OVER-THE-COUNTER PRODUCTS CATALOG

1 H8423_16_34896 Approved 12082015 over -THE-COUNTERPRODUCTS CATALOGC igna-HealthSpring CarePlan CarePack 20162 All Cigna PRODUCTS and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including HealthSpring Life & Health Insurance Company, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna-HealthSpring CarePlan is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. You can get this information for free in other languages. Call 1-877-653-0327 (TTY:7-1-1), 7 days a week, 8 to 8 Central Time. The call is free. Usted puede obtener esta informaci n en otros idiomas de manera gratuita. Llame al 1-877-653-0327 (TTY: 7-1-1), 7 d as de la semana, de 8 a 8 Hora central. La llamada es gratuita. This is not a complete list.

2 The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations and restrictions may apply. For more information, call Cigna-HealthSpring CarePlan Member Services or read the Cigna-HealthSpring CarePlan Member Handbook. Benefits may change on January 1 of each year. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you. 2015 Cigna31 Check your Cigna-HealthSpring Member Handbook to determine your monthly CarePack Choose from the covered list of CarePack drugs and goods in this To place your CarePack order, call 1-866-851-1579 (TTY: 7-1-1), Monday to Friday, 7 to 8 Central Double-check your mailing address while you are on the phone.

3 We want to make sure you get your OVER-THE-COUNTER items delivered CAREPACkBegin ordering your CarePack drugs and PRODUCTS YOU kNOw?CarePack is an easy way to order your OVER-THE-COUNTER items and keep money in your only through Cigna-HealthSpring, CarePack gives each member $20 per month to order common OVER-THE-COUNTER medicines and items that do not need a prescription. We will track your order through your Cigna-HealthSpring member ID number (you can find this number on your member ID card). If there is more than one Cigna-HealthSpring member in your home, please note that each Cigna-HealthSpring CarePack order will be processed monthly benefit includes OVER-THE-COUNTER medicines and items such as aspirin, vitamins, dental care items, and more. Unused balances are not carried over from month to month and you are allowed only one order per total cost of items you pick must be less than or equal to your $20 allowance in order for the items to be shipped.

4 Please allow up to two weeks for delivery. Once you receive the medicines and PRODUCTS , they cannot be of nursing facilities should check to find out which Cigna-HealthSpring CarePack PRODUCTS may be shipped to their facility before ordering. product ordering policies may vary by up your preferred OVER-THE-COUNTER items in the CATALOG index on the next CAREPACkCigna-HealthSpring CarePack covers OVER-THE-COUNTER medicines and PRODUCTS . We ll deliver your items to your door FREE of (TTY: 7-1-1)You can place your CarePack order Monday - Friday, 7 to 8 Central Time. 5 Brand CATALOG itemPage21st CenturyGlucosamine/Chondroitin 250-200 mg9 AbrevaAbreva10 AceAnkle Support12 Elastic Bandage 2" x 5 yd12 Elastic Bandage 3" x 5 yd12 Elastic Bandage 4" x 5 yd12 Elastic Bandage 6" x 5 yd13 AdvilIbuprofen 200 mg16 AfrinNasal Decongestant Spray8 AleveNaproxen 220 mg16 AmLactinAmmonium Lactate17 AnbesolOral Pain Relief oz10 AttendsAbsorbency Underwear, Small/Medium 34-44 14 Absorbency Underwear, Large 44-58 14 Absorbency Underwear, X-Large 58-68 14 Bladder Control, Moderate Absorbency14 Bladder Control, Heavy Absorbency14 Bladder Control, Maximum Absorbency14 Disposable Underpad 23x2414 Disposable Underpad 23x3614 Disposable Underpad 30x3014 BacitracinBacitracin Ointment18 Band-AidGeneric Sheer Assorted13 BayerAspirin 325 mg16BD Digital ThermometerDigital Oral Thermometer12 BenadrylBanophen (Diphenhydramine)

5 25 mg 24 Caps8 Brand CATALOG itemPageBenadrylDiphenhist 25 mg8 Diphenhydramine HCL/Zinc 2% Topical10 BengayPain Relieving Muscle Rub16 BonineMeclizine mg16 BraunDigital Ear Thermometer12 Breathe RightNasal Strips, Medium17 Nasal Strips, Large17 CaltrateCalcium Carbonate 600 mg15 Caltrate-DCalcium-Vitamin D 600 mg/400 iu16 CapzasinCapsaicin 2 oz9 Anti-Arthritic17 CarexBath Bench w/ Back12 Bath Bench w/o Back12 Bath Tub Safety Rail12 Foam Ring Cushion13 Folding Cane13 Lumbar Cushion14 Raised Toilet Seat14 CentrumDaily Multiple Vitamin18 CepacolSore Throat Lozenges10 Chlor-TrimetonChlorpheniramine 4 mg8 CitrucelMethylcellulose 16 oz15 Clean and ClearAcne Gel 10% Benzoyl Peroxide8 ColaceDocusate Sodium 100 mg15 ColgateColgate Toothbrush10 Tek-Pro Toothbrush11 CommitNicotine Lozenges 4 mg17 Compound WWart Remover19 CoppertoneSunscreen Lotion SPF 3017 CortaidHydrocortisone 1% Cream10 CrestDental Floss10 BRAND NAmE iNDExPlease use the index below to find available OVER-THE-COUNTER CATALOG itemPageCuradAlcohol Pads12 First Aid Kit13Dr.

6 SchollsCallous Remover Pads14 Corn Remover Pads14 Diabetic Sock - Black, Medium11 Diabetic Sock - Black, Large11 Diabetic Sock - White, Medium 11 Diabetic Sock - White, Large11 DramamineDraminate 50 mg16 Dramamine Orange16 DulcolaxBisacodyl 5 mg15 EcotrinAspirin 325 mg Enteric Coated16 EfferdentDenture Cleaning Tabs10 Excedrin MigraineMigraine Relief15Ez DetectColon Disease Test11 FeosolFerrous Sulfate 325 mg16 FergonFerrous Gluconate 240 mg18 FiberconPolycarbophil 625 mg15 First CheckHome Access Cholesterol Check11 FixodentFixodent10 FleetGlycerin Suppository15 Fruit of the EarthAloe vera Cream17 FuturoBack Support Elastic 24-46"13 Back Support Elastic w/Lumbar13 Knee Support Elastic, Small13 Knee Support Elastic, Medium13 Knee Support Elastic, Large13 Knee Support Elastic, Small w/Stays13 Knee Support Elastic, Medium w/Stays13 Brand CATALOG itemPageFuturoKnee Support Elastic, Large w/Stays13 Men's Compression Knee Hi Black, Large 10 -1218 Men's Compression Knee Hi White, Medium 8-1018 Men's Compression Knee Hi White, Large 10 -1218 Women's Comp Hose Knee Hi Nude, Small 4-518 Women's Comp Hose Knee Hi Nude, Medium 5 1/2 - 7 1/218 Women's Comp Hose Knee Hi Nude, Large 8-10 1/218 Women's Comp Hose Knee Hi Black, Small 4-518 Women's Comp Hose Knee Hi Black, Medium 5 1/2 - 7 1/218 Women's Comp Hose Knee Hi Black, Large 8-10 1/218 GSeat Gel Orthopedic Seat Cushion13 Gyne-LotriminClotrimazole Vaginal Cream w/Applicator9 Hall sCough Drops10 HealthSmartFinger Pulse Oximeter11 Herpecin-LHerpecin-L Lip Balm10 Hydrogen PeroxideHydrogen Peroxide13 Icy HotCold/Hot Packs for Injuries12 Imodium A-DLoperamide HCL 2 mg9 JobstMen s Compression KneeHi Black.

7 Medium 8-1017 LactaseLactrase11 Lamisil ATTerbinafine HCL9 LiquitearsArtificial Tears12 Lotrimin AFClotrim Antifungal 1 oz9 MaaloxAntacid/Anti-Gas Liquid8 Mag-Ox 400 Magnesium Oxide 250 mg16 MetamucilNatural Vegetable Laxative15 BRAND NAmE iNDEx7 Brand CATALOG itemPageMonistat 1 Tioconazole 19 Monistat 3 Miconazole 39 MurineEar Drops12 Ear Wax Removal System12 NasalCromCromolyn Sodium8 NeosporinTriple Antibiotic Ointment18 Nexcare10-second Digital Thermometer12 NiacinNiacin 100 mg16 Nicoderm CQNicotine Patch Step 1 (21 mg/24 Hr)17 Nicotine Patch Step 2 (14 mg/24 Hr)17 Nicotine Patch Step 3 (7 mg/24 Hr)17 NicoretteNicorelief Gum 4 mg17 NixPermethrin Cream Rinse16 OceanNasal Saline Spray8 OmronDesktop Talking Blood Pressure Monitor11 Blood Pressure Cuff for Desk Top Talking Monitor11 Talking Wrist Blood Pressure Monitor11 Wrist Blood Pressure Monitor11 OrajelOrajel Oral Pain Reliever Gel10 Oral BRechargeable Toothbrush11 PepcidFamotidine 10 mg8 PepsodentPepsodent Toothpaste10 Pepto-Bismol (Chewable)Bismatrol Chewables9 Pepto-BismolPink Bismuth9 PhillipsMilk of Magnesia15 Preparation HHemorrhoid Ointment14 PrevailAdult Briefs, Medium 32-44" (Bag of 12)14 Adult Briefs, Large 45-58 (Bag of 18)14 Brand CATALOG itemPagePrevailAdult Briefs, X-Large 59-64" (Bag of 15)

8 15 Prilosec OTCO meprazole 20 mg8 PuraLube TearsArtificial Tears Ointment12 PurellHand Sanitizer17 ReleevReleev Cold Sore Treatment10 Renu Multipurpose SolutionCleaning & Soaking Solution10 RidLice Treatment Shampoo16 RobitussinGuaifenesin Cough Suppressant 200 mg10 Cough Syrup, Expectorant10 Senokot-SSenna Plus15St. Joseph sAspirin-Low 81 mg16 Sudafed PESudogest PE 10 mg8 TinactinTolnaftate9 TucksPre-Moist Hemorrhoidal Pads14 TumsChewable Antacids8 TylenolAcetaminophen 325 mg16 Tylenol Cold Multi-SymptomCold Head Congestion8 Tylenol ArthritisArthritis Pain Reliever8 UnisomRestfully Sleep17 Vicks NyQuilAll-Nite Cold/Flu8 VisineEye Drops12 Vitamin AVitamin A 10,000 iu18 Vitamin B ComplexVitamin B Complex18 Vitamin B-1 Vitamin B-1 100 mg18 Vitamin B-6 Vitamin B-6 50 mg18 Vitamin B-12 Vitamin B-12 1000 mcg18 Vitamin CVitamin C 500 mg19 Vitamin DVitamin D 400 iu19 Vitamin EVitamin E 400 iu19 ZyrtecAll Day Allergy Tabs 10 mg88 CAREPACk mEDiCATiONS AND PRODUCTSB efore ordering any of the items below, you should talk with your #Brand/DescriptionCostAcne TreatmentAcne Gel 10% Benzoyl Peroxide1076 Compare to Clean and Clear , 10%, oz tube.

9 A registered trademark of Johnson & Johnson Consumer Companies, Inc.$ , Cold, Flu Decongestant and SinusBanophen (Diphenhydramine) 25 mg, 24 Caps1009 Compare to Benadryl , 25 mg, 24 per pack; A registered trademark of Pfizer$ Head Congestion1357 Compare to Tylenol Cold Multi-Symptom, 24 tablets per box; A registered trademark of McNeil PPC, Inc.$ Saline Spray1052 Compare to Ocean Premium Saline Nasal Spray, , oz spray; A registered trademark of Fleming Pharmaceuticals$ Cold/Flu1361 Compare to Vicks NyQuil Cough, 4 oz per bottle; A registered trademark of Procter & Gamble$ 0 All Day Allergy Tabs 10 mg1090 Compare to Zyrtec , 10 mg tablets, 14 per box; A registered trademark of McNeil-PPC, Inc.$ 0 Chlorpheniramine 4 mg1008 Compare to Chlor-Trimeton Allergy, 4 mg tablets, 100 per box; A registered trademark of Schering-Plough HealthCare PRODUCTS , Inc.

10 $ Sodium1356 Compare to NasalCrom , 26 ml per bottle; A registered trademark of McNeil-PPC, Inc.$ 25 mg1308 Compare to Benadryl , 25 mg tablets, 100 per box; A registered trademark of Pfizer$ Decongestant Spray1091 Compare to Afrin , , 1 oz spray; A registered trademark of Schering-Plough HealthCare PRODUCTS , Inc.$ PE 10 mg1352 Compare to Sudafed PE , 10mg, 36 tablets per box; A registered trademark of Johnson & Johnson$ and Acid ReducersChewable Antacids1346 Compare to Tums , 500 mg, 150 tablets per bottle; A registered trademark of SmithKline Beecham$ 10 mg1108 Compare to Pepcid , 10 mg tablets, 30 per box; A registered trademark of Merck & Co., Inc.$ Liquid1006 Compare to Maalox Regular Strength, 12 oz per bottle; A registered trademark of William H. Rorer, Inc.$ 20 mg1110 Compare to Prilosec OTC , 20 mg tablets, 28 per box; A registered trademark of AstraZeneca$ Pain Reliever1311 Compare to Tylenol Arthritis , 650 mg tablets, 100 per bottle; A registered trademark of McNeil-PPC, Inc.