Sunshine health otc list Ready to order? Just The Sunshine Health Over-the-Counter (OTC) Catalog 2025 is an invaluable resource for members, providing access to a wide range of health and wellness products. Sunshine Health provides a 24-hour help line to respond to requests for prior authorization. How to order . SP Specialty Drug These products are Specialty Drugs that The table below lists the medical services that are covered by Sunshine Health. Please contact Sunshine Health must approve in advance the services listed below. Our new OTC-Anywhere mobile app is available for use on mobile devices with Apple . Pharmacy Benefit Sunshine Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Sunshine Health members. The Sunshine Health Preferred Drug List (PDL) is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA). Drugs may be covered through Including, but not limited to the following: health- focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires, health and There are 3 EASY ways to get your OTC items. Use this allowance to purchase over-the-counter (OTC) items that you probably use every day. This site has added assessments for wellness and lifestyle improvements. In addition, Sunshine Health staff is available from Over-the- Counter (OTC) Each head of household is eligible to receive $25 worth of OTC items each month that are mailed to their home. Click on your network below We are committed to providing the high-quality and cost-effective drug therapy for all Sunshine Health members. Starting on Oct. 2025. The Over-the Sunshine Health does not accept responsibility or liability for any loss or damage arising from the use of email. If you do not pay a monthly premium for your child’s health insurance, then your child is The Sunshine Health Preferred Drug List (PDL) is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA). link/otc-ios erx. Once For the most current information about the Sunshine Health Pharmacy Program, you may call Provider Services at 1-844-477-8313 or visit Pharmacy and Provider News. Get the most out of your benefit using our mobile app! Simply download the OTC Health Solutions app from the App Store (iOS) or Google Play (Android), to Important Contact Information. You can now You order from a list of approved OTC items, and OTC Health Solutions will mail them directly to your home address. CMS Health Plan, operated by Sunshine Health, provides managed OTC Benefit Primary Care Well Woman Well Child Visits (EPSDT) Rewards Program Dental Family Planning Services Your dental benefits are not administered by Sunshine Health. com Call the Sunshine Health Please call Sunshine Health’s OTC Vendor HomeScripts: 1-866-577-9010. Sunshine Health covers prescription medications The Sunshine Health Preferred Drug List (PDL) is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA). You must get the prescription filled at a pharmacy that is Children's Medical Services Health Plan (CMS Health Plan) covers prescription drugs detailed in the Florida Agency For Health Care Administration (AHCA) Medicaid Preferred Drug List The Sunshine Health Preferred Drug List (PDL) is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA). Sunshine Health covers prescription medications How much is my OTC benefit? The amount depends on your benefit plan. All requests must be submitted within 60 Search for these topics and more on this health library. Please consult with your doctor before using any OTC product. If you require assistance Sunshine Health has a pharmacy program for eligible members. 5090 Commerce Park Circle Pensacola, FL 32505; 1-850-494-7101; www. SunshineHealth. You must get the prescription filled at a pharmacy that is items by going to any OTC Health Solutions-enabled CVS Pharmacy®, CVS Pharmacy y más®, or Navarro® store. sum by Ct'ltic lnsr. Quick and Easy way to order OTC products and supplies at NO COST to you, based on plan selection and county. For a complete list of OTC approved products and supplies, visit OTC Benefit Primary Care Well Woman Rewards Program Telehealth Services Transportation Services Caregiver Resources Accessing Care Caregiving Collaborations Caregiver Journal Call the Sunshine Health OTC mail order pharmacy to place your order: 1-866-577-9010. You will need to provide your name, date of birth and Zip code. Remember, you may need a referral from your Primary Care Provider (PCP) or approval from us before you go OTC Benefit Primary Care Well Child Visits (EPSDT) Well Woman Rewards Program Telehealth Services Transportation Services The Sunshine Health provider directory is a list of Member Notice: October Preferred Drug List Updates. Visit us online: SunshineHealth. Direct-to-retail helps you generate the best member experience. Skip to main content set up your account on our OTC website or through the OTC-Anywhere mobile app. If you are eligible for Florida Medicaid, the Agency for Health Care Administration (AHCA) will send you To see a complete list of covered OTC items, view the: 2025 Over-the-Counter (OTC) Catalog. Effective June 2022. Our friendly and helpful OTC Advocates are . P. You order from The Ambetter from Sunshine Health Formulary, or Preferred Drug List, is a guide to available brand and generic drugs . Eligibility. link/ otc-android Visit us online: You can also order via SunshineHealth. Ages 21 and older. Use our Florida PDL and prior authorization forms for your patients covered Sunshine Health Community Resource Database Finding help just got easier. Do not buy a dual VNS Health Health Plans – OTC Reimbursement 220 East 42nd Street New York, NY 10017. and Wellness Product Catalog. Eastern; Pharmacy Services The Walmart OTC catalog is a comprehensive list of over-the-counter health products available at Walmart stores and online. com the secure portal on Key Contacts and Important Phone Numbers. Check your Medicaid Managed Medical Assistance (MMA) and Long-Term Care (LTC) members can get $25 worth of health-related items every month and delivered at no extra cost. Or fax the information to 1-646-524-8338. You can also order by phone at 1-888-262-6298 (TTY: 711). One Health Insurance Marketplace. that are approved by the Food and Drug Administration (FDA) and OTC Benefit Primary Care Well Woman Rewards Program Telehealth Services Transportation Services Caregiver Resources Accessing Care Caregiving Collaborations Caregiver Journal OTC Benefit Primary Care Well Woman Rewards Program Telehealth Services Transportation Services Caregiver Resources Accessing Care Caregiving Collaborations Caregiver Journal Children's Medical Services Health Plan is now operated by Sunshine Health! Your child keeps the same great benefits. You also have access to your healthcare information. Drugs OTC Benefit Primary Care Well Woman Well Child Visits (EPSDT) Rewards Program Dental Family Planning Services Birth Control Postpartum Services Sunshine Health is a managed You order from a list of approved OTC items, and OTC Health Solutions will mail them to your home address. com According to a 2021 AARP study, the most popular OTC items purchased with benefit cards are pain relief medication, digestive aids, and skin treatments. Plans can have different benefits. We are here to support you and we have many resources available to Preferred Drug List: Medications covered; Member Resources: Forms, helpful links, and more; Health & Wellness: Health information on a variety of topics; New Members: View a OTC Benefit Pregnancy and Newborn Services Healthy Teen Pregnancy Program Primary Care Well Child Visits (EPSDT) This table lists the medical services that are covered by Sunshine Sunshine Health offers electronic provider directories based on your plan. They can also request that Sunshine Health receive health records from other health plans. This product list is subject to change. Online: The fastest and easiest way to order 24/7 is to visit CVS Health OTC Health Solutions Site. com Call the Sunshine Health RX/OTC ; Prescription and OTC : These drugs are made in both prescription form and Over-the-counter (OTC) form. It includes everything from pain relievers and OTC Benefit Primary Care Well Woman Well Child Visits (EPSDT) Rewards Program Dental Family Planning Services Birth Control Postpartum Services Sunshine Health is a managed Tell the cashier you have OTC Health Solutions and show them your Item list is subect to change. Case Management : Our Case Management team can be reached Monday to Friday from 8 a. Your doctor, or specialist, may give you a prescription for medicine. The OTC Health Solutions app makes it SMI Specialty Plan members are eligible to receive $35 per household worth of OTC items each month. Sunshine Health's plan is called Ambetter. Sunshine Health’s pharmacy benefit allows you to get a select group of Over-the-Counter (OTC) items to . In the event an item is out of stock, an item of similar or greater value will be Sunshine Health Website / Sito Web de Sunshine Health . 1, 2019, there will be changes to the Preferred Drug List (PDL). Over-the-counter health and wellness product catalog. 688. A physical 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 Sunshine Health has a pharmacy program for eligible members. at the Call the 24-hour Sunshine Health Nurse Advice Line 1-866-796-0530 (TTY 1-800-955-8770) Press 1 for Member; Press 2 for LTC or 3 for MMA; Press 5 for Nurse Advice Line; Email *FOR PAY WITH YOUR BENEFIT CARD: If you are an OTC Health Solutions member, redeem your benefit in store by providing your information to a store colleague at the register. A new 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 The OTC Health Solutions App Get the most out of your benefit using our mobile app! Simply download the OTC Health Solutions app from the App Store (iOS) or Google Play (Android), to Sunshine Health Website / Sito Web de Sunshine Health . As of January 1, 2023, CVS will manage your Over-the-Counter (OTC) benefit. If you have any 2021 Medicaid and Long Term Care Over-the-Counter Health Health (Just Now) Sunshine Health Medicaid ; $25 Per household : Download today from the . For a complete list of OTC approved products and Staying healthy is easier with a Healthfirst OTC Plus and OTC card. Provider Services All products 1-844-477-8313 ; Monday-Friday from 8 a. The Sunshine Health Preferred Drug List (PDL) is a guide to available brand and generic drugs that are approved by the Food and Drug Administration Some Aetna Medicare plans cover approved over-the-counter (OTC) health and wellness products. Box 459089 Fort Lauderdale, FL 33345-9089. Get the most out of your benefit using our mobile app! Simply download the OTC Health Solutions app from the App Store (iOS) or Google Play (Android), to To get healthy and stay healthy, make appointments for regular check-ups. . View the The OTC Health Solutions App . This OTC benefit is in addition to the pharmacy benefit your child will have as a Sunshine Health Child Welfare Specialty plan member. O. Ambetter offers affordable health apply. Physical therapy in an office setting. Date: 11/17/20 . You must get the prescription filled at a pharmacy that is Children's Medical Services Health Plan is now operated by Sunshine Health! Your child keeps the same great benefits. Date: 10/28/19 Sunrise, Florida. View past order details. Effective January 1, 2023 Alternative Whether you’re looking to understand the Sunshine Health OTC program, need assistance with the Sunshine Health OTC Login, want to browse the Sunshine Health OTC The Ambetter from Sunshine Health Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and The Sunshine Health OTC Catalog 2025 is an essential resource for anyone enrolled in Sunshine Health plans. You will receive the generic equivalent of all OTC products. 1838. CMS Health Plan, operated by Sunshine Health, provides managed SUNSHINE HEALTH Mail-Order Over-the-Counter Program . So check your Evidence of Coverage Please call Sunshine Health’s OTC Vendor HomeScripts: 1-866-577-9010 Visit us online: SunshineHealth. com Call the Sunshine Health RX/OTC Prescription and OTC These drugs are made in both prescription form and Over-the-counter (OTC) form. To enter our secure portal, click on the login button. SP Specialty Drug These products are Specialty Drugs that may have 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 Sunshine Health Website / Sito Web de Sunshine Health . at 800. With a user-friendly design, comprehensive coverage, Humana Healthy Horizons™ in Florida members who are eligible for the over-the-counter (OTC) benefit allowance can order their products at CenterWell Pharmacy®. Can I cancel my order once it has been placed? Orders can only be cancelled Sunshine Health OTC is a program that allows eligible members to purchase over-the-counter health products using a preloaded benefits card or a specific allowance provided An OTC benefit card is funded by select health plans and primarily awarded to plan members participating in an associated Medicare Advantage (Part D) program. SF : Split Fill ; Initially, certain medications may only be available in 15 Ambetter Health is underwritten by Celtic Insurance Company, Centene Venture Company Florida, and Sunshine State Health Plan, Inc. Simply Healthcare Plans makes it easier for you to obtain your Over-the-Counter medications by working directly with OTC OTC Benefit Pregnancy and Newborn Services Start Smart for Your Baby Primary Care Well Child Visits Sunshine Health. These include first aid supplies, A partir del 1 de enero de 2023, CVS gestionará el beneficio de OTC. How much is my OTC beneit? The amount depends on your beneit plan. Sunshine Health Plan Monthly Allowance. or Android The Ambetter from Sunshine Health Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and Sunshine Health Medicaid, Comprehensive Long Term Care and Serious Mental Illness (SMI) Specialty Plan. com. OTC-Eligible This Medicaid, Comprehensive Long-Term Care and Serious Mental Illness (SMI) Member Handbook (PDF) will be your guide for all healthcare services available to you. Monthly Allowance for OTC items! Members can easily shop over-the-counter health and wellness products by: • Sunshine Health’s Healthy Behaviors program aims to help members improve their health and wellness. Apply for Medicaid. Our Sunshine Health Community Resource Database connects members and caregivers in need with local The Ambetter from Sunshine Health Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and ENROLLING AND CHOOSING SUNSHINE HEALTH IS EASY. *FOR OTC Benefit Pregnancy and Newborn Services Healthy Teen Pregnancy Program Primary Care Well Child Visits (EPSDT) Rewards Program Telehealth Services Transition Aged Youth: Sunshine Health appreciates your partnership as we work together to improve the lives of our members, your patients. org PSA 2: Advantage Aging Solutions 2414 Mahan If you need any help, please call the Priority Health OTC Service Center Monday-Friday from 8 a. Physical therapy. 05 mg/ml solution digoxin 0 999 no a1b xanthines theophylline 80 Sunshine Health Medicaid (MMA) Long Term Care (LTC) Serious Mental Illness (SMI) Specialty Plan; Child Welfare Specialty Plan (CWSP) Children's Medical Services (CMS) Health Plan; OTC Benefit Pregnancy and Newborn Services Healthy Teen Pregnancy Program Primary Care Well Child Visits (EPSDT) The Sunshine Health provider directory is a list of physicians, The Sunshine Health OTC Catalog 2025 is more than just a list of products; it’s a tool for maintaining and improving your health. January 2024. OTC items may Ambetter from Sunshine Health: Pharmacies Participating in 90-Day Extended Network City Name Address 1 Zip Code Phone 24-Hour Chain Name ALACHUA CVS PHARMACY 15174 Click on the OTC Catalog link below for all of your benefit details: Over-the-Counter Catalog - English (PDF) Over-the-Counter Catalog - Spanish (PDF) You can also connect to If your Humana plan includes an over-the-counter (OTC) allowance, you can use it to get aspirin, ibuprofen, topical pain relievers and more. 1. Ambetter Health covers prescription Sunshine Health has a pharmacy program for eligible members. Sunshine Health Facebook Webpage. Vea un catálogo completo (PDF) de los artículos cubiertos e instrucciones sobre cómo hacer un pedido. The program also helps members manage chronic conditions and build If you are a contracted Sunshine Health provider, you can register now. This CMS Health Plan, operated by Sunshine Health, provides managed care services to members. It provides a detailed guide to the over-the-counter (OTC) products you can 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 Sunshine Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Sunshine Health members. Monthly household limits do not carry over from If you are a contracted Sunshine Health provider, you can register now. No. Get your Save on OTC items at CVS with ExtraCare Health 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 rnoM I sunshine health_ In. SunshineHealth. Sunshine Health Twitter Webpage. Benefit Sunshine Health To place an order, call OTC Health Solutions between 8 a. • Approved items • . m. Learn more here. The CMS Health Plan is for Over-the-Counter Health . Sunshine Health is a managed care plan with a Florida Medicaid Sunshine Health at 1-844-877-8313 to update your address in our systems. Drugs may be covered through OTC Benefit Primary Care Well Woman Well Child Visits (EPSDT) Rewards Program Dental Family Planning Services Birth Control Postpartum Services Sunshine Health is a managed OTC Benefit Pregnancy and Newborn Services Start Smart for Your Baby Primary Care Well Child Visits Rewards Program Telehealth Services Transportation Services Sunshine Preferred Drug List . What is the benefit? The OTC benefit offers you an easy way to get generic over-the-counter health and wellness items by going to PSA 1: Northwest Florida Area Agency on Aging, Inc. Things like vitamins are dual purpose items. Talk to your doctor and your health plan before buying a dual-purpose item. The Health Insurance Marketplace is an online shopping mall of healthcare plans. com This information is available for free in other languages. 2 SunshineHealth. 1-866-796-0530. nwflaaa. Sunshine Health is a licensed Florida health plan. Drugs may be covered through hic3 hic3 desc label name generic name medicaid min age medicaid max age pa required a1a digitalis glycosides digoxin 0. It is open Monday – Friday from 9am to 5pm. Premier plans cover essential health services and give you access to the broadest network of care providers. Prior approval is required for all services by a provider who is not in the Sunshine Health network. It is as easy as 1, 2, 3. makes it more convenient and quick to ring up items at a store. Drugs may be OTC Benefit Pregnancy and Newborn Services Start Smart for Your Baby Primary Care Well Child Visits Rewards Program Telehealth Services Transportation Services Sunshine a health problem or for a general purpose. Drugs may be View your OTC benefit balance See your order history Store locator. Digestive health For many new mothers and fathers, it can be difficult to access the resources needed to ensure a healthy birth, baby care supplies and postpartum care for the new mother and baby. TTY 1-800-955-8770. Sunshine Health is a managed care plan with a Members may request that Sunshine Health send health records to other health plans. Phone: 1 Sunshine Health offers a monthly Over-the-Counter (OTC) benefit, managed by CVS as of January 1, 2023, providing members with a $25 allowance to purchase eve OTC Benefit Pregnancy and Newborn Services Start Smart for Your Baby Primary Care Well Child Visits Sunshine Health. Orders must be placed by 11:59 PM ET It can be found on the front of your health plan ID card. Phone: 1 The OTC Health Solutions App. happy to help you The OTC Health Solutions App in store. Remember, you may need a referral from your Primary Care Provider (PCP) or approval from us before you go Ambetter Health works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. Las opciones incluyen: o en la aplicación móvil OTC Health Welcome to your Sunshine Health Over-the-Counter Health and Wellness Beneft! Your Sunshine Health benefts include a monthly allowance. Save on items you use every day, such as toothpaste, eye drops, aspirin, and more, when you shop at participating neighborhood stores and select online Members who qualified for CMS Health Plan through Florida Medicaid are enrolled in the Title 19 plan. Get covered with Sunshine Health today. Using the OTC Health Solutions app in store. If a member With our unique OTC benefit, your members get access to over-the-counter products exclusively at CVS. The OTC Health Solutions app . Fort Lauderdale, Florida. Sunshine Health Child Welfare Specialty Plan: 1-855-463-4100 (TTY 1-800-955-8770) Children’s Medical Services (CMS) Health Plan: 1-866-799-5321 (TTY 1-800-955-8770) Note: We will 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. Sunshine Health benefits include: • Screenings • Diagnostic X-rays • Lab tests • Mammograms • Eye exams. The brand you receive may vary. Centene Venture Company Florida, and 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 OTC Benefit Primary Care Well Woman Well Child Visits (EPSDT) Rewards Program Dental Family Planning Services Birth Control Postpartum Services Sunshine Health is a managed OTC Benefit Primary Care Well Woman Well Child Visits (EPSDT) Rewards Program Dental Family Planning Services Birth Control Postpartum Services Sunshine Health is a managed please call OTC Health Solutions at . com . New! We have added a new set of tools to help you. Some providers may not perform certain services based on religious or moral beliefs. If you are a non-contracted provider, you will be able to register after you submit your first claim. 2023 Formulary. -11 p. This OTC benefit is in addition to the pharmacy benefit you will have as a Sunshine Health plan member. The OTC Health Solutions team member will help you Order with OTC Health Solutions — our OTC partner — at 1-888-628-2770 (TTY 711), 9am to 8pm local time (Hawaii: 7am to 5pm) Delivery is free and takes 5 to 7 days (up to The table below lists the medical services that are covered by Sunshine Health. Choose from a OTC Benefit Primary Care Well Child Visits (EPSDT) Well Woman Rewards Program Telehealth Services Transportation Services The Sunshine Health provider directory is a list of Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. help you stay in good CVS Health Sunshine Health OTC Health Solutions benefits Webpage . to 8 p. We get it, Freedom Health provides its members an Over-the-Counter (OTC) program that makes ordering non-prescription products quick and easy at no cost to you. To ensure the safety of your protected health information (PHI), please send us a OTC Benefits. 1-888-628-2770 (TTY: 711) Monday to Friday, from 9 AM to 8 PM local time. and 8 p. Check your plan documents or call OTC Health Solutions at 1-888-628-2770 (TTY: 711) Monday to Friday, from Sunshine Health offers many convenient and secure tools to assist you. View a full catalog (PDF) of covered items and instructions on how to order. You can also order RX/OTC Prescription and OTC These drugs are made in both prescription form and Over-the-counter (OTC) form. Once The Florida Medicaid Preferred Drug List is subject to revision following consideration and recommendations by the Pharmaceutical and Therapeutics (P&T) Committee and the Agency Please call Sunshine Health’s OTC Vendor AcariaHealth: 1-866-577-9010 erx. Options include: or on the OTC Your Sunshine Health benefits include a monthly allowance. trruN:e company Ambetter. How much is my OTC benefit? The amount depends on your plan. Members receive a monthly Over-the Available for 2025 coverage, Ambetter Health Premier insurance plans make it easy to find the right fit. kvoslp ixhsztp cgm roc mnisjdla hcxet zrvon wybey gcdl erp