OVER THE COUNTER (OTC) MEDICAITON COVERAGE

We have exciting news for you! As you know, your Advantage Health Plan Trust offers coverage for certain over-the-counter medications. AHPT is enhancing its OTC offering for its members. What does this mean for you? It means that medications which were previously available at a $5 co-pay, will now be offered at $0 co-pay! The following over-the counter medications are available under this benefit:

• Zantac 75, Tagamet HB, Axid AR and Pepcid AC;
• Prilosec OTC (14, 28 and 42 day supply) when used as the legend version or Prilosec or Omeprazole which are available only by prescription; and
• Claritin/D / Loratadine/D (when used in lieu of Allegra, Zyrtec or Clarinex with approval of the Cover Person's Physician).
• Zyrtec®(cetirizine) and Zyrtec-D 12 Hour®(cetirizine/pseudoephedrine)

In addition, Advantage Health Plans Trust, in consultation with pharmacy benefit management, may add other medications previously available only with a prescription which become available as an over-the-counter medication.

Remember, OTC medications do not legally require a prescription, but to have OTC medications covered under your prescription drug benefit plan, you must obtain a written prescription from your doctor and present it to a pharmacist to be filled.

This document will tell you how to go about getting a prescription filled for these OTC medications with your prescription drug card.

How do I get an OTC medication filled with my prescription drug card?

1. Tell your doctor that your prescription drug plan covers the OTC medications listed above.
2. Obtain a written prescription from your doctor for the OTC medications above.
3. Take the OTC prescription to a pharmacy to have it filled.
4. Tell the pharmacist that your prescription drug plan does offer coverage for OTC medications on the list above.