Over-the-Counter Benefit Option
The following OTC items are available for order through AHF Pharmacy’s Fulfillment Center. You may order items in whatever increment you’d like up to $200 total for the plan year. There is no cost to you for your order or its delivery. Instructions to order OTC items are included in the Over-the-Counter Pharmacy Order Form. To place an order, download and print the Over-the-Counter Pharmacy Order Form. Complete the form and send or fax it or phone it into our Member Services Department as instructed on the form. If you would like us to send you more order forms, please contact Member Services.
This list of OTC items is effective April 13, 2020 and may change during the year. Item unit/size and approximate value (price) are listed in the Over-the-Counter Pharmacy Order Form.
| Allergy Prevention and Treatment/Antihistamines | Ear Care |
| Claritin | Ear Syringe |
| Benadryl Tablets | Debrox Ear Wax Removal Drops |
| Benadryl Elixir | Eye Care |
| Sudafed PE | Dry Eye Drops |
| Analgesics/Antipyretics/NSAIDS | Visine Drops |
| Bayer Aspirin | Fiber Supplements |
| Bayer EC Aspirin (Adult Regimen) | Metamucil |
| Bengay | First Aid/Medical Supplies |
| Capsaicin | Ace Bandage |
| Tylenol Extra Strength Tablets | Adhesive Tape |
| Advil Tablets | Alcohol Swabs |
| Aleve Caplets | Band-Aids |
| Excedrin | Blood Pressure Monitor |
| Antacids and Acid Reducers | Cotton Balls |
| Mylicon | Cotton Swabs |
| Prilosec (Limit two per month) | Hibiclens |
| Tums Tablets | Ice Bag |
| Zantac Tablets | Johnson & Johnson Gauze |
| Anti-Arthritis | Oral Thermometer |
| Glucosamine/Chondroitin | Healing Ointments |
| Antibiotics (Topical) | Aquaphor Skin Healing Ointment |
| Neosporin Ointment | Eucerin |
| Anticandidals (Yeast) / Antifungals | Hemorrhoidal Preparations |
| Gyne-Lotrimin Cream | Preparation H |
| Tinactin Cream | Incontinence Supplies |
| Antidiarrheals and Laxatives | Adult Diapers Small/Medium |
| Colace Softgels | Adult Diapers Large |
| Dulcolax Suppositories | Insect Repellent |
| Dulcolax Tablets | OFF! Deep Woods Spay |
| Imodium Caplets | OFF! Active Sweat-Resistant Spray |
| Pepto-Bismol Liquid | Lactose Intolerance |
| Miralax | Lactaid |
| Anti-Itch Lotions and Cream | Pediculosis |
| Calamine Lotion | RID Extra Strength Shampoo |
| Aveeno Anti-Itch Lotion | Sun Protection |
| Cold Remedies | Coppertone Sport Sunblock Lotion SPF 30 |
| Mucinex | Topical Steroids |
| Afrin Nasal Spray | Cortaid Cream |
| Chloraseptic | Vitamins and Minerals |
| Robitussin Syrup | B-Complex with B-12 Tablets |
| Vicks | Centrum Tablets |
| Dental Care | Stuart Prenatal Tablets |
| Anbesol | Vitamin C Tablets |
| Mouthwash | Vitamin E Softgels |
| Toothbrush | Vitamin A 10,000 IU |
| Toothpaste | Caltrate 600 |
| Waxed Dental Floss | Therapeutic M. |
If you have any questions about the OTC benefit options, please contact Member Services.
DHCS 030716 PHC FR Form 1.0
