Breadcrumb

senior enjoying weather

Drug Benefit Comparison

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
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 health products 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 health products 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
  • Go to OTC Network to find participating retailers.
  • Take your card to a participating store

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.

Find In-Network Doctors

If you need to find a new doctor who participates in one of our networks, our Doctor & Hospital finder makes it easy to find a health care professional who matches your needs.

Find In-Network Pharmacies

Search from more than 66,000 in-network pharmacies at Prime Therapeutics.

Find Covered Prescription Drugs

Find formulary drugs, prior authorization, and step therapy at Prime Therapeutics.