Over-the-Counter Benefits

Save time and money on Over-the-Counter supplies

Receive $15 with any Individual BlueJourney plan1 every month in Over-the-Counter (OTC) drugs and supplies2. That’s a savings of at least $180 over the course of a year3! We take the hassle out of ordering at no cost to you!

  1. Call us to place your order
  2. We'll process your order
  3. You receive supplies in the mail

View the 2019 Over-the-Counter benefits.

Select from the following items and call 800.890.1544 (TTY: 711)

Allergies

Order Code

Item

Description

Quantity

Price

1A

Generic Comparable of Chlor-Trimeton

Chlorpheniramine Maleate 4mg

24

$4

1B

Generic Comparable of Benadryl Elixir

Diphenhydramine HCI 12.5mg

118ml

$3

1C

Generic Comparable of Benadryl Caps

Diphenhydramine HCI 25mg

24

$3

1D

Generic Comparable of Ocean Saline Nasal Spray

Deep Sea Nasal Saline 0.65%

44ml

$3

1E

Nasacort Allergy 24 Hour

Triamcinolone 55mcg

10.8ml

$15

1F

Flonase

Fluticasone propionate (glucocorticoid) 50mcg

9.9ml

$15


Analgesics

Order Code

Item

Description

Quantity

Price

2A

Generic Comparable of Tylenol Ex 500mg

Acetaminophen Tabs 500mg

100

$4

2B

Generic Comparable of Bayer Aspirin

Aspirin 325mg

100

$3

2C

Generic Comparable of Zostrix

Trixaicin Capsicum 0.025% (Capsaicin)

60g

$7

2E

Generic Comparable of Advil

Ibuprofen 200mg FC Tablets

24

$3

2F

Generic Comparable of Ben Gay

Muscle Rub

35g

$3

2G

Generic Comparable of Aleve

Naproxen Sodium 220mg CPL

50

$7

2H

Generic Comparable of Bayer Aspirin Low Dose 81mg

Aspirin EC (Delayed Release) 81mg

120

$4

2I

Generic Comparable of Tylenol PM

Acetaminophen 500mg/Diphenhydramine HCI 25mg

50

$5

2J

Generic Comparable of Bayer Aspirin Low Dose Chewable

Aspirin 81mg Chewable

36

$4

2K

Generic Comparable of Icy Hot Patch

Cold and Hot Patch

5

$8

2L

Generic Comparable of Excedrin

Headache Formula — Aspirin/Acetaminophen/Caffeine

100

$7

2M

Aspercreme

Aspercreme with 4% Lidocaine Maximum Strength

76g

$6

Antacids

Order Code

Item

Description

Quantity

Price

3A

Generic Comparable of Tums-Ex

Calcium Carbonate 750mg

96

$5

3B

Generic Comparable of Gas-X

Gas Relief Tablets

100

$5

3C

Generic Comparable of Zantac 75

Ranitidine 75mg

30

$9

3D

Generic Comparable of Alka Seltzer

Antacid and Pain Relief

12

$6

Anti-Diarrheals

Order Code

Item

Description

Quantity

Price

4A

Generic Comparable of Imodium

Loperamide 2mg

12

$4

4B

Generic Comparable of Pepto Bismol

Pink Bismuth Tablets (Chewable)

30

$5

Anti-Hemorrhoidals

Order Code

Item

Description

Quantity

Price

5A

Generic Comparable of Cortaid Maximum Strength

Hydrocortisone Ointment, USP 1%

28g

$6

5B

Generic Comparable of Preparation H

Prompt Relief Hemorrhoidal Ointment

57g

7%

5C

Generic Comparable of Preparation H Suppositories

Hemorrhoidal Suppositories

12

$13

Cough/Cold

Order Code

Item

Description

Quantity

Price

6A

Generic Comparable of Robitussin Sugar-free Dm

Sugar-free Cough Syrup

118ml

$5

6B

Generic Comparable of Vicks

Medicated Chest Rub

100g

$6

6C

Mucinex DM

Mucinex DM 600mg

20

$20

6D

Generic Comparable of Afrin Nasal Spray

Nasal Spray

15ml

$3

6H

Generic Comparable of Tylenol Sinus Congestion and Pain

Sinus – Acetaminophen/Phenylephrine HCI

24

$5

6I

Generic Comparable of Chloraseptic

Sore Throat Spray

177ml

$5

6K

Halls Sugar-free Cough Drops

Sugar-free Cough Drops

25

$4

6L

Generic Comparable of Mucus Relief

Expectorant – Guaifenesin 400mg

30

$7

6M

Generic Comparable of Cepacol

Cepacol

16

$5

Eye Care

Order Code

Item

Description

Quantity

Price

7A

Generic Comparable of Collyrium Eye Wash

Eye Wash

118ml

$4

7B

Generic Comparable of Visine

Redness Reliever Eye Drops

15ml

$4

7C

Generic Comparable of Visine Tears

Artificial Tears

15ml

$4

7E

Generic Comparable of Zaditor

Eye-Itch Relief Antihistamine

5ml

$15

First Aid Creams, Ointments, and Antiseptics

Order Code

Item

Description

Quantity

Price

8A

Generic Comparable of Benadryl Cream

Anti-Itch Cream

28g

$3

8B

Generic Comparable of Bacitracin

Bacitracin

14g

$6

8C

Generic Comparable of Lotrimin

Clotrimazole 1% Cream

28g

$7

8D

Generic Comparable of Cortisone

Hydrocortisone Cream

28g

$5

8E

Generic Comparable of Zinc Oxide

Zinc Oxide Ointment

28g

$8

8F

Generic Comparable of Neosporin

Triple-Antibiotic Ointment

28g

$6

8G

Generic Comparable of Micatin

Miconazole Nitrate 2%

28g

$4

8H

Generic Comparable of Debrox

Ear Wax Removal

15ml

$4

First Aid Supplies

Order Code

Item

Description

Quantity

Price

9A

Generic Comparable of Ace Bandage 3"

Elastic Bandage – 5 yards

1

$4

9B

Butterfly Closure

Butterfly Closures

10

$2

9C

Cotton Balls

Cotton Balls

100

$4

9D

Ice Bag

Ice Bag 9"

1

$9

9E

Generic Comparable of J&J Gauze

Gauze Rolls – Assorted sizes

3

$4

9F

Digital Thermometer

Digital Thermometer

1

$5

9G

Generic Comparable of Q-Tips

Cotton Swabs

300

$5

Laxatives

Order Code

Item

Description

Quantity

Price

10A

Generic Comparable of Colace

Docusate Sodium 100mg

100

$5

10B

Generic Comparable of Fibercon

Fiber-Lax 500mg

60

$9

10C

Generic Comparable of Miralax

Clear Lax Powder

119ml

$11

10D

Generic Comparable of Fleet Enema

Enema-Saline Laxative

133ml

$3

Miscellaneous Items

Order Code

Item

Description

Quantity

Price

11A

Digital Blood Pressure Kit4

Automatic Blood Pressure Kit

1

$25

11B

Blood Pressure Kit4

Manual Self-Taking Blood Pressure Kit

1

$19

11C

Generic Comparable of Band-Aid

Adhesive Bandage

50

$3

11D

Generic Comparable of Coppertone Sunscreen Lotion

Sunscreen Lotion SPF – 30

118ml

$10

11E

Generic Comparable of Dramamine

Motion Sickness Relief Tablets

12

$4

11F

Pill Organizer

One Day at a Time Medicine Organizer – Weekly

1

$7

11G

DEX4 Glucose Tablets

Glucose Chewable Tablets

50

$8

11H

Pill Splitter

Pill Splitter

1

$5

11I

Eye Glass Wipes

Wipes and Lens Cleaner Pack

1 box

$4

11J

Estroven

Multi-Symptom Menopause Relief

30

$20

Topical Foot and Topical Oral

Order Code

Item

Description

Quantity

Price

12A

Callus Remover

Callus Removers

6

$4

12C

Callus Cushion

Callus Cushions

6

$3

12E

Dental Flossers

Dental Flossers

36

$3

12G

Generic Comparable of Polident

Denture Cleanser

40

$7

12H

Toothpaste

Toothpaste

76g

$4

12I

Toothbrush

Toothbrush

1

$3

12J

Generic Comparable of Fixodent

Denture Adhesives ADH CRM Fresh

39g

$5

Vitamins and Minerals

Order Code

Item

Description

Quantity

Price

13A

Fish Oil4

Fish Oil 1200mg

90

$9

13B

Prosight4

Supplement for Eyes

60

$6

13C

Allbee with C4

B Complex with C

100

$8

13D

Vitamin B4

B Complex

100

$8

13E

Vitamin C4

Vitamin C Chewable 500 mg

100

$8

13F

Generic Comparable of Centrum4

Multivitamin and Mineral

60

$6

13G

Folic Acid4

Folic Acid 800mcg

100

$5

13H

Glucosamine Chondroitin4

Glucosamine Chondroitin

60

$15

13J

Vitamin E4

Vitamin E 400 IU

100

$8

13K

Vitamin D4

Vitamin D 1000 IU

100

$5

13L

Antioxidant Tablets4

Antioxidant Tablets

50

$7

13M

Selenium4

Selenium 200mcg

60

$7

13N

Timed Release Niacin4

Timed Release Niacin 500mg

60

$10

13O

Generic Comparable of Lactaid Tab4

Lactase Enzyme Supplement

50

$9

13P

Ferrous Sulfate4

Ferrous Sulfate – 325mg

100

$3

13Q

Generic Comparable of Citracal Calcium Citrate4

Calcium Citrate and Vitamin D

60

$7

13R

Generic Comparable of Bayer One A Day Women’s4

One A Day Women's Multivitamin

60

$10

13S

Generic Comparable of Os-Cal4

Oyster Calcium Plus Vitamin D4

100

$4

Smoking Cessation

Order Code

Item

Description

Quantity

Price

14B

Generic Comparable of Nicorette 4mg

Stop Smoking Gum – Nicotine Polacrilex Gum 4mg

50

$24

Sleep Aids

Order Code

Item

Description

Quantity

Price

15A

Generic Comparable of Simply Sleep

Sleep Tabs 25mg

24

$4

15B

Melatonin – Sleep Aid

Melatonin Tablet 3mg

60

$8

OTC items may only be purchased for the enrollee; it is prohibited to purchase supplies for family members, and friends. The following supplies are not covered as they are non-eligible supplies: alternative medicines (includes botanicals, herbals, probiotics, homeopathic, and neutraceuticals), baby supplies, contraceptives, convenience and comfort supplies (insoles, gloves, etc.), cosmetics, food products or supplements, replacement and attachments such as contact lens containers or batteries. To minimize mailing costs the plan may impose a limited ordering quantity per purchase. This list is subject to change. This benefit is only available if your plan offers the OTC service as a benefit. Please consult with your doctor before using any OTC products. All OTC supplies are generic comparable of brand item. Any branded item may be substituted for its generic comparable based on availability. All items are shipped based on manufacturer availability. All items may not be available all the time. If generic item is not acceptable, plan will not ship brand name item. For all people who have diabetes (insulin and non-insulin users) supplies to monitor your blood glucose: blood glucose monitor, blood glucose test strips, lancet devices and lancets, and glucose-control solutions for checking the accuracy of test strips and monitors are available through the Plan Mail-Order service by calling Customer Service. Authorization and/or a prescription may be required from a physician.

Orders will be shipped via UPS or USPS Please allow seven to ten business days to receive your order from the time the order is placed.

1$25 every month with BlueJourney Essential and Premier (HMO).

2This information is not a complete description of benefits. Contact the plan for more information. Limitations, and restrictions may apply. Benefits may change on January 1 of each year.

3Based on a 12 month enrollment.

4These items are considered dual purpose items. Prior to ordering these items, the enrollee must have an appropriate conversation with the enrollee’s personal provider who verbally recommends the OTC item for a specific diagnosable condition.

Updated October 1, 2018

Y0016_WBST19