Over-the-counter (OTC) benefits vs. standard Medicaid-covered drugs and items – For 2020 Plan Year
Member Feature | Over-the-Counter (OTC) Benefit Catalog | Over-the-Counter (OTC) Benefit Card | Medicaid Wrap Drug Coverage |
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Benefit | Every three months you will receive a $250 credit (up to $1,000 yearly) that will allow you to purchase personal health items from our OTC Benefit Catalog. | Every three (3) months you will receive a $300 credit (up to $1,200 yearly) on your OTC (Over-the Counter) Benefits Card that will allow you to purchase personal health items from our participating retailers. | Prescription and over-the-counter drugs covered at no cost to you by the Medicaid portion of your plan. |
What's Included | Review the OTC Benefit Catalog for complete list of over 250 over-the counter items. | Go to OTC Network for a complete list of over 900,000 eligible items. | Review the List of Covered Drugs (Formulary) for a complete list of prescriptions and over-the-counter items. |
Prescription Required | No | No | Yes, from your provider |
How to Order |
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For more information on your over-the-counter (OTC) products and prescription drug benefits, call Member Services at 1-800-543-5656 (TTY 711), 24 hours a day, seven days a week.