Over-the-Counter (OTC) Non-prescription Drug Coverage

  • 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.
  • 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.
  • OTC items may only be purchased for the enrollee, not for family members or friends.
  • 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.
  • Any unused balances automatically expire at the end of each month, or upon disenrollment.