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Dignity Health Plan

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  • Over-The-Counter Product Listing(current)

Products available as of 3/18/2018.

ITEM # Name Qty Price
ALLERGY
1330117 Allergy Relief (Cetirizine) 10mg tablets 100 $9
3484797 Allergy Relief (Loratadine) 10 mg tablets 30 $5
ANALGESICS / ANTIPYRETICS
1215060 Acetaminophen 325mg tablets 100 $3
1110121 Acetaminophen 500mg tablets 100 $4
3429495 Aspirin 325mg Tablets 100 $3
1921345 Aspirin 81mg Chewable 36 $2
3236908 Aspirin Enteric Coated 81mg Tablets 120 $2
1867324 Aspirin Enteric Coated 325mg Tablets 100 $2
ANTACIDS
1792308 Acid Reducer (Famotidine) 10mg Tablets 30 $4
1834290 Acid Reducer (Omeprazole) 20mg 14 $13
2052629 Acid Reducer (Rantidine) 75mg Tablets 60 $10
3422680 Antacid Tablets Peppermint 150 $3
3295425 Antacid Tablets Fruit 150 $2
3644952 Effervescent Tablets 36 $6
3403524 Gas Relief Softgel Extra Strength 30 $3
ANTICANDIDAL (YEAST)
1151851 Miconazole Vaginal Cream 3 Day 1 $9
ANTIDIARRHEAL AND LAXATIVES
1377266 Adult Glycerin Suppositories 24 $3
1848522 Anti-Diarrheal Caplets 12 $3
1849926 Anti-Nausea Liquid 4 oz. $4
3509486 Bisacodyl 5mg Tablets 100 $3
3497088 Enema, Mineral Oil 4.5 oz $2
3682275 Enema, Saline Laxative 4.5 oz $2
1354414 Laxative (Bisacodyl) 10mg Suppositories 50 $8
1455625 Stomach Relief Flavored Tablets 30 $3
3509643 Stomach Relief Flavored Liquid 8 oz. $4
1919505 Stomach Relief Flavored Liquid 12 oz. $3
3783305 Stool Softener Softgel 100 $4
ANTI-INFLAMMATORY
1727163 Ibuprofen 200mg Liquid Gel Caps 40 $5
1433119 Ibuprofen 200mg Tablets 100 $5
2110914 Naproxen Sodium 220mg Caplets 100 $9
ARTHRITIS MEDICINE
3629169 Arthritis Pain Relief Caplets 100 $9
COLD / COUGH / FLU REMEDIES
2709350 APAP Sinus Congestion 24 $4
2224319 Cough Drops Cherry 30 $2
1277565 Ricola Cough Drops 24 $2
2224277 Sugar-Free Cough Drops 25 $2
2905735 Daytime Cold/Flu Relief Caplet 24 $4
1409606 Daytime Cold/Flu Relief Liquid 8 oz. $5
3573730 Daytime/Nite-time Cold/Flu Caplets 24 $7
1911692 Diphenhydramine 25 mg Capsules 100 $5
3588753 Mucus Relief DM Tablets 30 $5
1940212 Mucus Relief Tablets 60 $6
1787241 Nasal Decongestion Spray 1 oz. $2
1356914 Nasal Decongestion PE Tablets 36 $2
2165991 Nite-Time Cold/Flu Relief Softgel 16 $7
1409598 Nite-Time Cold/Flu Relief Liquid 12 oz. $5
1850023 Saline Nasal Spray 1.5 oz. $2
1712454 Sore Throat Spray Cherry 6 oz. $3
2015014 Tussin DM Syrup SF 4 oz. $3
1924448 Tussin Syrup 4 oz. $3
2495240 Vapor Rub 1.76 oz. $5
3696051 Throat Drops/Lozenge 18 $3
3615234 Sugar-Free Throat Drops 18 $3
DENTAL AND DENTURE CARE
1213800 Denture Adhesive Cream 2.4 oz. $6
3485109 Denture Cleaner 44 $4
1947803 Fluoride Toothpaste 6.4 oz. $4
1373851 Adult Toothbrush- Medium 1 $2
1727197 Dental Floss 1 $2
1148410 Sensitive Teeth Toothpaste 4 oz. $6
3634466 Toothache Relief Liquid/Gel 0.45 oz $7
EAR CARE
2416626 Ear Syringe 1 $4
3613049 Ear Wax Drops 0.5 oz. $2
EYE CARE
3499282 Artificial Tears 0.5 oz. $5
1639897 Collyrium Eye Wash 118ml 4 oz. $6
1498963 Red Eye Relief Drops 0.5 oz. $4
FIBER SUPPLEMENTS
1434059 Fiber Gummies 90 $13
3509734 Fibertab Tablets 90 $10
3564432 Psyllium Powder, Orange 19 oz $7
FIRST AID AND MEDICAL SUPPLIES
1742188 Adhesive First-Aid Tape 1 $2
2230100 Aid Elbow Support – Medium 1 $13
2230019 Aid Elbow Support – Large 1 $13
3289048 Aid Hand/Thumb Support – Small/Medium 1 $15
3289055 Aid Hand/Thumb Support – Large 1 $15
2229961 Aid Knee Support – Small 1 $16
2229623 Aid Knee Support – Medium 1 $16
1753334 Aid Knee Support – Large 1 $16
3655966 Aid Wrist Support – Left 1 $17
3655933 Aid Wrist Support – Right 1 $17
1257104 Alcohol Pads 100 $3
1751759 Athletic Bandage 1 $6
1952860 Bandages Assorted 80 $4
1427343 Butterfly Closures 12 $3
1448307 Corn and Callus Remover 0.33 oz. $5
1983006 Cotton Balls 100 $2
1983014 Cotton Swabs 180 $2
1923127 Diabetic Socks Ladies Shoe size (5-10)- White 1 pair $16
1655083 Diabetic Socks Ladies Shoe size (7-10)- Black 1 pair $16
1668243 Diabetic Socks Men Shoe size (5-10)- Black 1 pair $16
1671296 Diabetic Socks Men Shoe size (10.5-12)- Black 1 pair $16
1176304 First Aid Kit 1 $6
1485457 Flexible Tip Thermometer 1 $7
2419950 Gauze Pad Sterile 4″x4″ 200 (12ply) $9
1341353 Gauze Surgical Sponge Sterile 4″x4″ 10 (12ply) $2
1143296 Gauze Value Surgical Sponges 4″x4″ 25 (12ply) $5
2098671 Heating Pad, Dry Heat, 12×15 1 $13
3491412 Hydrogen Peroxide CS/12 $12
1143031 Ice Bag 1 $8
1995794 Icy Hot 3 $7
3627239 Liquid Bandage 0.3 oz. $4
2759611 Liquid Wart Remover 0.33 oz. $8
1100643 Oral Digital Thermometer 60 Second 1 $3
2424844 Rubbing Alcohol 16 oz. $4
3246493 Stretch Gauze 1 $2
HEADACHE RELIEF
1783836 Headache/Migraine Relief Tablets 100 $4
HEMORRHOIDAL PREPARATIONS
3509833 Hemorrhoidal Ointment 2 oz. $4
1486489 Hemorrhoidal Pads 100 $6
2231629 Hemorroid Relief Suppositories 12 $4
LACTOSE INTOLERANCE
1789395 Lactase Enzyme 60 $17
MOTION SICKNESS MEDICATION
3633252 Motion Sickness Tablets 12 $2
PEDICULICIDES (HEAD LICE TREATMENTS)
2727113 Lice Comb 1 $4
1982180 Lice Treatment Shampoo 4 oz. $8
SLEEPING AIDS
3633229 Night Time Sleep Tablets (Diphenhydramine) 24 $3
3633237 Sleep Aid Tablets (Doxylamine) 32 $7
TOPICAL OINTMENTS AND CREAMS
1865757 Anti-Itch Cream 1 oz. $4
3429487 Benzoyl Peroxide 10% Gel 42.5 grams $6
1982370 Clotrimazole 1% Cream 1 oz. $6
1367531 Hydrocortisone 1% Cream 1 oz. $5
3635133 Muscle Rub Cream 3 oz. $6
1982966 Petroleum Jelly 4 oz. $2
2795052 SPF 50 Sunblock 8 oz. $11
1765809 Tolnaftate 1% Cream 1 oz. $5
3441458 Triple Antibiotic Ointment 1 oz. $5
3553898 Lidocaine Patches 5 each $10
1644376 Lypsyl Lip Moisturizer 0.11 oz. $3

Last Updated: May 15, 2018 @ 11:46 am

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