Coverage for Over-the-Counter Medications
Your health plan includes coverage for certain generic over-the-counter (OTC) medications. This means cost savings on the essentials in your medicine cabinet.
Here’s how it works: › Use the online lookup tool at harvardpilgrim.org/rx to see which OTC medications you take are covered. › Ask your provider to write a prescription for the covered medication, for up to a 90-day supply. › Bring the prescription to any in-network pharmacy* so that the pharmacist can give you the proper medication. › You pay Tier 1 cost sharing instead of the retail price. If you have an HSA plan, you pay either our discounted rate or the retail cost, whichever is lower, until you meet your deductible, and then Tier 1 cost sharing applies. There’s another advantage: because your provider will be giving you a prescription for the OTC medications you take, your medical records will have a more complete medication history. Below are the types of OTC medications that are covered along with a complete listing by medication:
Type of Therapy
Purpose
› Antitussive (cough suppressant) › Expectorant › Nasal decongestant › Antihistamine › Nasal spray
Cough, cold, allergy
› Anti-fungal › Poison ivy
Dermatology
› Dry eye › Allergy
Eyes (ophthalmic)
› Anti-parasite › H2 blocker (antacid) › Laxative › Anti-inflammatory
Gastrointestinal
Pain
*Visit harvardpilgrim.org/rx to find in-network pharmacy locations near you.
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