REMEMBER
TO KEEP THIS
CATALOG
You will want to reference this catalog
each time you place your order.
Be sure to use your benet
amount before the end of every
month.
As a member with WellCare by Fidelis, you have an over-the-counter (OTC) benet
every benet period. This benet allows you to get OTC products you may need.
Simply order online at www.mybenetscenter.com, call 1-855-402-4806 (TTY: 711),
or mail your completed order form. Your order will be shipped directly to your door.
3
TABLE OF
CONTENTS
HOW TO ORDER ................................................... 4
ORDER GUIDELINES
........................................... 5
HOW TO USE YOUR OTC WEBSITE
.................. 6
Allergy
................................................................ 7
Antacids & Acid Reducers
................................. 7
Anticandidal (Yeast)
........................................... 8
Anti-diarrheal, Laxatives & Digestive Health
...... 8
Anti-fungal
.......................................................... 8
Baby First Year
.................................................. 9
Bathroom Safety & Fall Prevention
.................... 9
Cold & Flu
.......................................................... 9
Cold Sore & Medicated Lip Products
................10
Dental & Denture Care
......................................10
Diabetes Care
...................................................11
Diagnostics
.......................................................12
Eye & Ear Care
.................................................12
3
First Aid
.............................................................13
Foot Care
..........................................................14
Hemorrhoidal Preparations
...............................15
Home Aids
........................................................15
Incontinence Supplies
.......................................16
Motion Sickness
................................................ 17
Nutritional Supplements
....................................17
Pain Relief Aids
.................................................18
Pain Relievers & Fever Reducers
.....................18
Pediculicide (Lice Treatment)
............................19
Skin & Sun Care
...............................................19
Sleep Aids
........................................................ 20
Smoking Cessation
.......................................... 20
Vitamins & Minerals
......................................... 22
Wart Remover
...................................................24
NOTICES
.............................................................. 25
2023 Over-the-Counter (OTC) Benet Catalog
HOW TO
ORDER
Online
You may place an order online using your WellCare by Fidelis OTC website at
www.mybenetscenter.com.
Mail
You may place your order by mailing in the order form to the OTC Servicing Center,
P.O. Box 526266, Miami, FL 33152-9819.
If the end of the benet period is approaching and you do not think your order
form will be received in time, you may order online or call us.
Phone
If you have questions or would like to place your order over the phone,
OTC Advocates are available Monday - Friday from 8 a.m. to 11 p.m. EST at
1-855-402-4806 (TTY: 711). Please have your item number(s) ready when you call.
4
5
` Unused benets will not carry over into the next benet period.
` If your order total exceeds your benet amount, credit cards are accepted. Benet
funds provided by your health insurance provider must be used in its entirety prior to
other forms of payment being accepted.
` Your order total will be applied to the benet period in which the order is received.
` OTC products are intended for member use only to help with a health or medical
need. Your health plan prohibits the use of this benet to order OTC items for family
members and friends.
` These products are intended for personal use. For this reason, we don’t allow returns
or exchanges. Please call within 60 days of placing your order if:
`
You haven’t received your order.
`
You received a defective or damaged item.
` This product list is subject to change. Items, quantities, sizes, and values may change
depending on availability. For the most up-to-date listing of OTC products available, go
to: www.mybenetscenter.com.
` Applicable sales tax will be added to the order total and deducted from your available
balance.
` In the event of market shortage, we reserve the right to limit quantities.
` All product and company names are trademarks
™
or registered
®
trademarks of their
respective holders. Use of these trademarks does not imply any aliation with or
endorsement by them.
Note: For delivery, please allow 5-7 business days from the time your order is placed.
ORDER
GUIDELINES
2023 Over-the-Counter (OTC) Benet Catalog6
Online Access to Your OTC Benet is
Fast, Easy, and Secure!
Your OTC benet website oers you many
convenient features. You are able to…
` Browse the OTC products that are available
to you
` Access a digital copy of your OTC catalog
` Monitor your available balance while you shop
` Track your order and view your order history
` Manage your account
` And more!
How to Place an Order:
You have 24/7 access to your WellCare by Fidelis
OTC website, to place an order:
` Go to www.mybenetscenter.com
` Log in by using your card number. Select the
items you want and place the order.
Please allow 5-7 business days from the
time your order is placed.
If you need any assistance, please call the
Order Fulllment Center Monday - Friday from
8 a.m. to 11 p.m. EST at 1-855-402-4806 (TTY: 711).
Our friendly and knowledgeable advocates are happy
to help you take full advantage of your OTC benet.
Note:
Orders for the benet period must be
placed prior to midnight Eastern Time of the
last day of the period.
HOW TO USE YOUR
OTC WEBSITE
Sales tax is a required part of your order total. 7
Item # Product Name Packaging Strength Price
Allergy
1927 Benadryl Allergy Liqui-Gels Dye-Free 24 ct 25 mg $12.00
1090 Cetirizine HCL (Allergy Tablets) 14 ct 10 mg $7.75
2003 Cetirizine HCL (Allergy Tablets) 45 ct 10 mg $11.00
1008
Chlorpheniramine Maleate Antihistamine
(Allergy Tablets)
100 ct 4 mg $8.75
2300 Claritin 24hr Tablet 10 ct 10 mg $22.00
1009 Diphenhydramine Antihistamine (Allergy Tablets) 24 ct 25 mg $6.50
1308 Diphenhydramine Antihistamine (Allergy Tablets) 100 ct 25 mg $6.50
2021 Diphenhydramine Antihistamine (Allergy Tablets) 400 ct 25 mg $16.50
1428 Diphenhydramine HCL (Children’s Allergy Liquid) 4 oz 12.5 mg / 5 ml $6.50
1804 Fexofenadine (Allergy Tablets) 30 ct 180 mg $17.50
1946
Fluticasone Propionate
(Allergy Nasal Spray, 24-hour)
144 sprays 50 mcg $26.25
2033 Loratadine (Allergy Tablets) 10 ct 10 mg $6.00
1611 Loratadine (Allergy Tablets) 100 ct 10 mg $17.50
2020 Loratadine (Allergy Tablets) 365 ct 10 mg $27.50
1881 Nasacort 60 sprays $26.25
1922 Nasal Decongestant Inhaler - Levmetamfetamine 0.007 oz 50 mg $8.75
1091 Nasal Decongestant Spray, 12-Hour 1 oz 0.05% $6.50
1052 Nasal Spray, Saline 1.5 oz 0.65% $6.00
2303 Zyrtec Tablet 14 ct 10 mg $26.25
2301 Zyrtec Tablet 30 ct 10 mg $29.25
2302 Zyrtec Tablet 90 ct 10 mg $53.50
Antacids & Acid Reducers
1313 Alka-Seltzer 36 ct $12.00
1006 Antacid / Anti-Gas Liquid 12 oz $8.25
1346 Antacid Chewable 150 ct 500 mg $7.75
1314 Effervescent Antacid & Pain Relief 36 ct $7.75
1949
Esomeprazole Magnesium
(Acid Reducer, Delayed Release) *
42 ct 20 mg $25.25
1108 Famotidine (Acid Reducer) 30 ct 10 mg $8.25
1970 Omeprazole (Acid Reducer, Delayed Release)* 42 ct 20 mg $27.50
1966
Omeprazole
(Acid Reducer, Delayed Release, Dissolvable)*
42 ct 20 mg $27.50
2053 Prilosec* 42 ct 20 mg $34.75
1800 Simethicone (Gas Relief) 100 ct 80 mg $8.75
2019 TUMS Ultra Strength 72 ct 1,000 mg $11.00
2023 Over-the-Counter (OTC) Benet Catalog8
Item # Product Name Packaging Strength Price
Anticandidal (Yeast)
1115
Clotrimazole
(Vaginal Antifungal 7-Day Cream with Applicator)
45 gm 1% $11.00
1117
Miconazole
(Vaginal Antifungal 3-Day Cream with Applicator)
1 kit 2% $17.50
1119
Tioconazole
(Vaginal Antifungal 1-Day Cream with Applicator)
1 ct 6.5% $20.75
Anti-diarrheal, Laxatives & Digestive Health
1316 Beano 30 ct $9.75
1128 Bisacodyl (Stimulant Laxative, Enteric Coated) 100 ct 5 mg $7.00
2226 Bulk-Forming Laxative Caplets 90 ct $15.25
1969 ClearLax Unflavored Powder Laxative 8.3 oz 17 g $14.25
1126 Docusate Sodium (Stool Softener) 100 ct 100 mg $8.75
1130
Docusate Sodium plus Sennosides
(Natural Vegetable Laxative)
60 ct 8.6 mg / 50 mg $7.75
1733 Enema 4.5 oz $6.00
1124 Ex-Lax 8 ct 15 mg $8.75
1155 Fiber Tablets ‡ 60 ct 500 mg $11.00
1125 Glycerin Suppository Laxative 25 ct 2 gm $7.75
2200 Imodium Multi-Symptom Relief Caplets* 12 ct 2 mg $12.50
1067 Lactase Capsules 60 ct 3,000 FCC Units $10.75
1133 Loperamide HCL (Anti-Diarrheal Tablets)* 12 ct 2 mg $6.50
1889 Magnesium Citrate (Saline Laxative, Lemon) 10 oz $6.50
1011 Milk of Magnesia 12 oz 1,200 mg $7.00
2213 Oral Probiotic 50 ea 250 mg $35.00
1317 Pepto-Bismol Cherry 12 oz 525 mg / 30 ml $12.00
1045 Pink Bismuth Chewable Tablets 30 ct 262 mg $6.50
1318 Pink Bismuth Liquid 8 oz 525 mg / 30 ml $7.75
2227
PV Fiber Therapy Original Coarse
Unflavored 72 tsp
19 oz $13.75
2228 PV Fiber Therapy Powder Orange 72 tsp SF 15 oz $15.75
Anti-fungal
1047 Clotrimazole (Athlete’s Foot Cream) 1.5 oz 1% $10.50
1135 Miconazole Nitrate (Anti-fungal Cream) 1 oz 2% $9.75
1874 Miconazole Nitrate (Athlete’s Foot Spray) 4.6 oz 2% $11.50
2305 Nail Restore Fungal Formula 0.34 oz $19.00
1046 Terbinafine HCL (Athlete’s Foot Cream) 0.5 oz 1% $12.50
1064 Tolnaftate (Anti-fungal Cream) 1.25 oz 1% $7.75
Sales tax is a required part of your order total. 9
Item # Product Name Packaging Strength Price
Baby First Year
2212 Graduated Medicine Spoons 1 ea $7.25
Bathroom Safety & Fall Prevention
1764 Adjustable Transfer Bench 1 ct $83.50
2306 Antimicrobial Suction Cup Grab Bar, Chrome, 12” 1 ea $19.75
2307 Antimicrobial Suction Cup Grab Bar, Chrome, 16” 1 ea $19.75
1469 Bariatric Transfer Bench 1 ct $185.00
1728 Bath Bench with Back 1 ct $57.75
1727 Bath Bench without Back 1 ct $49.25
1459 Bath Mat, Non-Skid 1 ct $16.50
2310 Bath Seat Cushion 1 ea $23.75
1730 Bath Tub Safety Rail 1 ct $41.50
2009 Bed Assist Bar 1 ct $60.25
1464 Bed Rails 1 ct $63.75
2309 Chair Shower Transport 1 ea $109.00
2006 Fall Mat 1 ct $157.50
2007 Handheld Shower Head 1 ct $27.50
1798 Knurled Chrome Grab Bar - 12” 1 ct $20.75
1797 Knurled Chrome Grab Bar - 24” 1 ct $24.00
2005 Knurled Chrome Grab Bar - 32” 1 ct $39.50
1729 Raised Toilet Seat 1 ct $38.25
1950 Raised Toilet Seat with Arms 1 ct $71.50
1780 Safety Treads, Tub & Stair 1 pack $9.75
1460 Shower Mat, Non-Skid 1 ct $19.25
1779 Toilet Safety Rails 1 set $43.75
2308 Toilet Seat Cushion Vinyl 1 ea $15.75
Cold & Flu
1360 Cepacol Sore Throat Lozenges 16 ct 7.5%, 5 mg $8.75
1166 Cough & Cold for High Blood Pressure 16 ct 4 mg / 30 mg $7.75
1056 Cough Drops, Cherry 30 ct 5.8 mg $3.25
1999 Cough Drops, Cherry 80 ct 5.8 mg $6.25
1833 Cough Drops, Honey Lemon 30 ct 7.5 mg $3.25
1834 Cough Drops, Menthol 30 ct 5.4 mg $3.25
1182 Cough Drops, Sugar Free, Cherry 25 ct 5.8 mg $4.50
1054 Cough Syrup, Expectorant 4 oz 200 mg / 10 ml $6.50
1323 Diabetic Tussin DM 4 oz 20 mg / 200 mg $10.50
1180 Guaifenesin (Cough Expectorant) 100 ct 200 mg $11.00
2059 Halls Mentho-Lyptus Drops 30 ct $6.50
2023 Over-the-Counter (OTC) Benet Catalog10
Item # Product Name Packaging Strength Price
2063 Mucinex 20 ct 600 mg $19.75
1178
Mucus Relief DM Expectorant & Cough
Suppressant (Guaifenesin 400 mg /
Dextromethorphan HBr 20 mg)
30 ct 400 mg / 20 mg $11.00
1965
Mucus Relief DM Expectorant & Cough
Suppressant, Extended Release
14 ct 1,200 mg / 60 mg $16.50
1357 Multi-Symptom Cold Formula 24 ct
10 mg / 5 mg
/ 325 mg
$8.75
1931 Nasal Rinse Kit, Saline 1 kit $19.75
1792 Personal Steam Inhaler 1 ct $52.50
1352 Phenylephrine HCL (Nasal Decongestant PE) 36 ct 10 mg $7.75
1176 Sore Throat Lozenges, Cherry 18 ct $5.50
1904 Sore Throat Spray, Cherry 6 oz 1.4% $7.75
2061 Tylenol Cold & Flu 24 ct $13.25
1164 Vapor Rub 4.0 oz 4.8% / 1.2% $7.75
Cold Sore & Medicated Lip Products
1152 Abreva 2 gm 10% $26.25
1359 Releev Cold Sore Treatment 6 ml 0.13% $24.75
Dental & Denture Care
1817 Biotene Dry Mouth Oral Rinse 16 oz $14.25
1818 Biotene Dry Mouth Spray 1.5 oz $12.50
1749 Dental Travel Kit 1 ct $11.00
1747 Denture Brush 1 ct $6.50
1032 Denture Cleaning Tablets 40 ct $6.50
1653 Efferdent Plus Mint Tablets 44 ct $9.75
1842 Effergrip Denture Cream Adhesive 1.5 oz $7.75
1843 Effergrip Denture Cream Adhesive 2.5 oz $9.75
1745 Fingertip Tooth & Gum Massager 1 ct $9.75
1187 Fixodent 0.75 oz $7.00
1751 Interdental Flossups 90 ct $6.00
1748 Interdental Gum Brushes 10 ct $6.50
1454 Orajel Pain Relief 0.25 oz 20% $12.00
2161 Oral B Replacement Brush heads 3 ct $37.25
1750 Oral Care System Kit 1 ct $13.75
1286 Oral Pain Relief 0.5 oz 20% $7.75
1324 Polident Denture Cream 3.9 oz $9.75
1892 Polident Overnight 84 ct $13.25
1901 Reach Waxed Dental Floss - Cinnamon 55 yd $4.50
1455 Reach Waxed Dental Floss - Mint 55 yd $4.50
Sales tax is a required part of your order total. 11
Item # Product Name Packaging Strength Price
1902 Reach Waxed Dental Floss - Unflavored 55 yd $4.50
1451 Replacement Brush Head 2 ct $29.75
2038 Sea-Bond Denture Adhesive Wafers, Lowers 15 ct $8.75
2039 Sea-Bond Denture Adhesive Wafers, Uppers 15 ct $8.75
2015 Toothbrush, Battery Powered 1 ct $22.00
1830 Toothbrush, Colgate, Adult Medium 1 ct $3.25
1413 Toothbrush, Colgate, Adult Soft 1 ct $3.25
1894 Toothbrush, Professional Care Electronic 1 ct $87.50
1450 Toothbrush, Rechargeable 1 ct $40.50
1948 Toothbrush, Soft 2-pack 2 ct $6.50
1412 Toothbrush, Tek Pro, Angled Soft 1 ct $1.00
1831 Toothpaste, Colgate 4 oz $6.50
1838 Toothpaste, Crest Sensi-Relief 4.1 oz $9.75
1914 Toothpaste, Fluoride 6.4 oz $6.50
1414 Toothpaste, Pepsodent 5.5 oz $4.50
1903 Toothpaste, Sensitive Teeth 4.3 oz $6.50
1716 Toothpaste, Ultrabrite Advanced Whitening 6 oz $6.50
1744 Water Jet 1 ct $49.25
1743 Water Jet Replacement Tips 5 ct $18.50
Diabetes Care
2047 Daily Diabetes Health Pack Vitamins ‡ 30 ct $28.25
1839 Diabetic Skin Relief Foot Cream 3.4 oz $13.25
1957 Diabetic Socks, Black, Large 3-pack 3 pair $9.75
1956 Diabetic Socks, Black, Medium 3-pack 3 pair $9.75
1958 Diabetic Socks, Black, X-Large 3-pack 3 pair $9.75
1954 Diabetic Socks, White, Large 3-pack 3 pair $9.75
1953 Diabetic Socks, White, Medium 3-pack 3 pair $9.75
1955 Diabetic Socks, White, X-Large 3-pack 3 pair $9.75
2315 Glucose Gummies Mixed Fruit Flavor 60 ct $10.00
1997 Glucose Tablets 50 ct $10.50
1960
Ultra Soft Padded Diabetic Sock,
Black, Large 2-pack
2 pair $12.00
1959
Ultra Soft Padded Diabetic Sock,
Black, Medium 2-pack
2 pair $12.00
1961
Ultra Soft Padded Diabetic Sock,
Black, X-Large 2-pack
2 pair $12.00
1963
Ultra Soft Padded Diabetic Sock,
White, Large 2-pack
2 pair $12.00
1962
Ultra Soft Padded Diabetic Sock,
White, Medium 2-pack
2 pair $12.00
2023 Over-the-Counter (OTC) Benet Catalog12
Item # Product Name Packaging Strength Price
1964
Ultra Soft Padded Diabetic Sock,
White, X-Large 2-pack
2 pair $12.00
2314 Vivi Cap Insulin Temperature Shield 1 ea $126.00
2320 Zero Sugar Biotin ‡ 60 ct 5000 mcg $14.00
2316 Zero Sugar Diabetic Multivitamin ‡ 60 ct $14.00
2317 Zero Sugar Probiotic 60 ct $14.00
2318 Zero Sugar Vitamin C ‡ 60 ct $14.00
2319 Zero Sugar Vitamin D ‡ 60 ct 125 mcg $14.00
Diagnostics
2201 A1C Self Check Now ‡ 1 ea $78.75
1982 Activity Tracker 1 ct $49.25
1935 Bathroom Scale ‡ 1 ct $49.25
1981 Bathroom Scale, Talking ‡ 1 ct $62.50
1253 Blood Pressure Monitor, Desktop Automatic ‡ 1 ct $43.75
1503 Blood Pressure Monitor, Desktop Talking ‡ 1 ct $49.25
1501 Blood Pressure Monitor, Wrist ‡ 1 ct $32.75
1502 Blood Pressure Monitor, Wrist Talking ‡ 1 ct $38.25
1504
Desktop Blood Pressure Monitor
Replacement Cuff ‡
1 ct $16.50
1416 EZ Detect Colon Cancer Test Kit ‡ 1 ct $18.50
1794 Fever Strip Thermometer 1 ct $8.75
1505 Finger Pulse Oximeter ‡ 1 ct $35.00
1771 Heart Rate Monitor Watch ‡ 1 ct $43.75
1752 Thermometer Probe Covers 30 ct $3.75
1063 Thermometer, Digital 60 seconds 1 ct $8.75
1285 Thermometer, Digital Ear 1 ct $32.75
1697 Thermometer, Flexible Tip, Digital 9 seconds 1 ct $14.25
1925 Thermometer, Talking Ear and Forehead 1 ct $49.25
2323 Vivi Epi Pen Temperature Shield 1 ea $136.50
Eye & Ear Care
1192 Artificial Tears Drops 0.5 oz $6.50
1194 Artificial Tears Ointment 3.5 gm $11.00
1196 Bausch + Lomb Eye Wash Solution 4 oz $9.25
1199 Clear Eyes Eye Drops 0.2 oz $6.50
1841 Ear Pain Relief Ear Drops 10 ml $14.25
1190 Ear Wax Removal Drops 15 ml 6.5% $7.75
1363 Ear Wax Removal System with Rubber Bulb 15 ml 6.5% $9.75
1516 Eye Patches 1 ea $9.75
1806 Irritation Relief Eye Drops 15 ml $9.75
Sales tax is a required part of your order total. 13
Item # Product Name Packaging Strength Price
2325 Lubricant Eye Gel 10 ml 0.4% / 0.3% $25.50
1468 Multi-Purpose Contact Lens Solution 12 oz $8.75
1801 Pataday Daily Release (Olopatidine) Twin Pack 5 ml 0.2% $43.75
1807 Pataday Daily Release (Olopatidine) 5 ml 0.1% $21.25
2324
Preservision AREDS 2 Vitamin &
Mineral Supplement
90 ct $35.00
1061 Redness Relief Eye Drops 15 ml 0.05% $5.50
2326 Sterile Ultra Lubricant Eye Drops 0.5 oz $10.00
1905 Stye Eye Compress 1 ct $12.00
1906 Stye Eye Ointment 3.5 gm $12.50
1910 Swim-Ear Ear Drops 1 oz $8.25
First Aid
1344 Adhesive Bandages 100 ct $6.50
1803 After Bite Relief 0.5 oz $11.00
1200 Alcohol Pads* 100 ct 70% $5.50
2004 Alcohol Pads* 200 ct 70% $7.75
1808 Antiseptic Skin Cleanser 8 oz $12.00
1201 Antiseptic Towelettes 100 ct $8.25
1020 Bacitracin Ointment 1 oz 500 u / gm $7.00
2331 Bacitracin Ointment 144 ct $20.00
1142 Bactine Solution 4 oz $11.00
2054 Band-Aid Comfort-Flex Plastic 60 ct $7.75
1676
Band-Aid Johnson & Johnson
Gauze Pad - 2” x 2”
25 ct $7.75
2060 Benadryl Extra Strength Itch Stopping Cream 1 oz $7.50
1926 Burn Relief Spray 4.5 oz 0.5% $12.00
1144 Caldyphen Clear (Anti-Itch Lotion) 6 oz 1.00% $8.75
2042 Cast, Bandage and Wound Protector, Arm 2 ct $12.25
2043 Cast, Bandage and Wound Protector, Leg 2 ct $12.25
1223
Conforming Stretch Gauze
Sterile Bandages - 3” x 4.1 yd
12 ct $8.75
1763 Cotton Balls 300 ct $5.00
1140
Diphenhydramine HCL / Zinc Acetate
(Anti-Itch Cream)
1 oz $6.50
1207 Elastic Bandage - 2” x 4.5 yd 1 ct $6.50
1213 Elastic Bandage - 6” x 5 yd 1 ct $8.75
1947 First Aid Kit, 20 Pieces 1 ct $6.50
1215 First Aid Kit, 76 Pieces 1 ct $11.00
1738 First Aid Kit, 175 Pieces 1 ct $16.50
1062 Hot/Cold Pack, 1 small & 1 large 1 ct $9.75
2023 Over-the-Counter (OTC) Benet Catalog14
Item # Product Name Packaging Strength Price
1074 Hydrocortisone 1% Cream 1 oz 1% $6.50
1228 Hydrogen Peroxide 16 oz 3% $5.50
1796 Insect Repellent Spray - DEET 4 oz 30% $13.25
1867 Insect Repellent Spray - DEET 2 oz 30% $9.25
1868 Insect Repellent Spray - DEET 8 oz 30% $18.00
1203 Iodine Solution Antiseptic 4 oz 10.0% $8.25
1713 Isopropyl Alcohol 16 oz 70% $6.50
1229 Isopropyl Alcohol, Wintergreen 16 oz 70% $7.00
1872 Liquid Bandage 0.61 oz $9.25
1326 Neosporin + Pain Relief 0.5 oz $11.00
1667
Nexcare clear waterproof bandages
assorted sizes
50 ct $8.75
2204 Nexcare DUO Bandages Assorted 40 ct $11.25
1840 Nitrile Gloves (Large) 100 ea $22.00
2328 Nitrile Gloves (Small) 100 ea $22.00
2329 Nitrile Gloves (XL) 100 ea $22.00
2018 Petroleum Jelly 4 oz $7.75
2215
Petroleum Jelly Skin Protectant
with Cocoa Butter
7.5 oz $2.50
1896 Procedural Face Masks with Earloops 50 ct $19.75
1217 Tape, Paper Surgical - 1” x 10 yd 1 ct $6.50
1219 Tape, Silk Surgical - 1” x 10 yd 1 ct $6.00
1221 Tape, Transparent Surgical - 1” x 10 yd 1 ct $6.00
1819 Tegaderm Transparent Dressing 8 ct $11.00
1014 Triple Antibiotic Ointment 1 oz $8.75
2332 Triple Antibiotic Ointment 144 ct $25.00
2057 Vaseline Petroleum Jelly 13 oz $8.25
2230 Vinyl Gloves (Large) 100 ct $17.50
2333 Vinyl Gloves (Small) 100 ct $17.50
2334 Vinyl Gloves (XL) 100 ct $17.50
Foot Care
1784 Bunion Guard 1 ct $10.50
1238 Callus Remover Pads 6 ct $8.75
1236 Corn Remover Pads 9 ct $8.25
2388 Dr. Scholl’s Float-On-Air Insole Mens 1 ea $19.75
2389 Dr. Scholl’s Float-On-Air Insole Womens 1 ea $19.75
1785 Hammer Toe Crest 1 ct $12.00
2391 Kerasal Fungal Nail Renewal 0.33 oz $24.00
2390 Kerasal Intensive Foot Repair Ointment 0.33 oz $18.75
1786 Lamb’s Wool Padding 1 ct $7.75
Sales tax is a required part of your order total. 15
Item # Product Name Packaging Strength Price
1782 Moleskin Sheets Plus 4 ct $7.75
1787 Toe Protector, Large 1 ct $9.75
1788 Toe Protector, Small 1 ct $9.75
1783 Toe Separator 6 ct $8.75
Hemorrhoidal Preparations
1066 Hemorrhoidal Ointment 2 oz $9.75
1247 Hemorrhoidal Suppository 12 ct $7.75
1364 Pre-moist Hemorrhoid Pads 100 ct $9.75
1248 Preparation H Cream 26 gm $13.25
1895 Preparation H Medicated Wipes 48 ct $12.00
1098 Tucks Medicated Cooling Pads by Blistex 100 ct $15.25
Home Aids
2336
Aluminum Reacher with
Magnetic Tip Non-Folding 32”
1 ea $8.75
2046 Button and Zipper Pull Aid 1 ct $15.25
2241 Cane Ice Grip Attachment 1 ct $11.25
2341 Cordless Water Flosser 1 ea $31.50
2037 CPAP Mask Wipes 72 ct $9.25
1836 CPAP Pillow Fiber Filled 1 ct $54.50
1837 CPAP Pillow Memory Foam 1 ct $42.75
1732 Cushion, Foam Ring 1 ct $24.00
1731 Cushion, Lumbar 1 ct $22.00
2340 Deluxe Pedal Exerciser 1 ea $59.75
1515 Denture Case 1 ct $3.75
2346 Exercise Resistance Bands 1 ea $5.25
2353 Foam Bed Wedge 1 ea $43.50
2349 Foot Stool with Support Handle 1 ea $27.25
2347 Hand Exercise Strengtheners 2 ct $7.50
1795 Humidifier, Ultra-Sonic Cool Mist 1 ct $63.50
1936 Hypoallergenic Pillow 1 ct $49.25
2343 Jar Opener for Seniors 3 ct $7.25
1756 Kitchen Scale, Dial ‡ 1 ct $8.25
2016 Kitchen Scale, Digital ‡ 1 ct $27.50
2354 Massaging Foam Roller 1 ea $132.75
2214 Measuring Cup Scale ‡ 1 ea $34.00
1875 Medical ID Bracelet - Blank 1 ct $17.50
1877 Medical ID Bracelet - Diabetic 1 ct $17.50
1876 Medical ID Bracelet - Heart 1 ct $17.50
2017 Medicine Bottle Opener with Magnifier 1 ct $11.00
2023 Over-the-Counter (OTC) Benet Catalog16
Item # Product Name Packaging Strength Price
1512 Night Guard (boil and bite mouth guard) 1 ct $23.50
2044 Oral Syringe 1 ct $1.00
2352 Ortho Wedge 1 ea $47.50
1513 Orthopedic Neck Pillows 1 ct $45.25
1933 Pill Crusher with Storage 1 ct $11.00
1932 Pill Cutter with Safety Shield 1 ct $11.00
1514 Probing Cane- White 1 ea $23.00
2337 Reacher Suction Cup 22” 1 ea $12.50
2338 Reacher Suction Cup 33” 1 ea $15.25
1799 Sharps Container, 1 gallon 1 ct $10.50
2339 Shoe Horn No Bend 24” 1 ea $11.00
2344 Stress Ball 1 ea $7.25
1934 Weekly AM/PM Pill Case 1 ct $11.00
1466 Wheelchair Cushion, Gel / Foam Seat 1 ct $32.75
2348 Wrist and Ankle Weights 1 ea $26.25
Incontinence Supplies
2027 Adult Briefs, Large - 44” to 58” (Tabs) 24 ct $22.00
2026 Adult Briefs, Medium - 32” to 44” (Tabs) 24 ct $20.75
1510 Adult Briefs, Small – 25” – 34” (Tabs) 24 ct $20.75
2028 Adult Briefs, X-Large - 58” to 63” (Tabs) 20 ct $22.00
2219 Attends Bariatric 2X-Large Underwear 12 ct $27.25
1811 Attends Discreet Men’s Guard 20 ct $15.25
1812
Attends Discreet Women’s
Maximum Bladder Control Pad
20 ct $22.00
1815 Attends Discreet Women’s Panty Liner 28 ct $9.75
1814
Attends Discreet Women’s
Ultimate Bladder Control Pad
20 ct $24.00
1302 Barrier Cream 4 oz $9.75
1479 Bladder Control Shaped Pad, Heavy Absorbency 20 ct $18.50
1480
Bladder Control Shaped Pad,
Maximum Absorbency
20 ct $18.50
2382 Discreet Men’s Underwear, Large/X-Large 18 ea $24.50
2381 Discreet Men’s Underwear, Small/Medium 20 ea $24.50
2385 Discreet Women’s Underwear, Large 18 ea $24.50
2383 Discreet Women’s Underwear, Medium 20 ea $24.50
2384 Discreet Women’s Underwear, X-Large 16 ea $24.50
1026
Disposable Underwear,
Large - 44” to 58” (Pull-up)
18 ct $17.50
1021
Disposable Underwear,
Medium - 34” to 44” (Pull-up)
20 ct $17.50
Sales tax is a required part of your order total. 17
Item # Product Name Packaging Strength Price
1027
Disposable Underwear,
X-Large - 58” to 68” (Pull-up)
14 ct $17.50
1928 Flushable Wipes 24 ct $8.75
2000 Flushable Wipes 60 ct 13.25
1202 Lantiseptic Skin Protectant Ointment 4 oz 50% $13.25
2380 Overnight Bladder Control Pads 30 ea $33.50
1508 Oxytrol 4 ct 3.9mg/day $24.25
1509 Oxytrol 8 ct 3.9mg/day $43.50
2022 Perineal Wash Rinse-Free 8 oz $7.25
1994 Premier Adult Briefs, Large - 44” to 58” (Tabs) 12 ct $32.75
1993 Premier Adult Briefs, Medium - 32” to 44” (Tabs) 14 ct $32.75
1995 Premier Adult Briefs, X-Large - 58” to 63” (Tabs) 10 ct $32.75
1991
Premier Disposable Underwear,
Large - 44” to 58” (Pull-up)
16 ct $32.75
1990
Premier Disposable Underwear,
Medium - 36” to 44” (Pull-up)
18 ct $32.75
1992
Premier Disposable Underwear,
X-Large - 56” to 68” (Pull-up)
14 ct $32.75
1477 Underpad, Disposable - 30” x 30” 10 ct $11.00
1996
Underpad, Extra Absorbent Air Permeable,
30” x 36”
5 ct $16.50
Motion Sickness
1264 Bonine Adult 8’s 8 ct 25 mg $8.75
1263 Dimenhydrinate (Motion Sickness Tablets) 12 ct 50 mg $7.75
1366 Meclizine HCL (Motion Sickness Caplets) 100 ct 12.5 mg $9.75
Nutritional Supplements
2109 Beyond Fresh Amazing Shake 1.1 lb $34.00
2111 Beyond Fresh Vineyard Fresh Blend 6.3 oz $32.75
2100
BOOST Nutritional Supplement:
Chocolate Shake 8 oz
24 ea $48.75
2101
BOOST Nutritional Supplement:
Vanilla Shake 8 oz
24 ea $48.75
2115 Country Farms Super Shake (Chocolate) 12.4 oz $19.75
2102 Glucerna: Chocolate Shake 8oz each 24 ea $63.50
2104 Glucerna: Chocolate Shake 8oz each 6 ea $19.75
2103 Glucerna: Vanilla Shake 8 oz 24 ea $63.50
2105 Glucerna: Vanilla Shake 8 oz 6 ea $19.75
2108 Keto Meal Shake - Chocolate 16 oz $25.25
2107 Keto Meal Shake - Vanilla 20 oz $25.25
2023 Over-the-Counter (OTC) Benet Catalog18
Item # Product Name Packaging Strength Price
Pain Relief Aids
1809 Arthritis Hot Pain Relief Cream 3 oz 10% $8.75
2229 Arthritis Pain Relieving Gel 3.5 oz 1% $18.50
1924 Aspercreme 1.25 oz $8.25
1944 Cold/Hot Menthol Medicated Patch 5 ct 5% $11.00
2355 Diclofenac Sodium Topical Gel 3.5 oz 1% $15.00
1980 Eagle Brand Medicated Oil 36 ml 14.5% / 30% $16.25
1845 Epsom Salt 4 lb $8.50
1846 Fast Freeze Pain Relief Spray 4 oz $14.75
2024 Heating Pad Digital, 12” x 15”* 1 ct $49.25
1943
Heating Pad Wrap For Shoulder,
Neck, and Back, 25” x 26”*
1 ct $57.75
1861 Heating Pad, 12” x 15”* 1 ct $28.50
1942 Heating Pad, X-Large, 12” x 24”* 1 ct $38.25
1859 HeatWraps - Back & Hip 2 ct $12.00
1860 HeatWraps - Neck, Shoulder, & Wrist 3 ct $12.00
1761 Ice Bag - 9” 1 ct $9.75
1871 Lidocaine Patch 5 ct 4% $14.25
1923 Menthol Gel 8 oz 2% $9.75
1762 Pain Relief Mask 1 ct $8.75
1475 Pain Relieving Muscle Rub 2 oz 2.5% $6.50
2386 Salonpas Lidocaine Gel Patch 6 ct $17.50
1739 Salonpas Pain Relief Patches 6 ct $15.25
1912 Thermacare Lower Back & Hip 3 ct $16.50
1913 Thermacare Menstrual Relief 4 ct $16.50
1979 Tiger Balm Ultra Strength Ointment 0.63 oz 11% $11.75
1781 Warm or Cold Water Bottle, Rubber Latex 1 ct $11.00
Pain Relievers & Fever Reducers
1423
Acetaminophen
(Children’s Pain Relief Chewable)
30 ct 80 mg $7.00
1105 Acetaminophen (Pain Reliever, Extra Strength) 50 ct 500 mg $6.25
1600 Acetaminophen (Pain Reliever, Extra Strength) 100 ct 500 mg $7.75
2002 Acetaminophen (Pain Reliever, Extra Strength) 500 ct 500 mg $16.50
2030 Acetaminophen (Pain Reliever, Extra Strength) 24 ct 500 mg $4.50
1001 Acetaminophen (Pain Reliever, Regular Strength) 100 ct 325 mg $7.00
2050 Advil 100 ct 200 mg $16.50
1104 Aleve 90 ct 220 mg $17.50
1311 Arthritis Pain Reliever 100 ct 650 mg $13.25
1095 Aspirin 100 ct 325 mg $6.00
Sales tax is a required part of your order total. 19
Item # Product Name Packaging Strength Price
1096 Aspirin, Enteric Coated 100 ct 325 mg $6.50
1002 Aspirin, Enteric Coated, Low Dose 120 ct 81 mg $6.50
1998 Aspirin, Enteric Coated, Low Dose 500 ct 81 mg $13.25
1802 Aspirin, Low Dose, Chewable 36 ct 81 mg $6.00
1720 Bayer Back & Body Pain, Extra Strength 24 ct 500 mg / 32.5 mg $7.75
1367 Capsaicin (Pain Relief Cream) 2.1 oz 0.025% $10.50
2052 Excedrin Migraine 100 ct
250 mg / 250 mg
/ 65 mg
$18.25
1004 Ibuprofen (Pain Reliever / Fever Reducer) 100 ct 200 mg $8.75
2001 Ibuprofen (Pain Reliever / Fever Reducer) 500 ct 200 mg $17.50
2031 Ibuprofen (Pain Reliever / Fever Reducer) 24 ct 200 mg $4.50
1041
Naproxen Sodium (Pain Reliever / Fever
Reducer)
50 ct 220 mg $7.75
1097
Naproxen Sodium
(Pain Reliever / Fever Reducer)
100 ct 220 mg $11.00
2032
Naproxen Sodium
(Pain Reliever / Fever Reducer)
24 ct 220 mg $5.50
1365
Pain Reliever Plus (Acetaminophen 250mg /
Aspirin 250 mg / Caffeine 65 mg)
100 ct
250 mg / 250 mg /
65 mg
$8.75
1332
Pain Reliever, PM (Acetaminophen,
Extra Strength / Diphenhydramine 25 mg)
100 ct 500 mg / 25 mg $9.75
2058 Tylenol Extra Strength 100 ct 500 mg $16.50
2051 Tylenol Regular Strength 100 ct 325 mg $13.75
2036 Urinary Pain Relief Tablets 30 ct 95 mg $12.00
Pediculicide (Lice Treatment)
1929 Lice Elimination Kit 1 kit $31.75
1269 Lice Treatment Rinse (Permethrin) 59 ml 1% $17.50
1271 Lice Treatment Shampoo 4 oz $12.00
Skin & Sun Care
1076 Acne Gel 10% Benzoyl Peroxide 1.5 oz 10% $9.25
1368 Ammonium Lactate Moisturizing Lotion 8 oz 12% $13.25
2225 Aquaphor Healing Ointment 3.5 oz $14.25
1821 Calamine Skin Protectant Lotion 6 oz $7.75
1065 Hand Sanitizer 8 oz $5.00
2358 Healing Ointment 3.75 oz $9.00
2357 Hydrocortisone Cream 144 ct 1% $23.00
2056 Oxy Daily Cleansing Pads Maximum 90 ct $9.75
1852 Scar Gel 0.7 oz $14.25
2359 Stridex Medicated Pads Sensitive 90 ct $7.50
1284 Sunscreen Lotion SPF 30 4.0 oz $8.25
2023 Over-the-Counter (OTC) Benet Catalog20
Item # Product Name Packaging Strength Price
1908 Sunscreen Lotion SPF 30 1.5 oz $5.50
Sleep Aids
2224 MidNite Sleep Aid, 30 ct 30 ct $17.75
1725 Nasal Strips, Large 30 ct $14.25
1724 Nasal Strips, Medium 30 ct $14.25
2362 Sleep Aid 16 ct 25 mg $8.00
1276 Sleep Tablets 50 ct 25 mg $6.50
Smoking Cessation
1372 Nicotine Gum ‡ 50 ct 4 mg $27.50
1281 Nicotine Lozenges ‡ 72 ct 4 mg $46.00
1369 Nicotine Patch, Step 1 ‡ 14 ct 21 mg / 24 hr $38.25
1370 Nicotine Patch, Step 2 ‡ 14 ct 14 mg / 24 hr $38.25
1371 Nicotine Patch, Step 3 ‡ 14 ct 7 mg / 24 hr $38.25
1225 Ankle Support 2 ct $11.00
2041 Arm Sling 1 ct $15.25
1765 Arthritis Gloves, Large 1 pair $29.50
1766 Arthritis Gloves, Medium 1 pair $29.50
1767 Arthritis Gloves, Small 1 pair $29.50
2013 Arthritis Knee Sleeve, Large 1 ct $27.50
2012 Arthritis Knee Sleeve, Medium 1 ct $27.50
2011 Arthritis Knee Sleeve, Small 1 ct $27.50
2014 Arthritis Knee Sleeve, X-Large 1 ct $27.50
1487 Back Support Elastic - 24” to 46” 1 ct $25.25
1488 Back Support Elastic with Lumbar 1 ct $29.50
1768 Carpal Tunnel Brace, Large 1 ct $27.50
1769 Carpal Tunnel Brace, Medium 1 ct $27.50
1770 Carpal Tunnel Brace, Small 1 ct $27.50
1241 Cervical Collar 1 ct $9.50
1399
Compression Knee High Socks,
Men’s Black, Large (Shoe Size 10.5 - 12) ‡
1 pair 15 - 20 mmHg $18.50
1398
Compression Knee High Socks,
Men’s Black, Medium (Shoe Size 8 - 10) ‡
1 pair 15 - 20 mmHg $19.75
1401
Compression Knee High Socks,
Men’s White, Large (Shoe Size 10.5 - 12) ‡
1 pair 15 - 20 mmHg $19.75
1400
Compression Knee High Socks,
Men’s White, Medium (Shoe Size 8 - 10) ‡
1 pair 15 - 20 mmHg $19.75
1408
Compression Knee High Socks,
Women’s Beige, Large (Shoe Size 8 - 10.5)
1 pair 8 - 15 mmHg $19.75
1407
Compression Knee High Socks,
Women’s Beige, Medium (Shoe Size 5.5 - 7.5)
1 pair 8 - 15 mmHg $19.75
Sales tax is a required part of your order total. 21
Item # Product Name Packaging Strength Price
1406
Compression Knee High Socks,
Women’s Beige, Small (Shoe Size 4 - 5)
1 pair 8 - 15 mmHg $19.75
1411
Compression Knee High Socks,
Women’s Black, Large (Shoe Size 8 - 10.5)
1 pair 8 - 15 mmHg $19.75
1410
Compression Knee High Socks,
Women’s Black, Medium (Shoe Size 5.5 - 7.5)
1 pair 8 - 15 mmHg $19.75
1409
Compression Knee High Socks,
Women’s Black, Small (Shoe Size 4-5)
1 pair 8 - 15 mmHg $19.75
1758
Deluxe Criss Cross Back Support,
Large - 38” to 42”
1 ct $26.25
1759
Deluxe Criss Cross Back Support,
Medium - 33” to 37”
1 ct $26.25
1760
Deluxe Criss Cross Back Support,
Small - 28” to 32”
1 ct $26.25
1224 Elbow Support 1 ct $16.50
1772 Heel & Elbow Protector, Large 1 ct $13.25
1773 Heel & Elbow Protector, Medium 1 ct $13.25
1774 Heel & Elbow Protector, Small 1 ct $13.25
1775 Heel & Elbow Protector, X-Large 1 ct $13.25
1864 Hip Protector, Large 1 ct $37.25
1863 Hip Protector, Medium 1 ct $37.25
1862 Hip Protector, Small 1 ct $37.25
1865 Hip Protector, X-Large 1 ct $37.25
1465 Knee Stabilizer 1 ct $25.25
1483 Knee Support, Elastic, Large 1 ct $12.00
1486 Knee Support, Elastic, Large with Stays 1 ct $20.75
1482 Knee Support, Elastic, Medium 1 ct $12.00
1485 Knee Support, Elastic, Medium with Stays 1 ct $20.75
1481 Knee Support, Elastic, Small 1 ct $12.00
1484 Knee Support, Elastic, Small with Stays 1 ct $20.75
1463 Night Wrist Support 1 ct $32.75
1898 Protective Arm Sleeve - Large 1 pair $26.50
1897 Protective Arm Sleeve - Small 1 pair $22.00
1899 Protective Arm Sleeve - X-Large 1 pair $29.75
1457 Rib Belt - Female (one size fits most) 1 ct $20.75
1456 Rib Belt - Male (one size fits most) 1 ct $20.75
2040 Tennis Elbow Support 1 ct $12.50
1778 Thumb Brace 1 ct $19.75
1920 Wrist Compression - Large 1 ct $15.25
1919 Wrist Compression - Medium 1 ct $15.25
1918 Wrist Compression - Small 1 ct $15.25
2023 Over-the-Counter (OTC) Benet Catalog22
Item # Product Name Packaging Strength Price
1921 Wrist Compression - X-Large 1 ct $15.25
1230 Wrist Splint 1 ct $20.75
1227 Wrist Support 1 ct $11.00
Vitamins & Minerals
2035 Beta Carotene ‡ 100 ct 25,000 IU $10.75
1820 Biotin Gummy ‡ 60 ct 2,500 mcg $14.25
1373 Calcium + Vitamin D3 ‡ 60 ct 600 mg / 400 IU $7.75
1823 Calcium + Vitamin D3 Gummy ‡ 60 ct 250 mg / 500 IU $14.25
1291 Calcium ‡ 60 ct 600 mg $7.75
1945 Calcium Chew, Chocolate ‡ 60 ct 500 mg / 1,000 IU $11.00
1420 Centrum Chewable Adult 50+ ‡ 60 ct $19.75
1825 Chromium Picolinate ‡ 100 ct 200 mcg $14.25
1827 Cod Liver Oil ‡ 110 ct $9.50
1828 Coenzyme Q-10 ‡ 30 ct 100 mg $15.25
1829 Coenzyme Q-10 ‡ 30 ct 50 mg $13.25
1393 Daily Multivitamin ‡ 100 ct $8.75
1972 Daily Multivitamin Gummy ‡ 120 ct $14.25
1385 Daily Multivitamin with Minerals ‡ 100 ct $9.25
1204 Digestive Advantage- Probiotic ‡ 30 ct $20.50
1417 Ferrous Gluconate (Iron Supplement) ‡ 110 ct 27 mg $8.75
1376 Ferrous Sulfate (Iron Supplement) ‡ 100 ct 325 mg $8.25
1741 Fish Oil, Soft Gels ‡ 60 ct 1,000 mg $8.75
1849 Flaxseed ‡ 100 ct 1,000 mg $12.00
1850 Folic Acid ‡ 100 ct 800 mcg $7.00
1114 Glucosamine (Joint Health Support) ‡ 60 ct 500 mg $12.00
1003
Glucosamine / Chondroitin
(Joint Health Support) ‡
60 ct 250 mg / 200 mg $13.25
1975 Healthy Eyes with Lutein ‡ 60 ct $9.75
2236 Iron with Vitamin C Gummy ‡ 60 ct $9.25
1869 Leg Cramps Pain Relief Caplets ‡ 50 ct $15.25
1870 Leg Cramps Pain Relief Caplets ‡ 100 ct $18.50
1418 Magnesium ‡ 110 ct 250 mg $7.75
2232 Magnesium Citrate Gummy ‡ 90 ct $9.75
2392 Multivitamin Jelly Beans 120 ct $12.00
2075 Natural Beta Carotene ‡ 100 ct 25,000 IU $13.25
2091 Natural Biotin ‡ 60 ct 5,000 mcg $15.25
2070 Natural Calcium + Vitamin D3 ‡ 120 ct 600 mg / 800 IU $14.25
2071 Natural Calcium + Vitamin D3 Chewable ‡ 60 ct 500 mg / 600 IU $12.00
2069 Natural Calcium ‡ 60 ct 600 mg $11.00
Sales tax is a required part of your order total. 23
Item # Product Name Packaging Strength Price
2076 Natural Cod Liver Oil ‡ 100 ct $12.00
2092 Natural Coenzyme Q-10 ‡ 45 ct 100 mg $19.75
2066 Natural Daily Multivitamin ‡ 100 ct $11.50
2073 Natural Ferrous Gluconate (Iron Supplement) ‡ 100 ct 27 mg $12.00
2072 Natural Ferrous Sulfate (Iron Supplement) ‡ 100 ct 65 mg $12.00
2093 Natural Folic Acid ‡ 100 ct 800 mcg $9.75
2089 Natural Magnesium ‡ 60 ct 482 mg $11.00
2095 Natural Niacin, No Flush ‡ 30 ct 500 mg $13.25
2067 Natural Senior Multivitamin with Lutein ‡ 120 ct $17.50
2074 Natural Vitamin A ‡ 100 ct 10,000 IU $11.50
2080 Natural Vitamin B-1 ‡ 100 ct 100 mg $13.25
2082 Natural Vitamin B-12 ‡ 60 ct 500 mcg $11.00
2083 Natural Vitamin B-12, Sublingual ‡ 60 ct 5,000 mcg $19.75
2081 Natural Vitamin B-6 ‡ 100 ct 100 mg $12.00
2079 Natural Vitamin B-Complex ‡ 100 ct $11.00
2084 Natural Vitamin C ‡ 100 ct 1,000 mg $15.25
2085 Natural Vitamin C with Rose Hips ‡ 60 ct 1,500 mg $16.50
2077 Natural Vitamin D3 ‡ 100 ct 1,000 IU $11.00
2078 Natural Vitamin D3 ‡ 60 ct 5,000 IU $13.25
2086 Natural Vitamin E, Soft Gels ‡ 90 ct 400 IU $13.25
2087 Natural Vitamin E, Soft Gels ‡ 30 ct 1,000 IU $13.25
2090 Natural Zinc ‡ 100 ct 50 mg $11.00
1378 Niacin ‡ 100 ct 100 mg $6.50
1394 Niacin ‡ 100 ct 500 mg $11.00
1930 Niacin, No Flush ‡ 60 ct 500 mg $13.25
1886 One Daily Men’s Multivitamin ‡ 100 ct $11.00
1887 One Daily Women’s Multivitamin ‡ 100 ct $11.00
2162 Osteo Bi Flex Triple Strength ‡ 80 ct $38.25
1977 Potassium Gluconate ‡ 100 ct 595 mg $6.50
1395 Rena-Vite ‡ 100 ct $14.75
1392 Senior Multivitamin ‡ 90 ct $11.00
1735 Vitafusion Fiber Weight Management ‡ 90 ct $19.25
1379 Vitamin A ‡ 100 ct 10,000 IU $8.75
1016 Vitamin B-1 ‡ 100 ct 100 mg $8.25
1381 Vitamin B-12 ‡ 100 ct 1,000 mcg $12.00
1389 Vitamin B-12 ‡ 100 ct 500 mcg $6.50
1974 Vitamin B-12, Sublingual ‡ 30 ct 5,000 mcg $11.00
1380 Vitamin B-6 ‡ 100 ct 50 mg $6.50
1388 Vitamin B-6 ‡ 100 ct 100 mg $8.75
1382 Vitamin B-Complex ‡ 100 ct $8.75
2023 Over-the-Counter (OTC) Benet Catalog24
Item # Product Name Packaging Strength Price
1915 Vitamin B-Complex Gummy ‡ 70 ct $13.25
1017 Vitamin C ‡ 100 ct 500 mg $7.75
1706 Vitamin C ‡ 110 ct 1,000 mg $12.00
1916 Vitamin C Gummy ‡ 60 ct 125 mg $13.25
1383 Vitamin D3 ‡ 100 ct 10 mcg $6.50
1390 Vitamin D3 ‡ 100 ct 1,000 IU $9.75
1973 Vitamin D3 ‡ 100 ct 5,000 IU $11.00
1978 Vitamin D3 Gummy ‡ 120 ct 1,000 IU $14.25
1384 Vitamin E, Soft Gels ‡ 110 ct 400 IU $11.00
1391 Vitamin E, Soft Gels ‡ 100 ct 100 IU $6.50
1419 Zinc Chelated ‡ 110 ct 50 mg $7.75
Wart Remover
1288 Dr. Scholl’s Wart Removal System 24 ct $16.50
1075 Wart Remover, Liquid 9 ml 17% $9.75
Sales tax is a required part of your order total. 25
Part B/D - Under certain circumstances some items may be covered under either Part B or
Part D. When you are eligible to receive these items under Part B or Part D you may not purchase
these items through your Part C supplemental OTC benet. For your convenience, we’ve marked
these items with an ( ).
Dual-purpose items are medicines and products that can be used for either a medical condition or
for general health and well-being. In order to purchase these items under your plan, your personal
physician must recommend them to you for a specic diagnosed condition. Please speak to your
physician before ordering these items.
All product and company names are trademarks
™
or registered
®
trademarks of their respective
holders. Use of these trademarks does not imply any aliation with or endorsement by them.
NOTICES
2023 Over-the-Counter (OTC) Benet Catalog26
NOTES
27
NOTES
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2023 Over-the-Counter (OTC) Product
ORDER FORM
STEP 1 - COMPLETE YOUR INFORMATION BELOW
Retail Card Date of Birth (mm/dd/yy)
Member ID
First Name
Last Name and Sux MI
Street Number Street Name Apt/Suite #
City State Zip Code
Email* (Optional) Daytime Phone
@
*By providing your email address/mobile phone number to
Mobile Phone* (Optional)
us, you consent that we may send communication to you
via email/text. Mobile service provider’s message and
data rates may apply.
STEP 2 - PRODUCT SELECTION
For orders that exceed your benet amount, you may use MasterCard, Visa, Discover or American
Express to pay the dierence. Simply contact the OTC Fulllment Center to complete your order.
Item #
Product Quantity Unit Price TOTAL
Subtotal from Other Side $
.
Sales T
ax $
.
Total Order $
.
Please mail this completed form to the following address:
OTC Servicing Center, PO Box 526266, Miami, FL 33152-9819
To order additional products, please see reverse. Please mail the completed form back in the
postage-paid envelope provided.
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STEP 2 - PRODUCT SELECTION (Continued)
Item #
Product Quantity Unit Price TOTAL
Subtotal
$
.
Items ordered as part of this benet may be subject to sales tax. If applicable, sales tax will be
applied and paid for from your benet provided by your plan. A representative may contact you in
the event there are questions on this form.
Please mail the completed form back in the postage-paid envelope provided.
If you place your order using an order form, your order total will be applied to the month in which
we receive your form. For example, if you mail your order form on June 29th, but we receive it on
July 1st, your order total will be applied to your July benet, not your June benet.
State Tax Rates
The state tax rates listed below include the local and municipal tax rates, if applicable . These rates
are provided as a guide to help place your OTC order using this order form. Tax rates may vary
and we may need to contact you directly if there is any question related to this order form. Final
order total, to include applicable sales tax will be included in your order packing slip.
State Combined Rate
Alaska 7.85%
Alabama 12.50%
Arkansas 12.63%
Arizona 12.90%
California 10.75%
Colorado 11.20%
Connecticut 6.35%
D.C. 6.00%
Delaware 0.00%
Florida 7.50%
Georgia 8.90%
Hawaii 4.50%
Iowa 7.00%
Idaho 9.00%
Illinois 11.50%
Indiana 7.00%
Kansas 11.60%
Kentucky 6.00%
Louisiana 12.95%
Massachusetts 6.25%
Maryland 6.00%
Maine 5.50%
Michigan 6.00%
Minnesota 8.88%
Missouri 11.99%
State Combined Rate
Mississippi 8.00%
Montana 0.00%
North Carolina 7.50%
North Dakota 8.50%
Nebraska 8.00%
New Hampshire 0.00%
New Jersey 8.63%
New Mexico 9.44%
Nevada 8.38%
New York 8.88%
Ohio 8.50%
Oklahoma 11.50%
Oregon 0.00%
Pennsylvania 8.00%
Rhode Island 7.00%
South Carolina 9.00%
South Dakota 7.50%
Tennessee 9.75%
Texas 8.25%
Utah 9.05%
Virginia 7.00%
Vermont 7.00%
Washington 10.50%
Wisconsin 6.75%
West Virginia 7.00%
Wyoming 8.00%
