Otc list2006.doc

OVER-THE-COUNTER MEDICATION GUIDELINE
OTC Medications used primarily for treatment of medical conditions and eligible for reimbursement through Flex or HRA Plans. No health care provider recommendation needed, reimbursable with a receipt only. Type of Medication
Example: (Store brand or generic names apply)
4-Way (Saline Mist), Benadryl, Sudafed, Actifed, Claritin, Claritin-D, Chlor-Trimeton, Allerest, Breathe Right, Primatine Mist, Ayr Baby’s Bliss, Balmax, Desitin, Vaseline, A&D Ointment ReNu, Bausch & Lomb, Boston, Opti-Free, Allergan Mucinex, Coricidin HBP, Chloraseptic, Vicks, Robitussin, Afrin, Aleve Cold, Advil Cold, Durtion, Dristan, Neo-Synephrine, Nyquil, Tylenol Cold & Flu, Alka Seltzer (Children’s Advil Cold) Actidil, Actifed, , Benadryl, Claritin, Chlor-Trimeton, Contac, Dimetape, Drixoral One Touch Ultra, BD, Accu-Chek Active, Accu-Chek Instant Plus,Dex 4 Gas-X, Maalox, Mylanta, Tums, Rolaids, Pepsid AC, Prilosec OTC, Tagamet HB, Zantac 75, Imodium A-D, Fleet, Perdiem Visine, Clear Eyes, Ocu-Hist, ReNu, Opti-Free, Aosept, Eye Scrub Trojan condoms, VGF Film, Delfen Foam, Accu-Clear, Answer, Baby Start Gynecort, Gyne-Lotrimin, Cool Wipes, Monistat 1, 3 & 7 Band-Aids, Berts Bees, Boo Boo Buddy, Neosporin, Well Patch Dr. Scholl’s, Lamisil, Lotramin AF, Zeasorb, Curad Mediplast, Tinactin Omron (BP Monitor), Philips HeartStart, RESPeRATE, Home Access (HIV-1 Express Test), BD Digital Thermometer, Braun Ex-Lax, Pepto-Bismol, Imodium AD, Kaopectate Bactine, Cortaid, Hydrocortisone, Calamine Lotion, Benadryl Crème, Lanacort, Lamisil AT, Micatin athletes feet, poison ivy, bug bites ) Medical Equipment Philips HeartStart, HoMedics (Heating Pad), Good Health, EZY Dose Alka-Seltzer Morning Relief, Draminine, Bonine, Little Tummys, Emetrol, Marezine, Meclizine, On the Go, Thermotabs, Relief Band Abreva, Anbesol, Anbesol-Baby, Butler G-U-M, Campho-phenique, Den Tek, Herpetrol, Orajel, Super Lysine, Swabplus, UlcerEase Aleve, Advil, Bayer, ThermaCare, Ibuprofen, Asprin Alba Botanica,Alba Hawaiian, Almay, Aveeno, Burt’s Bees, Complex Cu3, derma e Alka-Seltzer PM, Bayer Extra Strength, Excedrin PM, Legatrin PM Commit Lozenges, Endit (Inhaler), Habitrol (Patch), NicoBloc, Nicorette, NicoDerm CQ, Futuro (ankle support, dress socks, panty hose, therapeutic support, etc.) Smart Glove (wrist support) Corporate Office: 6450 S Quebec St. Suite 5-28, Centennial CO 80111 * 303-649-1922 / 800-888-9084 * www.flexmagic.com Western Regional Office: PO Box 176 (817 Colorado Ave #106), Glenwood Springs, CO 81602 * 970-384-1900 / 800-613-4021 NON-REIMBURSABLE OVER-THE-COUNTER (OTC) ITEMS
• Face Creams, moisturizers, eye creams and wrinkle reducers • Feminine Hygiene Products (tampons and maxi pads, etc.) • Mouth washes, antiseptics and oral anesthetics • Vitamins and other supplements to improve overall health DUAL PURPOSE OTC MEDICATIONS
Eligible when recommended for the treatment of a medical condition by a Health Care Professional and require a 3rd party receipt and note with the diagnosis of the medical condition. • Anti-baldness / hair loss / hair replacement / such as Rogaine, but only if to replace hair loss due to a medical condition (e.g. cancer treatment) and not for balding due to age. • Fiber supplements such a Benefiber and Metamucil • Glucosamine / Chondrotin for arthritis or other medical condition (not reimbursable if • Herbal supplements used to treat a specific disease such as St. John’s Wort for depression • Medicated shampoos’ to treat a specific medical condition like psoriasis and only the amount in excess of the cost of normal shampoo. • No Doz (and other sleep prevention drugs) • Nose strips for proper breathing or other medical conditions • Retin-A and other acne medicines (not reimbursable if used for cosmetic purposes such • Snoring cessation aids and medications such as Breathe Right Spray, Snorezz • Vitamins are not an eligible expense, unless prescribed by a physician to treat a specific medical condition. (i.e. Iron to treat, not prevent, anemia; Calcium Supplements to treat, not prevent, Osteoporosis). A doctor’s note detailing the specific medical condition will be required for reimbursement. • Weight loss / dietary supplements must be for a specific medical condition such as Corporate Office: 6450 S Quebec St. Suite 5-28, Centennial CO 80111 * 303-649-1922 / 800-888-9084 * www.flexmagic.com Western Regional Office: PO Box 176 (817 Colorado Ave #106), Glenwood Springs, CO 81602 * 970-384-1900 / 800-613-4021

Source: http://www.flexmagic.com/useful/OTC_list2006.pdf