| Ineligible OTC Items | Eligible OTC Items | ||
| (Not reimbursable) | (Reimbursable with itemized receipt) | ||
| Cosmetics | Allergy medicines (i.e. Claritin) | ||
| Diapers and wipes | Analgesics/pain relievers (i.e. aspirin, Advil, Tylenol) | ||
| Diet and specialty foods and drinks | Anti-itch medicines (i.e. Benadryl, Caladryl, Cortizone) | ||
| (i.e. Slimfast), even with a medical diagnosis | Antihistamines | ||
| Dietary supplements (i.e. vitamins**, weight | Cold medicines, cough syrups, nasal sprays | ||
| loss supplements, herbal supplements**, | Condoms | ||
| and fiber supplements) | Decongestants | ||
| Face creams | First Aid including bandages, cream, & related products | ||
| Feminine products (i.e. tampons, pads, liners, douche) | Gastrointestinal aids (I.e. antacids, laxatives) | ||
| Foot care products such as shoe liners, bunion & | Hemorrhoid creams | ||
| corn pads and removers | Incontinence supplies (i.e.. Depends) | ||
| Hair loss treatments | In-home testing products (i.e. pregnancy, UTI, HIV test kits) | ||
| Lip balms (ex. Chapstick, Blistex) | Lice treatments | ||
| Lotions/moisteners | Motion sickness pills | ||
| Mouthwashes | Nasal sprays for congestion | ||
| Oral hygiene products (floss, breath strips) | Ointments for muscle/joint pain (i.e. Bengay) | ||
| Shampoos | Ophthalmic products (contact lenses supplies, | ||
| Soaps (anti-bacterial or others) | artificial tears, eyeglasses) | ||
| Sunscreen ** | Sinus medications | ||
| Teeth whitening products | Sleeping aids | ||
| Toiletries (hair products, deodorant) | Smoking cessation products (i.e. nicotine gum or patches) | ||
| Toothbrushes (regular or electric) | Suppositories | ||
| Toothpaste | Topical antibiotics (i.e. triple antibiotic ointment, bacitracin) | ||
| Topical ointments for gingivitis | |||
| ** On dual-purpose list; may be reimbursable with | Topical sprays (i.e. Chloraseptic) | ||
| additional documentation | Throat lozenges | ||
| Vapor rubs | |||
| Wart remover medications | |||
| Yeast infection creams (i.e. Monistat) | |||
| Dual-purpose Items | |||
| (Require itemized receipt and medical | |||
| practitioner diagnosis/recommendation) | |||
| Acne treatments | |||
| Fiber supplements (to treat acute constipation) | |||
| Hormone therapy | |||
| Medicated shampoo (treatment of a scalp condition) | |||
| Nasal sprays for snoring | |||
| Nutritional supplements (where foods are not tolerated) | |||
| Orthopedic shoe inserts | |||
| Sunscreen (where there is a diagnosis of skin cancer) | |||
| Vitamin and herbal supplements (specific to a medical | |||
| condition or deficiency) | |||
| Weight loss drugs (but not food items) | |||
| This list is for illustrative purposes only and is subject to change | |||