Order in 2 easy steps
with a real person.
1. Choose your items on the opposite
side of this sheet
2. Call toll-free at 1-877-851-3994/
TTY: 711 and let our operator know
which items you would like, up to
the limit of $40 per calendar month
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For all your
health needs,
count on us!
We’ve got you covered when it comes to
staying healthy. Sunshine Health
Advantage offers up to $40 per month in
commonly-used over-the-counter (OTC)
drugstore items - at no extra cost to you!
(Any unused amount cannot be carried
over to the next month.)
Your essentials,
straight to your door.
Through our exclusive program, your
selected items will be conveniently
shipped to your home.
Please note: These items should only be
used as directed, and you should talk to
your primary care doctor if you have any
questions on the safe use of these items.
Each item is numbered for your
convenience in ordering. Operators are
available from 10 am – 6 pm EST, Monday
through Friday. Please be sure to have
your Sunshine Health Advantage ID card
available to complete the order. After the
ordering process is complete, your items
should arrive at your home in 5 – 12
business days.
Sunshine Health Advantage is an HMO SNP plan
with a Medicare contract and a contract with the
Florida Medicaid program. Enrollment in Sunshine
Health Advantage depends on contract renewal.
This information is not a complete description of
benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may
apply. Benefits, and/or co-payments/co-insurance
may change on January 1 of each year. Please
contact the plan for further details. This information
is available for free in other languages. Please call
Member Services at 1-877-935-8022. TTY: 711.
October 1 - February 14, 7 days a week, 8 a.m. to
8 p.m. February 15 - September 30, Monday - Friday,
8 a.m. to 8 p.m. Esta información está disponible
gratis en otros idiomas. Por favor llame a Servicios
para Afiliados al 1-877-935-8022. TTY: 711. 1 de
octubre - 14 de febrero, 7 días a la semana, 8 a. m. a
8 p. m. 15 de febrero - 30 de septiembre, lunes a
viernes, 8 a. m. a 8 p. m. This plan is available to
anyone who has both Medical Assistance from the
State and Medicare.
Hello
Savings!
Save $40 every month on
the drugstore essentials
you need.
Y0020_OTCBrochure16_Final_FL004_Accepted_09212105
Stay healthy, save money.
Item # Description
It’s easy! Simply select the items you need
from the list below up to your monthly
benefit amount and call the toll-free order
line at 1-877-851-3994/TTY: 711. Operators
are available from 10 am – 6 pm EST, Monday
through Friday. Allow 5 to 12 business days for
shipping. (Any unused amount cannot be
carried over to the next month.)
Item # Description
1
2
3
4
Compare to:
PAIN RELIEVERS
Ibuprofen 200mg tab
Naproxen sod 220mg tab
Aspirin 325mg tab
Aspirin ec 325 mg tab
$6
9
5
6
5
6
7
8
9
10
ANTACIDS
Simethicone 80mg tab
Calc carb 500mg chewable
Famotidine 10mg tab
Mylanta Anti-Gas $ 6
TUMS
6
Pepcid AC
9
11
12
ANTI-DIAHRRHEALS
Loperamide 2mg cap
Bismuth mixture
Imodium
Pepto-Bismol
$5
8
13
14
ANTI-FUNGALS
Clotrimazole 1% vag cream Gyne-Lotrimin
Tolnaftate 1%
Tinactin
$9
7
15
ANTI-HEMORRHOIDALS
Hemorrhoidal ointment
Preparation-H
5
6
6
$8
Price
24
25
26
27
28
29
30
COUGH / COLD / ALLERGY
Diphenhydramine 25mg caps Benadryl Caps
Diphenhydramine elixir
Benadryl Elixir
Sore throat lozenge
Chloraseptic Loz
Medicated chest rub
Vicks VapoRub
Guiafenesin syrup
Robitussin
Oxymetazoline 0.05%
AFRIN
Loratadine 10mg tab
Claritin
31
61
EYE CARE
Tetrahydrozoline drops
Lubricating Eye Drops
32
33
34
60
78
79
FIRST AID CREAMS & OINTMENTS
Calamine lotion
Calamine Lotion $ 7
Hydrocortisone 1% crm
Cortaid
4
Triple antibiotic oint
Neosporin
5
Medicated lip balm
Carmex
3
Psoriasis Cream
Eucerin Cream
12
Eczema Cream
Exederm Anti-itch 13
Price
Motrin IB
Aleve
Bayer Aspirin
Ecotrin
Halfprin
Aspirin ec 81 mg
(low-dose)
Acetaminophen 500mg tab Tylenol Extra Str
Mentholated ointment
Bengay
Compare to:
35
36
37
38
39
40
41
43
80
FIRST AID SUPPLIES
Athletic bandage
Adhesive tape
Band-aids
Carbamide peroxide
Gauze pads
Cotton swab
Oral thermometer
Ice bag 9 inch
Ear Thermometer
85
Hydrogen Peroxide Sol
Visine
Refresh Tears
$5
5
5
7
5
5
10
$4
7
Ace Bandage
$7
First-Aid Tape
3
Band-Aid
4
Debrox Drops
4
J&J Gauze Pads
3
Q-Tips
4
Thermometer
6
Ice Bag
9
Ear Thermometer 25
Hydrogen
8
Peroxide Sol
Item # Description
44
LAXATIVES
Dss 100mg
45
46
Bisacodyl suppository
Bisacodyl tab
82
Iron Plus Stool Softener
66
67
68
ORAL CARE
Toothbrush
Denture Tabs
Denture Adhesive
86
Waxed Dental Floss
75
PERSONAL CARE
Sunblock SPF 15
48
PEDICULICIDES
Rid lice treatment
57
58
Compare to:
Price
Item # Description
Colace Stool
Softener
Dulcolax Supp
Dulcolax Tabs
Iron Plus Stool
Softener
$6
Toothbrush
Efferdent
Poligrip
Waxed Dental
Floss
$4
6
6
64
3
65
4
4
10
49
50
59
52
53
54
62
63
81
Sunblock SPF 15
$9
83
87
RID
SMOKING CESSATION GUM
Nicotine Polacrilex Gum 2mg Nicorette
Nicotine Polacrilex Gum 4mg Nicorette
VITAMINS & MINERALS
* Calc carb 600mg tab
* Multivitamin w/minerals
* Senior Multivitamin
w/minerals
* Vitamin A 10,000u caps
* Vitamin C 500mg tabs
* Vitamin E 400iu gels
* Vitamin D (400 UI)
Glucosamine / Chondroitin
(500/400 mg caps)
* Iron Supplement
Compare to:
Price
Caltrate 600
Theragran-M
$6
10
Centrum Silver
11
Vitamin A
Vitamin C
Vitamin E
Vitamin D
5
5
9
7
Joint Supplement
12
Iron Supplement
Omega-3 Fish Oil
* Omega-3 Fish Oil 1000mg
1000mg
Folic Acid Tab
* Folic Acid Tab 400 mcg
400 mcg
Multivitamin
* Multivitamin Liquid w/ Iron
Liquid w/ Iron
* Lactose Chewable Tab
Lactaid
4
7
6
8
9
$9
56
$ 15
15
*Dual-Purpose Items: Prior to order/purchase
(1) you must have a discussion with your
doctor about using the OTC item, and (2) your
doctor must verbally recommend the OTC
item for a certain condition you have been
diagnosed with. Other items on this order
form are classified as eligible. These eligible
items may be ordered/purchased by you
without any more action.
MISC ITEMS
Pill box - 7 days
Pill Box
$4