SAVE AND ENJOY MORE FLEXIBILITY! - OVER THE COUNTER ITEMS AND DRUGS GUIDE (OTC) 2021 - Receive them wherever you want or find them at your ...
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OVER THE COUNTER ITEMS
AND DRUGS GUIDE (OTC) 2021
SAVE AND ENJOY
MORE FLEXIBILITY!
Receive them wherever you want or
find them at your preferred pharmacy.
ADVANTAGEMake your order and receive it wherever you want!
With the mobile app you can order OTC items and receive them
at your doorstep, without a prescription! You can also add your
prescription drugs and receive them with your order.
DOWNLOAD the mobile app available for
Android and IPhone.
CHOOSE the items you want to order
RECEIVE them within 48 hours
Easy and convenient!
If in doubt, call 1.888.525.4842.
Download the mobile app
by scanning this QR Code
*For free shipping you must have a minimum of $25 on your OTC order. Limited variety of items.
The items identified with this icon are available for delivery through Triple-S en casa.BUY AND SAVE MORE
ON YOUR OTC
Find them at your favorite pharmacy
with more than 1,400 products available
No prescription
Choose brand-name and generic items
• Items for common injuries and symptoms
• Adult diapers
• Nutritional drinks such as Glucerna, Ensure, Boost
• Masks
• Hand sanitizer
• And much more
In all its formats and variations
Same day at your favorite pharmacy
Benefit varies by coverage. Y0082_21CI042E_COVER THE COUNTER ITEMS AND DRUGS GUIDE
OTC
Pain relief •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1
Pain relief at night ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1
Urinary analgesics •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1
Insomnia relief ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1
Motion sickness ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1
Congestion relief ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 1
Cough, cold, and allergy relief •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 2
Sugar free •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 2
Nauseas relief •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3
Antifungals for foot and nails ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3
Femenine care items •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3
Nutritional drinks ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3
Dandruff shampoo ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3
Weight control ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 3
Diabetes care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Skin care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Wound care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Moisturizers••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Sunscreens •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Others ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Ear care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Eye care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 4
Digestive/colorectal care ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 5
Oral care •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 5
Products to stop smoking •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 5
Urinary incontinence ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6
Miscellaneous •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6
Blood pressure monitor•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6
First aid ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 6
Orthopedic braces and supports •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 7
Vitamins and minerals •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 7
Frequently ask questions•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 9DRUG NAME TRADE NAME
PAIN RELIEF
Acetaminophen Tylenol / Panadol
______________________________________________________________________________________
Advil Capsule, Tablet & Liquid
______________________________________________________________________________________
Aspirin Bayer / Ecotrin
______________________________________________________________________________________
Arthricream External Cream 10 % Aspercream
______________________________________________________________________________________
Biofreeze
______________________________________________________________________________________
Capzasin Cream & Lotion
______________________________________________________________________________________
Dragon Pain Relief Cream
______________________________________________________________________________________
Heat Wrap Pad Miscellaneous Thermacare
______________________________________________________________________________________
Ibuprofen Motrin / Advil
______________________________________________________________________________________
Ice Blue 2 % Gel Icy Hot
______________________________________________________________________________________
Motrin
______________________________________________________________________________________
Muscle Rub External Cream Bengay
______________________________________________________________________________________
Naproxene Aleve
______________________________________________________________________________________
Panadol
______________________________________________________________________________________
Tension Headache Excedrin
______________________________________________________________________________________
Tylenol Tablet, Capsule & Liquid
______________________________________________________________________________________
Salonpas Pad
______________________________________________________________________________________
Voltaren Transdermal Gel 1 %
PAIN RELIEF AT NIGHT
Advil PM
______________________________________________________________________________________
Aleve PM
______________________________________________________________________________________
Bayer PM
______________________________________________________________________________________
Diphenhydramine-Apap (Sleep) Tablet Tylenol PM
______________________________________________________________________________________
Excedrin PM Tablet
URINARY ANALGESICS
Cranberry Oral Capsule
______________________________________________________________________________________
Urinary Pain Relief Azo
INSOMNIA RELIEF
Melatonin Tablet, Capsule, Oral Liquid, Tablet Sublingual, Melatonin
& Oral Tablet Disintegrating
______________________________________________________________________________________
Sleep Aid 25 mg Tablet Unisom
MOTION SICKNESS
Anti-Nausea 1.87-1.87-21.5 Solution Emetrol
CONGESTION RELIEF
Oxymetazoline HCL Nasal Solution Afrin Nasal Spray Nasal Solution
______________________________________________________________________________________
Allergy Spray 24 Hour Nasal Aerosol Nasacort Allergy 24hr
______________________________________________________________________________________
Saline Nasal Spray Nasal Mist Ayr Nasal Solution
______________________________________________________________________________________
Budesonide Nasal Suspension Rhinocort Aqua
______________________________________________________________________________________
Fluticasone Propionate Nasal Suspension Flonase & Flonse Sensimist
______________________________________________________________________________________
Saline Nasal Spray Nasal Solution Ocean
AVAILABLE THROUGH TRIPLE-S EN CASA.
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 1DRUG NAME TRADE NAME
COUGH, COLD, AND ALLERGY RELIEF
Allergy Multi-Symptom Tablet Tylenol Multi-Symptom / Mucinex
/ Sudafed PE
______________________________________________________________________________________
Af-Apap Allergy Sinus Tablet Tylenol Allergy Sinus
______________________________________________________________________________________
Af-Pseudoephedrine Sinus Capsule Robitussin Severe Congestion
______________________________________________________________________________________
Benadryl Allergy 25 mg Capsule
______________________________________________________________________________________
Chlorphen-Phenyleph-Ibuprofen Tablet Advil Allergy & Congestion
______________________________________________________________________________________
Chlorpheniramine-Pse-Ibuprofen Tablet Advil Allergy Sinus
______________________________________________________________________________________
Pseudoephedrine-Ibuprofen Capsule Advil Cold & Sinus
______________________________________________________________________________________
Phenylephrine-Ibuprofen Tablet Advil Sinus Congestion & Pain
______________________________________________________________________________________
Phenyleph-Cpm-Dm-Apap Alka-Seltzer Plus Cold & Cough
______________________________________________________________________________________
Phenyleph-Doxylamine-Dm-Apap Alka-Seltzer Plus Cold & Flu
______________________________________________________________________________________
Biobron SF Syrup Brontuss SF
______________________________________________________________________________________
Biodesp DM Syrup Despec DM
______________________________________________________________________________________
Cough & Cold HBP (Chlorpheniramine - Dextromethorphan) Coricidin HBP
______________________________________________________________________________________
Coricidin D 2-30-325 mg Tablet
______________________________________________________________________________________
Coricidin HBP 10-325-2 mg Tablet
______________________________________________________________________________________
Coricidin HBP Cold/Flu 2-325 mg Tablet
______________________________________________________________________________________
Cold/Flu Relief Day/Night Oral Miscellaneous Vicks Dayquil/Nyquil Cold & Flu
______________________________________________________________________________________
Cough & Cold (Chlorpheniramine-Acetaminophen) Tablet
______________________________________________________________________________________
Cough Drops Lozenges Halls / Cepacol
______________________________________________________________________________________
Day Time Multi-Symptoms Cold/Flu Capsules Mucinex / Robitussin
______________________________________________________________________________________
Dextromethorphan Polistirex Suspension Extended Release Delsym
______________________________________________________________________________________
Dextromethorphan-Guaifenesin Tablet Zyncof / Broncotron-S
______________________________________________________________________________________
Guaifenesin Extended Release Mucinex ER
______________________________________________________________________________________
Guaifenesin-Dextromethorphan Syrup Robitussin DM / Trispec DMX
______________________________________________________________________________________
Mucus Relief DM Extended Release Mucinex DM
______________________________________________________________________________________
Pseudoephedrine-Guaifenesin Extended Release Mucinex D
______________________________________________________________________________________
Robitussin DM
______________________________________________________________________________________
Sore Throat Oral Liquid Chloraseptic
______________________________________________________________________________________
Vicks Vaporub Ointment
SUGAR FREE
Coditussin AC Liquid Diabetic Tussin C
______________________________________________________________________________________
Robitussin DM Sugar Free Syrup
______________________________________________________________________________________
Cough Drops Sugar Free Lozenges Halls Sugar Free
______________________________________________________________________________________
Diabetic Tussin Cold & Flu
______________________________________________________________________________________
Dextromethorphan-Guaifenesin-Phenylephrine Oral Giltuss / Panatuss Dxp / Broncotron D/
Tablet & Liquid Deconex
AVAILABLE THROUGH TRIPLE-S EN CASA.
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 2DRUG NAME TRADE NAME
NAUSEAS RELIEF
Anti-Nausea 1.87-1.87-21.5 Solution Emetrol
ANTIFUNGALS FOR FOOT AND NAILS
Clotrimazole Cream, External Solution, & Ointment Fungicure / Lotrimin AF / Mycelex
______________________________________________________________________________________
Miconazole Nitrate Cream Neosporin AF / Secura
______________________________________________________________________________________
Scholls Fungal Nail Management Ext Kit
______________________________________________________________________________________
Terbinafine Cream Silka
______________________________________________________________________________________
Tolnaftate External Cream 1 % Tinactin Cream
FEMENINE CARE ITEMS
Anti-Itch Vaginal Cream Vagisil Vaginal Cream / Vagisil Feminine
Moisturizer Vagina Lotion
______________________________________________________________________________________
Clotrimazole Vaginal Cream Lotrimin
______________________________________________________________________________________
Complete Menopause Health Tab Estroven
______________________________________________________________________________________
Miconazole 1 Combo Pack Monistat 1 Day
______________________________________________________________________________________
Feminease Vaginal Cream
______________________________________________________________________________________
Miconazole Cream & Vaginal Suppository Monistat / Monistat 3 / Monistat 7
______________________________________________________________________________________
Norforms Vaginal Suppository
______________________________________________________________________________________
Poise Body Cooling Towelettes
______________________________________________________________________________________
Replens Vaginal Gel
______________________________________________________________________________________
Tioconazole Vaginal Ointment Monistat 1
______________________________________________________________________________________
Vagisil Yeast-Control Vaginal Suppository
NUTRITIONAL DRINKS
Boost Liq
______________________________________________________________________________________
Ensure Liq
______________________________________________________________________________________
Glucerna Liq
______________________________________________________________________________________
Preprotein Liq
DANDRUFF SHAMPOO
Head & Shoulders Shampoo
______________________________________________________________________________________
Nizoral A-D Shampoo
______________________________________________________________________________________
Selsun Blue Shampoo
WEIGHT CONTROL
Alli 60 mg Capsule
______________________________________________________________________________________
Slim-Fast Liquid
AVAILABLE THROUGH TRIPLE-S EN CASA.
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 3DRUG NAME TRADE NAME
DIABETES CARE
Glucose Tablets Trueplus
______________________________________________________________________________________
Gold Bond Ultimate Diabetics Cream
______________________________________________________________________________________
Diabetic Socks Ankle Black Medium & Large
______________________________________________________________________________________
Diabetic Socks Ankle White Medium & Large
SKIN CARE
WOUND CARE
Pedi-Pre Tape Spray
MOISTURIZERS
A & D Zinc Oxide Cream
______________________________________________________________________________________
Aloe Vera Gel Banana Boat
______________________________________________________________________________________
Ammonium Lactate Lac-Hydrin
______________________________________________________________________________________
Moisturizing Cream Cerave
______________________________________________________________________________________
Zinc Oxide Desitin / Cozima
SUNSCREENS
Sunscreen Spf 30 Lotion Coppertone
______________________________________________________________________________________
Sunscreen Spf 50 Lotion Coppertone
OTHERS
Advanced Hand Sanitizer Purell
______________________________________________________________________________________
Agua Maravilla Agua Hamamelis
______________________________________________________________________________________
Insect Repellent External Liquid Off
EAR CARE
Ear Dry Otic Liquid Auro-Dri
______________________________________________________________________________________
Ear Wax Removal Drops Otic Solution Debrox
______________________________________________________________________________________
Ear Wax Removal System Otic Oil Murine
EYE CARE
Artificial Tears Ophthalmic Solution Genteal Tears
______________________________________________________________________________________
Eye Wash Irrigation Solution Boraqua
______________________________________________________________________________________
Lubricant Eye Drops Ophtalmic Solution Refresh Tears / Systane / Systane
Balance / Retaine / Theratears
______________________________________________________________________________________
Naphazoline Ophthalmic Solution Naphcon-A
______________________________________________________________________________________
Redness Relief Ophthalmic Solution Visine
______________________________________________________________________________________
Sodium Chloride Ophtalmic Ointment 5% Muro 128
AVAILABLE THROUGH TRIPLE-S EN CASA.
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 4DRUG NAME TRADE NAME
DIGESTIVE/COLORECTAL CARE
Acid Reducer 10 mg Tablet Pepcid Ac
______________________________________________________________________________________
Antacid Anti-Gas Suspension Maalox
______________________________________________________________________________________
Antacid Extra Strength Chewable & Oral Suspension Gaviscon
______________________________________________________________________________________
Antacid Maximum Chewable Tums
______________________________________________________________________________________
Bisacodyl Rectal Suppository & Tablet Dulcolax / Ex-Lax
______________________________________________________________________________________
Bismuth Subsalicylate Kaopectate / Pepto-Bismol
______________________________________________________________________________________
Bismuth 262 mg Tablet Chew Pepto-Bismol
______________________________________________________________________________________
Castor Oil Stimulant Laxative 100% Oral Oil Castor Oil
______________________________________________________________________________________
Clear Soluble Fiber Oral Powder Benefiber
______________________________________________________________________________________
Dairy Digestive Supplement Fast Act
______________________________________________________________________________________
Docusate Sodium Capsule, Tablet, Liquid, & Syrup Colace
______________________________________________________________________________________
Fiber Oral Poder Juven
______________________________________________________________________________________
Fiber Laxative Capsule & Tablet Citrucel / Konsyl / Metamucil
______________________________________________________________________________________
Gas Relief Extra Strength Capsule Gas-X
______________________________________________________________________________________
Glycerin (Adult) Rectal Suppository Glycerin
______________________________________________________________________________________
Hemorrhoidal Rectal Suppository, Ointment, Cream & Gel Preparation H
______________________________________________________________________________________
Lidocaine-Glycerin External Pads Recticare 5-20 % Pad
______________________________________________________________________________________
Loperamide Hcl Tablet And Liquid Imodium A-D
______________________________________________________________________________________
Lactase Enzyme Lactaid
______________________________________________________________________________________
PEG 3350 Oral Powder Miralax
______________________________________________________________________________________
Phillips Milk Of Magnesia
______________________________________________________________________________________
Mineral Oil Roberts
______________________________________________________________________________________
Natural Fiber Laxative Oral Powder Metamucil / Konsyl
______________________________________________________________________________________
Senna Oral Capsule, Syrup & Powder Senna / Senokot / Agoral
ORAL CARE
Anbesol Maximum Strength
______________________________________________________________________________________
Biotene Dry Mouth
______________________________________________________________________________________
Cepacol Sore
______________________________________________________________________________________
Dental Floss Waxed Miscellaneous Colgate / Oral-B
______________________________________________________________________________________
Efferdent Denture Cleanser
______________________________________________________________________________________
Finafta
______________________________________________________________________________________
Fixodent Original Cream
______________________________________________________________________________________
Orajel 10 % M/T Gel, 20 % M/T Gel, 20 % M/T Liq
______________________________________________________________________________________
Soft Toothbrush Miscellaneous Colgate / Oral-B
______________________________________________________________________________________
Toothpaste Miscellaneous Biotene / Colgate / Sensodyne
PRODUCTS TO STOP SMOKING
Nicotine Patch Nicoderm CQ
______________________________________________________________________________________
Nicotine Polacrilex Gum Nicorette
AVAILABLE THROUGH TRIPLE-S EN CASA.
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 5DRUG NAME TRADE NAME
URINARY INCONTINENCE
Poise Incontinence Liners
______________________________________________________________________________________
Diapers Certainty/Depend
______________________________________________________________________________________
Disposable Underpads Miscellaneous Curity / Prevail
MISCELLANEOUS
Cotton Balls Miscellaneous
______________________________________________________________________________________
Digital Thermometer Miscellaneous
______________________________________________________________________________________
Ear, Oral, Rectal Thermometer Miscellaneous
______________________________________________________________________________________
Food Scales Miscellaneous
______________________________________________________________________________________
Heating Pad Moist/Dry Pad Miscellaneous
______________________________________________________________________________________
Ice Bag Miscellaneous
______________________________________________________________________________________
7 Days Pill Box Miscellaneous
______________________________________________________________________________________
Pill Cutter Miscellaneous
BLOOD PRESSURE MONITOR
Blood Pressure Cuff Miscellaneous
______________________________________________________________________________________
Blood Pressure Monitor dev, kit
FIRST AID
Adhesive Bandages Miscellaneous Band-Aid
______________________________________________________________________________________
Adhesive Paper Tape Band-Aid
______________________________________________________________________________________
Agua De Azahar Eko
______________________________________________________________________________________
Alcoholado Superior 70
______________________________________________________________________________________
Anti-Itch Maximum Strength Cream Benadryl
______________________________________________________________________________________
Bacitracin Ointment
______________________________________________________________________________________
Pramoxine-Calamine External Lotion Caladryl
______________________________________________________________________________________
Calamine-Zinc Oxide External Lotion Calamine
______________________________________________________________________________________
Curity Gauze Sponge Pads
______________________________________________________________________________________
Curity Non-Adherent Strip
______________________________________________________________________________________
Elastic Bandage Miscellaneous
______________________________________________________________________________________
Epsom Salt Epsom Salt
______________________________________________________________________________________
Exoderm 10-3 % Bar
______________________________________________________________________________________
Face Masks
______________________________________________________________________________________
First Aid Kit
______________________________________________________________________________________
Hydrocortisone Cream, Lotion, & Ointment Cortizone-10 / Ala-Cort / Cortaid
______________________________________________________________________________________
Hydrocortisone-Aloe Cream & Ointment Ala-Cort
______________________________________________________________________________________
Hydrogen Peroxide External Solution 3 % Agua Oxigenada
______________________________________________________________________________________
Isopropyl Alcohol (Rubbing)
______________________________________________________________________________________
Lice Killing Shampoo Rid
______________________________________________________________________________________
Lice Treatment Nix / Rid
______________________________________________________________________________________
Petroleum Jelly Oint Vaseline
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 6DRUG NAME TRADE NAME
FIRST AID cont.
Remove Adhesive Remover External Liquid Band-Aid / Nexcare
______________________________________________________________________________________
Restore Contact Layer 8"x12" Pad
______________________________________________________________________________________
Restore Duo Dressing 2"x4" Pad, 4"x5" Pad
______________________________________________________________________________________
Restore Foam Dressing 2.5"x2.5" Pad, 6"x8" Pad, 8"x8" Pad
______________________________________________________________________________________
Restore Foam Heel Dressing 4.7"x7.5" Pad
______________________________________________________________________________________
Restore Odor Absorbing Dress 6"x10" Pad
______________________________________________________________________________________
Sterile Gauze Pad
______________________________________________________________________________________
Stretch Gauze Bandage
______________________________________________________________________________________
Triple Antibiotic Neosporin
ORTHOPEDIC BRACES AND SUPPORTS
Ankle Support Adjustable Miscellaneous
______________________________________________________________________________________
Arm Sling Miscellaneous
______________________________________________________________________________________
Back Support Miscellaneous
______________________________________________________________________________________
Knee Stabilizer Small, Medium and Large Sizes Miscellaneous
______________________________________________________________________________________
Knee Wrap Open Patella Miscellaneous
______________________________________________________________________________________
Tennis Elbow Strap Miscellaneous
______________________________________________________________________________________
Thigh Wrap Miscellaneous
______________________________________________________________________________________
Wrist Splint/Reversible Miscellaneous
______________________________________________________________________________________
Wrist Support Miscellaneous
______________________________________________________________________________________
Wrist Wrap Miscellaneous
VITAMINS AND MINERALS
Airborne Lozenge & Tablet
______________________________________________________________________________________
Apetex Oral Elix
______________________________________________________________________________________
Apetigen-Plus Solution
______________________________________________________________________________________
Ascorbic Acid Oral Tablet Vitamin C
______________________________________________________________________________________
B Complex Oral Capsule & Tablet B Complex
______________________________________________________________________________________
B-12 (Cynocobalamin) Oral Tablet Vitamin B12
______________________________________________________________________________________
Biotin Caspules & Tablet
______________________________________________________________________________________
Body/Hair/Skin/Nails Oral Capsule Actical
______________________________________________________________________________________
Calcium Oral Tablet Caltrate
______________________________________________________________________________________
Calcium /Vitamin D3 Oral Tablet Caltrate D
______________________________________________________________________________________
Calcium-Magnesium-Vitamin D Oral Capsule, Tablet & Liquid
______________________________________________________________________________________
Calcium-Magnesium-Zinc Oral Tablet
______________________________________________________________________________________
Cinnamon Oral Tablet
______________________________________________________________________________________
Citracal +D3
______________________________________________________________________________________
Citracal Calcium Gummies
______________________________________________________________________________________
Citracal Plus Heart Health Oral Tablet
______________________________________________________________________________________
Co Q10 Oral Capsules
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 7DRUG NAME TRADE NAME
VITAMINS AND MINERALS cont.
Emergen-C Vitamin C Oral Package
______________________________________________________________________________________
Ferrous Aspartate Oral Tablet
______________________________________________________________________________________
Ferrous Fumarate Oral Tablet
______________________________________________________________________________________
Ferrous Gluconate Oral Tablet
______________________________________________________________________________________
Ferrous Sulfate Oral Tablet
______________________________________________________________________________________
Folic Acid 400 mcg Tablet, 800 mcg Tablet Folic Acid
______________________________________________________________________________________
Garlic Oral Tablet & Capusle
______________________________________________________________________________________
Ginkgo Biloba Oral Tablet & Capsule
______________________________________________________________________________________
Ginger Oral Capsule
______________________________________________________________________________________
Glucosamine-Chondroitin Oral Capsule
______________________________________________________________________________________
Icaps Lutein & Zeaxanthin Oral Tablet Ocuvite
______________________________________________________________________________________
Iron Oral Tablet Feosol
______________________________________________________________________________________
Lipoflavonoid Tablet
______________________________________________________________________________________
Magnesium Oxide Oral Tablet Mag-Ox
______________________________________________________________________________________
Multivitamin Capsule, Liquid, & Tablet Centrum / One-A-Day
______________________________________________________________________________________
Multi-Vitamin/Minerals Oral Tablet Centrum / Ocusoft / Ocuvite-Eye
______________________________________________________________________________________
Omega 3 Oral Capsule Fish Oil
______________________________________________________________________________________
Oyster Shell Calcium +Vitamin D Oral Tablet Os-Cal + D
______________________________________________________________________________________
Pyridoxine Hcl Oral Tablet Vitamin B6
______________________________________________________________________________________
Preservision Areds Oral Tablet
______________________________________________________________________________________
Renal Vitamin Oral Tablet Nephro-Vite
______________________________________________________________________________________
Saw Palmetto
______________________________________________________________________________________
Vitamin C/Bioflavonoids Oral Tablet Vasoflex / Ester-C
______________________________________________________________________________________
Vitamin D3 Maximum D3
______________________________________________________________________________________
Vitamin E
______________________________________________________________________________________
Vitamins For Hair Oral Tablet Centrum
______________________________________________________________________________________
Wee Care Suspension Icar
AVAILABLE THROUGH TRIPLE-S EN CASA.
*This guide is subject to change. The included brands are for reference only. Other brands and variations may also be covered. Y0082_21CI043E_C 8F R EQ U E N T LY AS K Q U E ST I O N S
What are Over the Counter (OTC) drugs and Items?
OTC drugs are non-prescription drugs that are not normally covered by the
Medicare Part D prescription drug benefit. OTC drugs are used for the treatment of
medical symptoms such as cough, cold, pain, diarrhea and upset stomach, among
others.
When can I begin to use my OTC drugs and Items benefit and what does it include?
You can begin to use your OTC benefit, once your enrollment is effective with the
plan. This guide includes OTC drugs and items for the health and wellness over the
counter. It contains a list of some common-use drugs. The guide does not include
the drugs and brands in all variations, formats and trade names.
What are the rules for getting OTC drugs and items?
You will be able to obtain OTC drugs and items without a medical order. The following
rules apply for getting OTC drugs and items:
1. Triple-S Advantage will provide the maximum amount of money set forth in your
Evidence of Coverage every 3 months for the purchase of OTC drugs and items. After
the maximum dollar amount is reached, Triple-S Advantage will not cover these drugs
until the following three months, when the maximum quarterly coverage starts again.
The quarters are according to calendar year, for example: January-March, April-June,
July-September and October-December, with a total of four quarters per year. The
amounts must be used in full as they do not accumulate from quarter to quarter.
2. If the quantity of the products you wish to purchase is greater than the maximum
quarterly amount set out in your Evidence of Coverage, you must assume payment of
the difference.
3. OTC drugs must be obtained through the Triple-S Advantage network, and they
may only be purchased and used by the enrollee.
4. The categories of OTC drugs and items must be included in this guide, to be
covered. The availability of brands and costs may vary depending on the network
pharmacy you visit.
Y0082_21CI043E_C 9F R EQ U E N T LY AS K Q U E ST I O N S cont.cont.
What are the advantages of using OTC drugs?
The use of OTC drugs allows the patient to have greater access to a variety of drugs
available in the market for the treatment of some common symptoms.
Consult your physician or pharmacist and remember to always read the package
labeling for specific instructions on how to take them, as well as any warnings or
precautions you should consider when taking them.
How do I use this OTC Drugs and Items Guide?
This guide classifies OTC drugs and items by category, according to the most common
symptoms they are used for. For example, drugs to treat cough and congestion are
classified under the category Cough, cold, and allergy relief. If you know what your
OTC drug is used for, look for the category name in the Table of Contents. Then look
for your OTC drug under that category.
How can I know the available amount that I have for OTC drugs or medications?
The available amount of the benefit varies by coverage. For more information
regarding the available amount you can call us at our Member Service Center or
visit the nearest service center.
How does the barcode on my plan card work?
The barcode on the back of your plan card allows you access to your OTC in an easier
and more convenient way in those merchants that have the system available. If your
preferred pharmacy is one of these merchants you will be able to make the purchase
of your OTC, at the cash register without having to go through the pharmacist. Ask
your pharmacy if this service is available
Where I should contact in case of doubts and questions?
For more information, contact our Member Service Center at 1-888-620-1919, toll free.
Hearing impaired with TTY should call 1-866-620-1919, Monday through Sunday from
8:00 A.M. to 8:00 P.M., or visit our website www.sssadvantage.com.
Y0082_21CI043E_C 10MY OTC LIST
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_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
NOTES ____________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
11CALL US TODAY!
1.888.620.1919 1.866.620.2520
Toll free TTY (hearing impaired)
MONDAY THROUGH SUNDAY
FROM 8 A.M. TO 8 P.M.
ADVANTAGE
Guide is subject to changes. Independent licensee of BlueCross BlueShield Association. Triple-S Advantage, Inc.
cumple con las leyes federales aplicables de derechos civiles y no discrimina por razón de raza, color, origen de
nacionalidad, edad, discapacidad, o sexo. Triple-S Advantage Inc. Triple-S Advantage, Inc. complies with applicable
Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障或性
別而歧視任何人ATENCIÓN: Si usted habla español, servicios de asistencia lingüística están disponibles libre
de cargo para usted. Llame al: 1-888-620-1919 (TTY: 1-866-620-2520). ATTENTION: If you speak English, language
assistance services, free of charge, are available to you. Call: 1-888-620-1919 (TTY: 1-866-620-2520).注意:如
果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-620-1919 (TTY:
1-866-620-2520).You can also read