Quick Reference Guide

Over-the-Counter Medicines & Products
Over-the-counter (OTC) medicines and products are reimbursable when the OTC product is used for medical purposes.

Eligible items include medicines or products that alleviate or treat injuries or illness for you and your dependents. These drugs and products are not cosmetic in nature, or merely beneficial to your general health.

OTC products that are not medicines or that merely benefit your general health may NOT reimbursable, such as vitamins without a Letter of Medical Necessity (LMN). Please check with your health care provider for more details.

Eligible OTC Expenses
Type/Class of Drug or Product Examples
Allergy Prevention and Treatment  Actifed, Allerest, Benadryl, Chlor-Trimeton, Claritin, Contac, NasalCrom, Sudafed
Analgesics/Antipyretics Aspirin, Advil, Aleve, Ibuprofen, Naprosyn, Tylenol, Midol, Pamprin, Premysyn PMS
Antacids and Acid Reducers  AXID AR, Gas-X, Maalox, Mylanta, Tums, Pepcid AC, Prilosec OTC, Tagamet HB, Zantac 75 
Anti-arthritics  Glucosamine, Chondroitin 
Antibiotics (topical)  Bacitracin, Neosporin, Triple antibiotic ointment 
Anticandial (yeast)  Femstat 3, Gynelotrimin, Mycelex-7, Monistat 3, Vagistat-1 
Antidiarrheal and Laxatives  Ex-Lax, Immodium AD, Kaopectate, Pepto-Bismol 
Antifungal  Lamisil AT, Lotramin AF, Micatin 
Antihistamines  Actifed, Allerest, Benadryl, Claritin, Chlor-Trimeton, Contac, Drixoral, Sudafed, Tavist, Triaminic 
Anti-itch Lotions and Creams  Bactine, Benadryl, Caldecort, Caladryl, Calamine, Cortaid, Hydrocortisone, Lanacort, Lamisil AT, Lotramin AF 
Asthma Medicines  Bronitin Mist, Bronkaid, Bronkolixer, Primatene 
Cold Sore/Fever Blister  Abreva Cream, Herpecin 
Cold, Flu, Decongestant and Sinus Remedies  Actifed, Advil Cold and Sinus, Afrin, Alka Seltzer Cold and Flu, Afrinol, Aleve Cold and Sinus, Children’s Advil Cold, Contac, Dayquil, Dimetane, Dristan Long-Lasting, Drixoral, Neo-Synephrine 12-Hour, Nyquil, Otrivin, Pediacare, Sudafed, Tavist-D, Thera-flu, Triaminic, Tylenol Cold and Flu, Cough Drops, Nasal Sprays, Throat Lozenges 
Contact Lens Supplies  Cleaning and soaking solutions, Lens storage cases 
Contraceptive / Family Planning  Ovulation predictor kits, Pregnancy tests, Spermicides, Condoms 
Cough Suppressants or Expectorants  Robitussin, Vicks 44, Chloraseptic, Mucinex, Cough drops,Throat lozenges 
Dehydration  Pedialyte 
Dental/Denture Care  Orajel, Anbesol,Poligrip 
Diaper Rash  Aquaphor, Balmax, Desitin 
Ear Care  Ear drops, Ear wax removal 
Eye Care  Eye drops, Reading glasses, Eye patches 
First Aid / Medical Supplies  Antiseptics, Witch Hazel, Peroxide, Bandages, First aid kits, Cold/hot packs for injuries, Joint supports (ankle, elbow, knee, wrist), Rubbing alcohol, Ace wraps, Splints, Thermometers, Liquid adhesives 
Foot Care  Arch and insole supports, Callous removers, Athlete’s Foot products (see anti-fungal), Bunion, blister and corn treatments 
Hemorrhoidal Preparations  Preparation H, Hemorrhoid, Tronolane 
Home Diagnostic Tests or Kits  Blood pressure (monitor and related equipment), Cholesterol,Diabetic equipment and supplies, Colorectal screenings, HIV test, Pregnancy tests 
Lactose Intolerance  DairyCare, Dairy Relief, Lactaid, Lacteeze, Lactrase 
Menstrual Cycle  Midol, Pamprin, Premysyn PMS 
Migraine Relief  Advil Migraine, Motrin Migraine, Excedrin 
Motion Sickness  Dramamine, Marizine 
NSAIDS  Advil, Aleve, Ibuprofen, Motrin, Naprosyn, Naproxen 
Pediculicide  Nix, Rid 
Pre-natal Vitamins   
Skin Care  Sunburn relief, Aloe Vera 
Sleeping Aids   
Smoking Cessation  Commit, Nicoderm CQ, Nicorette, Nicotrol 
Sunscreen/Sunblock  Note: Lotions and cosmetics that contain ingredients to protect you from the sun and/or list a SPF are not eligible 
Teething/Toothaches  Orajel, Anbesol 
Topical Steroids  Hydrocortisone 
Wart Removal  Compound W, Dr. Scholl’s Clear Away, Wart-Off