Over-the-Counter (OTC) Non-prescription Drug Coverage
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You will receive an OTC card with a maximum limit up to the plan’s maximum for purchasing Healthfirst approved non-prescription, over-the-counter drugs and health-related items at participating pharmacy locations. See your Evidence of Coverage for more information or call plan for details.
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While no prescription is needed prior to purchasing Healthfirst approved over-the-counter drugs and health-related items, some “dual purpose” items such as vitamins, minerals, supplements, hormone replacements, weight loss items, and diagnostic tools (i.e. blood pressure monitors) can only be purchased after a discussion with your provider who orally recommends the OTC item for a specific diagnosable condition.
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OTC items may only be purchased for the enrollee, not for family members or friends.
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The OTC card is not a debit or credit card and cannot be converted to cash, nor can it be used to purchase Part B or Part D covered prescription drugs.
- Unused balances automatically roll over each month. However, any unused balances automatically expire at the end of the calendar year (December 31st), or upon disenrollment.
