PHP, California

Rachel Sakai
AHF Provider

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, or take it to any AHF Pharmacy for processing.  If you would like us to send you more order forms, please contact Member Services.

This list of OTC items is effective July 1, 2017 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 Cotton Balls
Antacids and Acid Reducers  Cotton Swabs
Mylicon Ice Bag
Prilosec (Limit two per month) Johnson & Johnson Gauze *
Tums Tablets Oral Thermometer
Zantac Tablets Healing Ointments
Anti-Arthritis Aquaphor Skin Healing Ointment
Glucosamine/Chondroitin Eucerin
Antibiotics (Topical) Hemorrhoidal Preparations
Neosporin Ointment Preparation H
Anticandidals (Yeast) / Antifungals Incontinence Supplies
Gyne-Lotrimin Cream Fitted Briefs Small/Medium
Tinactin Cream Fitted Briefs Large
Antidiarrheals and Laxatives Insect Repellent
Colace Softgels OFF! Deep Woods Spay
Dulcolax Suppositories OFF! Active Sweat-Resistant Spray
Dulcolax Tablets Lactose Intolerance
Imodium Caplets Lactaid
Pepto-Bismol Liquid Pediculosis
Miralax RID Extra Strength Shampoo
Anti-Itch Lotions and Cream Sun Protection
Calamine Lotion Coppertone Sport Sunblock Lotion SPF 30
Aveeno Anti-Itch Lotion Topical Steroids
Cold Remedies Cortaid Cream
Mucinex Vitamins and Minerals
Afrin Nasal Spray B-Complex with B-12 Tablets
Chloraseptic Centrum Tablets
Robitussin Syrup Stuart Prenatal Tablets
Vicks Vitamin C Tablets
Dental Care Vitamin E Softgels
Anbesol Vitamin A 10,000 IU
Mouthwash Caltrate 600
Toothbrush Therapeutic M.
Toothpaste
Waxed Dental Floss

* These items are covered under your Part D benefit if you are insulin-dependent (diabetic).

If you have any questions about the OTC benefit options, please contact Member Services.


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