Common Over-The-Counter (OTC) Medications www.prestigehealthchoice.com The medications listed below are covered by Prestige Health Choice’s Expanded Benefits plan. Give the pharmacist the OTC medication from the store shelf and your Prestige ID card. Your Prestige Health Choice Expanded Benefits plan provides a $25 OTC benefit per household, per month, with a limit of $50 per year. Be sure to check with your doctor or pharmacist if you have questions about OTC products or to see if an OTC medication may be right for you. Analgesics (pain relievers) Cough/ Cold/ Decongestants Antihistamines Acetaminophen Aspirin Ibuprofen Naproxen Muscle rubs Headache relief Arthritis relief Capsacian cream Chest and nasal syrup Tussin DM Tussin CF Mucinex Multi-symptom cough syrup Night time liquid Nasal congestion spray Saline nasal spray Medicated chest rub Guaifenesin DM Cough drops Diphenhydramine Loratadine Fexofenadine Claritin d Allergy relief Cetirizine Artificial tears Dry eye relief Redness remover Antacids/ Anti-gas Contraceptive Supplies Simethicone Antacid extra strength Ranitidine Famotidine Omeprazole Prilosec OTC Sodium Bicarbinate Pink bismuth Tums Gynoll II contraceptive Jelly Condoms Contraceptive foam Pediatric Analgesics/ Antipyretics/ Allergy Children’s ibuprofen Children’s acetaminophen Infant’s ibuprofen Infant’s pain relief Children’s diphenhydramine Opthalmic This is not a complete list. It gives examples of some common brand names of OTC drugs. Nosotros le podemos ofrecer esta información a usted en otros idiomas y formatos sin costo. También interpretaremos esta información por teléfono en cualquier idioma. Llame a Servicios al Miembro al 1-855-355-9800. Para los usuarios TTY, llame al 1-855-358-5856. SB7004_1407 We’ll provide this information to you in other languages and formats at no charge. We’ll also interpret this information over the phone in any language. Call Member Services at 1-855-355-9800. For TTY, call 1-855-358-5856.