OTC Benefit

The OTC benefit offers you an easy way to get generic over-the-counter health and wellness items by going to any OTC Health Solutions-enabled CVS Pharmacy^®, CVS Pharmacy y mas^®, or Navarro^® store. You can also order by phone at 1-888-262-6298 (TTY: 711). You order from a list of approved OTC items, and OTC Health Solutions will mail them to your home address.

1. Call OTCHS using the phone number on file.

Note: The phone number on file is the number provided to OTCHS by your child’s health provider. If you wish to use a different number to order through the IVR system, you can provide it to an OTCHS agent to be added to your account.

2. Once the system finds your account, enter your child’s date of birth in MMDD format.

3. The system will verify the name and address on the account.

4. Please enter the number of the item code.

• Example: If you want to order item “B33 unscented wipes,” you will select “33” and wait for the prompt to confirm the item. The system will read back the item name and quantity and ask if the selection is correct. Please allow the system to complete the statement before making your selection.
• If yes, the item will be added to your cart.
• If no, the system will allow you to edit the item or the quantity.

5. Once the order is completed, you will have the choice to review the items in the cart or place the order.

• If you place the order without review, the system will give you a confirmation number and the call will end.
• You can review your order, edit the items, start over, place the order, or speak with an agent.

Note: If you choose to speak to an agent, your items will not be saved, and you will have to restart your order.

You can pick up your child’s OTC items at any OTC Health Solutions^® (OTCHS) enabled store. To find the closest location, use the store locator.  

How to use your child’s OTC Health Solutions benefits in store:

1. Refer to the health plan OTC booklet (PDF).

2. Find approved items in the booklet. Only the items listed in the booklet are available through your child’s plan.

3. Go to any OTCHS enabled CVS Pharmacy^®, CVS Pharmacy y mas^®, or Navarro^® store.

IMPORTANT: Not all CVS stores participate in this benefit. To find the closest location, use the store locator or call OTCHS at 1-888-628-2770 (TTY: 711).

4. Look for the OTCH indicator on the top right of the shelf label and review the SKU number for item eligibility. Items are in the dedicated OTCHS section or in the aisles throughout the store.

5. Go to any front store register to check out and give the cashier your child’s member ID card.

Not all items are available in all stores. If your item is not available, call OTCHS or visit your child’s plan web page to process your order.

Please note that the regular retail price in the store may vary. For prices that apply when you use your child’s OTC benefits, please refer to this booklet. Item prices cannot be combined with promotional offers or ExtraBucks^® Rewards. Not all items will be carried in all CVS^® OTCHS enabled stores.

Your child receives $25 a month to use on OTC products.

Your child’s OTC benefit can be used multiple times throughout the month.

Unused benefit amounts do not roll over to the next month.

You cannot order more than your child’s benefit amount by phone. However, you may go over your child’s benefit amount at an OTC Health Solutions-enabled CVS Pharmacy^®, CVS Pharmacy y mas^®, or Navarro^® store and pay the difference out of pocket.

Not all items are available in stores. Items marked with a “dot inside a circle” in the booklet can only be ordered over the phone or online.

There is no limit on the number of items you may order. You can order up to 3 units per any single item, per month/quarter. There are some items that have special limits. These are marked with a “star” or “square” in the booklet.

Most orders will arrive in less than 7 business days. It may take longer during peak volume periods as well as for orders that have hazardous items. If you have not received your order within 14 days, please call OTC Health Solutions at 1-888-262-6298 (TTY: 711).

Once the order has been placed, you will receive a confirmation number. Always make sure to receive and keep your confirmation number.

You can use our automated IVR system or opt in to receive tracking information by email or text. Simply advise an agent when placing your order.

You will receive a digital version of the OTC booklet (PDF) with every tracking email/text. You can also order a copy using our automated IVR system, calling OTCHS, or by printing one from the plan web page.

In this booklet you will find SKU numbers that can be used at CVS to look up the images and ingredient information.

Items are shipped via USPS to your home at no charge to you. If you have not received your items within 14 days after ordering, please call: 1-888-262-6298 (TTY: 711), Monday to Friday, 9 a.m. to 8 p.m. local time.

• To order certain vitamin and mineral supplements, it is recommended that you talk with your child’s physician before placing an order.
• Items in the booklet are for personal use and may be ordered only for the enrollee.