Clarification of OTC drug, product coverage
By Kristen Benkstein, PharmD, CareOregon Clinical Pharmacy Program Coordinator
By Kristen Benkstein, PharmD, CareOregon Clinical Pharmacy Program Coordinator
As you know, CareOregon made an OTC coverage policy change in July. Upon further reevaluation and receipt of provider feedback, the Pharmacy & Therapeutics Committee voted to add back several drugs/products that had been removed. Effective December 1, 2006, CareOregon will cover the following OTC drugs and products for both the Medicaid and Medicare benefits. Unless otherwise indicated, all dosage forms are covered, and a prescription is still required for coverage.
Please refer to the 2007 OHP formulary book or the web site for current formulary information:
www.careoregon.org/provider/pharmacy.html
Acetaminophen |
Folic Acid |
Aspirin |
Glycerin, rectal supp |
Bacitracin ointment |
Hydrocortisone 1% |
Bacitracin/ Neomycin/ Polymyxin |
Ibuprofen |
Bisacodyl |
Insulin (Novolin preferred) |
Calcium |
Ipecac |
Calcium carbonate (Tums) |
Loratadine |
Calcium carbonate/ Vitamin D2 |
Magnesium citrate |
Calcium citrate |
Magnesium hydroxide |
Calcium citrate/ Vitamin D3 |
MDI Spacer (Qty Limit) |
Calcium lactate |
Miconazole 2% vaginal |
Calcium/ Magnesium |
Mineral oil |
Capsaicin |
Naproxen sodium |
Chlorpheniramine |
Niacin |
Cholecalciferol |
Nicotine patch, gum |
Cimetidine |
Nonoxynol 9 |
Claritin OTC |
Nutritional supplements (PA Req) |
Clotrimazole 1% vaginal |
Nystatin cream and ointment |
Condoms |
Omega-3 Fatty Acids |
Cyanocobalamin |
Permethrin |
Dextrose, gel and tabs |
Prilosec OTC (Qty Limit) |
Diabetic supplies (note glucose monitors are covered through DME) |
Psyllium |
Diaphragm |
Ranitidine |
Diphenhydramine |
Selenium sulfide 2.5% |
Docusate |
Sennosides |
Docoxahexanoic acid/ EPA (fish oil) |
Senna/ Docusate |
Docusate/ Casanthranol |
Sodium phosphate enema |
Famotidine |
Sorbitol solution |
Ferrous gluconate |
Tablet cutters (Qty Limit) |
Ferrous sulfate |
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