| OVER-THE-COUNTER MEDICINES AND DRUGS |
AVAILABLE FOR REIMBURSEMENT* |
|
| Analgesics (all pain relievers) | Enemas |
| Anti-inflammatories (including Ibuprofen) | Laxatives |
| Antacids | Menstrual cycle products for pain or cramps relief |
| Antibacterial (including creams, ointments, sprays) | Muscle or Joint Pain Ointments |
| Antidiarrheals | Nicotine Gum or Patches (for stop-smoking programs) |
| Antiemetics (from treating nausea and vomiting including motion sickness medications) | Ocular Vasoconstrictor (such as Visine) |
| Antifungals (including Monistat, Gyne-Lotrimin, and any other anicandidal product) | Pedialyte for Dehydration |
| Antihistamines (for allergies and/or cold) | Sinus medications (including nasal sinus sprays) |
| Calamine Lotion and other bug bite medications | Sleeping Aids |
| Cold Remedies | Sunburn Ointment |
| Cough Suppressants and Expectorants | Sunscreen |
| Decongestants | Suppositories and Creams for Hemorrhoids |
| Diaper Rash Ointments | Wart Remover Treatments |
*Quantities and limitations exist. Must reasonably correlate to the number of dependents.
NOT COVERED UNDER THIS PLAN |
|
| Chapstick or Lip Balm | Moisturizers |
| Dandruff Shampoos | Nasal Sprays for Snoring |
| Feminine Hygiene Products | Nutritional Supplements |
| Fiber Supplements | Rogaine |
| Fingernail or Cuticle Maintenance Products | Shaving Lotions |
| Fluoride Toothpaste | Soaps |
| Herbal Remedies | Teeth Whitening Products |
| Illegal Drugs (as defined by Federal Law including medications procured from out of the Country) | Vitamins |
The Plan will not reimburse for any taxes or shipping charges on over-the-counter medicines and drugs. Only itemized receipts for over-the-counter medicines and drugs will be eligible for reimbursement.
Any other over-the-counter items/drugs may be considered if submitted with a Physician's recommendation, medical diagnosis, and period of treatment.