners Very Light, 44 ct $10.69 INCONTI-
NENCE0511 Poise Very Light Liners, 26 ct $8.58 INCONTI-
NENCE0512 Poise Incontinence Pads for Women, Moderate
Absorbency, Long, 54 ct$24.50 INCONTI-
NENCE0513 Poise Pads, 33 ct $26.54 INCONTI-
NENCE
28
Health Partners Medicare Special (HMO SNP)OTC Catalog
0514 Poise Overnight Pads, 27 ct $23.18 INCONTI-NENCE
0515 Poise Moderate Absorbency Incontinence Pads, 66 ct
$29.90 INCONTI-NENCE
0516 Poise Ultra Thin Incontinence Pads for Women, Moderate Absorbency, 66 ct
$28.34 INCONTI-NENCE
0569 Attends Belted Style Undergarments, 54 ct $20.78 INCONTI-NENCE
0570 Adult Absorbent Underwear Attends Pull On Large Disposable Heavy Absorbency, 18 ct
$22.46 INCONTI-NENCE
0571 Attends Washcloths Pop-Up Pack, 48 ct $8.56 INCONTI-NENCE
0572 Attends Underwear, Small, 20 ct $23.78 INCONTI-NENCE
0573 Attends AP0720 Underwear Extra Absorbency Medium, 20 ct
$17.74 INCONTI-NENCE
0574 Attends Underwear, Extra Large, 14 ct $22.86 INCONTI-NENCE
0878 Attends Briefs, 48 ct $19.80 INCONTI-NENCE
0879 Attends Underwear, Medium, 80 ct $23.27 INCONTI-NENCE
0880 Attend Wash Cloth, 72 ct $14.54 INCONTI-NENCE
1107 Attends Underwear With Leakage Barriers, Super Plus Absorbency, Large, 18 ct
$24.62 INCONTI-NENCE
1164 Attends Underwear, Extra Large, 56 ct $25.35 INCONTI-NENCE
1165 Poise Liners, 24 ct $14.54 INCONTI-NENCE
NICOTINE REPLACEMENT THERAPY0398 Nicoderm CQ Clear Patch 14 mg, 14 ct $76.99 NICOTINE
THERAPY0399 Nicorette Gum 2 mg Fruit Chill, 20 ct $19.40 NICOTINE
THERAPY0400 Nicorette Lozenge 4 mg Mint, 20 ct $19.40 NICOTINE
THERAPY0401 Nicorette Lozenge 2 mg Mint, 20 ct $19.40 NICOTINE
THERAPY0402 Nicoderm CQ Clear Patch 7 mg, 14 ct $65.73 NICOTINE
THERAPY0811 Nicorette Gum 4 mg Fruit Chill, 100 ct $82.59 NICOTINE
THERAPY1114 Nicoderm CQ Clear Patch 21mg, 14 ct $80.58 NICOTINE
THERAPY
29
Health Partners Medicare Special (HMO SNP)OTC Catalog
HAND & BODY LOTION0840 Ivy Dry Quickly Relieves Itching Soap Bars, 0.7 oz $16.92 HAND &
BODY LOTION
1163 Neutrogena Acne Prone Skin Formula Facial Bar, 3.5 oz
$10.48 HAND & BODY LOTION
30