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FIRST AID Over-the-Counter (OTC) Health and Wellness Products KAISER PERMANENTE SENIOR ADVANTAGE (HMO) AND SENIOR ADVANTAGE MEDICARE MEDICAID (HMO D-SNP) PLANS 2020 H1170_019_05_C Products listed in this catalog are available through your over-the-counter (OTC) benefit. The items are current as of January 1, 2020 and are subject to change.
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2020 KPSA Over-the-Counter Health and Wellness Products

Dec 02, 2021

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Page 1: 2020 KPSA Over-the-Counter Health and Wellness Products

FIRST A

IDOver-the-Counter (OTC)Health and Wellness ProductsKAISER PERMANENTE SENIOR ADVANTAGE (HMO) AND

SENIOR ADVANTAGE MEDICARE MEDICAID (HMO D-SNP) PLANS

2020

H1170_019_05_C

Products listed in this catalog are available through your over-the-counter (OTC) benefit. The items are current as of January 1, 2020 and are subject to change.

Page 2: 2020 KPSA Over-the-Counter Health and Wellness Products

How to use your OTC Benefit

Ready to order? It’s easy! Call or click

1 Confirm the amount of your quarterly OTC allowance by reviewing your Evidence of Coverage (EOC)

2 Choose items from the list of products within this catalog

3 Order in one of the following ways:

• Call 1-844-232-6906 (TTY 711) Monday – Friday 8 a.m. – 8 p.m. EST

• Visit kp.org/otc/ga

Notices• This information is available for free in other languages. Please call our customer service number

from Monday – Friday from 8 a.m. to 8 p.m. at 1-844-232-6906 (TTY 711)

• The health information provided in the catalog is general in nature and is not medical advice or a substitute for professional health care.

• Please check with your physician before ordering some items in the catalog. Additionally, some items may be covered by the Plan, or original Medicare if you are not enrolled in the Plan, and if the item is determined to be medically necessary.

• You must reside in the Kaiser Permanente health plan service area in which you enroll.

What can I order?Over-The-Counter (OTC) products in the 2020 OTC catalog can be ordered. For the most up-to-date listing of covered OTC products, go to kp.org/otc/ga.

Please refer to your Evidence of Coverage for details regarding your OTC benefit. OTC benefits may change each year on January 1. Each purchase must be at least $20. Any unused portion of the quarterly credit will not carry forward to the next quarter. Your order may not exceed your maximum benefit allowance. Limitations and restrictions may apply. Cash, checks, credit cards, or money orders are not accepted.

It is important to note that the OTC products are intended for member’s health and medical use only. The health information provided in this OTC catalog is general in nature and is not medical advice or a substitute for professional healthcare. Returns are not accepted due to the personal nature of these OTC products.

* Cannot ship to PO Boxes, Alaska, Hawaii or Puerto Rico

‡ Dual-purpose items are medicines and products that can be used for either a medical condition or for general health and well-being. In order to purchase these items under the plan, your personal physician or healthcare provider must recommend them to you for a specific diagnosed condition. Please speak to your physician or healthcare provider before ordering these items.

Page 3: 2020 KPSA Over-the-Counter Health and Wellness Products

Mobility 4

First Aid 8

Home Diagnostics 11

Respiratory 12

Incontinence 13

Medications Over the Counter 18

Personal Care 25

Vitamins & Supplements 36

Notes 39

Save time and money by ordering health and wellness products with your quarterly over-the-counter (OTC) credit offered with your Kaiser Permanente Senior Advantage HMO and HMO D-SNP plans.

Table of Contents

Page 4: 2020 KPSA Over-the-Counter Health and Wellness Products

Raised Toilet Seat$30.00 1004250-lb. (113.4 kg) weight capacity

Handheld Shower$25.00 1635

Tub Safety Bar$50.00 1010Adjusts to fit tubs 23/4–61/4" (7–16 cm)

Toilet Safety Rails$50.00 1634300-lb. (136 kg) weight capacity

Rubber Bath Mat$12.00 100513.4 x 29" (34 x 73.7 cm)

Tub and Stair Safety Treads$10.00 10080.75"W x 18"L (1.9 x 45.7 cm)

Fall Prevention

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Braces & Supports

Carpal Tunnel Night Brace

$30.00 1 ea 1165Universal

Curad® Elbow Support

$10.00 1 ea 1504Universal

Curad® Adjustable Knee Support

$14.00 1 ea 1741Universal

Elbow Support Sleeve

$15.00 1 eaS, 7–9" (17.8 x 22.9 cm) 1176M, 9–11" (22.9 x 27.9 cm) 1175L, 11–13" (27.9 x 33 cm) 1174XL, 13–15" (33 x 38.1 cm) 1512

11761165

1504 1741

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Wrist Compression

$5.00 1 ea 1511S, 5–6" (12.7 x 15.2 cm)

$6.00 1 ea 1510M, 6–7" (15.2 x 17.8 cm)

$8.00 1 ea 1184L, 7–8.5" (17.8 x 21.6 cm)

$5.00 1 ea 1509XL, 8.5"+ (21.6+ cm)

Carpal Tunnel Smart Glove

$30.00 1 eaSmall 1705Medium 1704Large 1703

Arthritis Glove

$15.00 1 ea 1993S, 5–6" (12.7 x 15.2 cm)

$15.00 1 ea 1702M, 6–7" (15.2 x 17.8 cm)

$15.00 1 ea 1701L, 7–8.5" (17.8 x 21.6 cm)

Knee Support with Removable Buttress

$48.00 1 eaS, 13–14" (33 x 35.6 cm) 1172M, 14–15" (35.6 x 38.1 cm) 1171L, 15–16" (38.1 x 40.6 cm) 1170XL, 16–18" (40.6 x 45.7 cm) 1742

1511 1993

1705 1171

Braces & Supports

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NAME DESCRIPTION QTY. ITEM # PRICE

Hot or Cold Therapy Water Bottle

2-qts. 1/ea 1639 $15.00

1639

Fitness & Rehab

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1641

1638 1057

1042 1642

NAME DESCRIPTION QTY. ITEM # PRICE

Curad® Adhesive Bandages 0.75 x 3" (1.9 x 7.6 cm)

80/ct 1636 $5.00

Curad Ouchless Adhesive Bandages

0.75 x 3" (1.9 x 7.6 cm)

20/ct 1060 $6.00

Curad QuickStop!® Adhesive Bandages

0.75 x 2.83" (1.9 x 7.3 cm)

30/ct 1063 $6.00

Curad QuickStop! Adhesive Bandages

Assorted 30/ct 1638 $5.00

Curad Spray Bandage 1.35-fl. oz. (40 ml) 1/ea 1057* $8.00

Elastic Bandage with Self-Closure

2" x 5-yd. (5.1 cm x 4.6 m)

1/ea 1640 $4.00

Curad Adhesive Bandages 2 x 4" (5.1 x 10.2 cm) 50/ct 1641 $6.00

Knuckle Adhesive Bandages — 100/ct 1042 $6.00

Fingertip Adhesive Bandages — 100/ct 1642 $6.00

Reusable Cold & Hot Pack 5 x 10" (12.7 x 25.4 cm)

2/pk 1041 $15.00

Wound Care

*Cannot ship to P.O. Boxes, Alaska, Hawaii, or Puerto Rico.

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*Cannot ship to P.O. Boxes, Alaska, Hawaii, or Puerto Rico.

NAME DESCRIPTION QTY. ITEM # PRICE

Curad® Triple Antibiotic Ointment

1-fl. oz. (50 ml) 1/ea 1083 $6.00

Curad Non-Adherent Pad 3 x 4" (7.6 x 10.2 cm) 20/pk 1637 $5.00

Hydrogen Peroxide 16-fl. oz. (473 ml) 1/ea 1072 $3.00

Isopropyl Alcohol 16-fl. oz. (473 ml) 1/ea 1073* $3.00

Reusable Cold & Hot Pack 5 x 10" (12.7 x 25.4 cm)

2/pk 1041 $10.00

StingEze® Bite Relief with Sponge Tip Applicator

0.5-fl. oz. (15 ml) 1/ea 1644 $9.00

Calamine Lotion 6-fl. oz. (177 ml) 1/ea 1645 $6.00

Antiseptic Spray 2-fl. oz. (59 ml) 1/ea 1046* $8.00

Bite Relief Ointment 1.75-fl. oz. (52 ml) 1/ea 1646 $8.00

Wound Care

1083

1643

1644

1637

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Kits

NAME DESCRIPTION QTY. ITEM # PRICE

Curad First Aid Kit Kit contains 10 cleansing towelettes, 10 alcohol swabs, four sheer medium adhesive pads (2 x 3"), eight gauze pads (2 x 2"), 10 extreme hold bandages (1 x 3"), 30 Flex-Fabric bandages (3/4 x 3"), 20 Flex-Fabric bandages (5/8 x 21/4"), three waterproof bandages, 20 plastic round adhesive bandages (7/8"), 10 Flex-Fabric fingertip adhesive bandages (11/2" x 3"), 10 Flex-Fabric knuckle adhesive bandages (11/2" x 3"), 20 butterfly waterproof adhesive bandages (13/4" x 3/8"), three extra-large Flex-Fabric adhesive bandages (2 x 4"), eight Flex-Fabric adhesive bandages (1 x 3"), one roll of waterproof tape (1/2" x 5-yds.), one eye patch, one instant cold pack, one Hold Tite tubular stretch bandage, one pr of vinyl exam gloves, one finger splint (4.3 x 1"), one plastic tweezer, and one green plastic reusable case

175-pc kit

1056 $15.00

1056

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Blood Pressure

Measuring Devices

Thermometers

*Cannot ship to P.O. Boxes, Alaska, Hawaii, or Puerto Rico.

NAME DESCRIPTION QTY. ITEM # PRICE

Talking Digital Floor Scale 400-lb. (181.4 kg) Weight Capacity

1/ea 1648‡ $50.00

Dial Floor Scale 300-lb. (136.1 kg) Weight Capacity

1/ea 1649‡ $30.00

Heart Rate Monitor Watch — 1/ea 1651*‡ $30.00

Digital Food Scale 11-lb. (5 kg) Capacity 1/ea 1087‡ $35.00

Sharps Container 1.5-qt. (48-fl. oz.) 1/ea 1699 $5.00

NAME DESCRIPTION QTY. ITEM # PRICE

Digital Thermometer — 1/ea 1089 $8.00

Talking Ear and Forehead Thermometer

— 1/ea 1100 $40.00

Standard Blood Pressure Monitor$45.00 1650‡ 1650

1648

1089

1087

1699

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Oxygen Therapy

NAME DESCRIPTION QTY. ITEM # PRICE

Curad® Nasal Strips — 30/ct 1022 $12.00

1022

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Cleansing Wipes & Cloths

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FitRight® Aloe Personal Cleansing Wipes

$5.00 48 ct 1719Quilted, 8 x 12" (20.3 x 30.5 cm)

$6.00 100 ct 11038 x 12" (20.3 x 30.5 cm)

ReadyFlush® Scented Wipes

$4.00 24 ct 11168 x 12" (20.3 x 30.5 cm)

$5.00 48 ct 11178 x 12" (20.3 x 30.5 cm)

11161719

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Bariatric Disposable Brief

$20.00 8 ct 160465–94" (165.1 x 238.8 cm)

FitRight® Ultra Disposable Brief $20.00 20 ctSmall 20–33" 1425Medium 32–42" 1113Regular 40–50" 1424Large 48–58" 1112Extra Large 57–66" 11142 Extra Large 60–69" 1423

$50.00 80 ea/cs161116102210160916121613

Light & Dry™ Washable Men’s Brief

$25.00 1 ctSmall 30–33" 1622Medium 34–36" 1621Large 37–40" 1620Extra Large 41–45" 16232 Extra Large 46–52" 1624

Light & Dry™ Washable Women’s Brief

$25.00 1 ctSmall 22–26" 1627Medium 26–29" 1626Large 30–33" 1625Extra Large 34–36" 16282 Extra Large 37–40" 1629

Briefs

14251604

16251620

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Light Pantyliner

$12.00 40 ct 18157" (17.8 cm)

FitRight® Bladder Pads for Women

$12.00 20 ct 1412Light, 51/2 x 133/4" (14 x 34.9 cm)

$12.00 16 ct 1413Moderate, 4.3 x 11" (10.9 x 27.9 cm)

$12.00 10 ctMaximum, 51/2 x 133/4" (14 x 34.9 cm) 1414Ultimate, 51/2 x 153/4" (14 x 40 cm) 1415

Liners & Pads

Bladder Control Pads, Light

$12.00 20 ct 110423/4 x 93/4" (7 x 24.8 cm)

$45.00 180 ct 161723/4 x 93/4" (7 x 24.8 cm)

FitRight Active Male Guard

$15.00 52 ct 14116 x 11" (15.2 x 27.9 cm)

1412

1815

1411

1104

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FitRight Underwear for Men

$20.00 20 ctS/M, 28–40" (71.1 x 101.6 cm) 1416L/XL, 40–56" (101.6 x 142.2 cm) 1417

FitRight Underwear for Women

$20.00 20 ctS/M, 28–40" (71.1 x 101.6 cm) 1418L/XL, 40–56" (101.6 x 142.2 cm) 1419

Protective Underwear

1416 1418

FitRight Super Disposable Underwear

$25.00 20 ctM, 28–40" (71.1 x 101.6 cm) 1606L, 40–56" (101.6 x 142.2 cm) 1607XL, 56–68" (142.2 x 172.7 cm) 1608

1606

Page 17: 2020 KPSA Over-the-Counter Health and Wellness Products

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Protection Plus Polymer Underpads

$10.00 10 ct 111923 x 36" (58.4 x 91.4 cm)

$12.00 10 ct 142730 x 30" (76.2 x 76.2 cm)

Reusable Underpad

$15.00 1 ea 161434 x 36" (86.4 x 91.4 cm)

Extrasorbs® Cloth-Like Drypads

$20.00 10 ct 140623 x 36" (58.4 x 91.4 cm)

$12.00 5 ct 140730 x 36" (76.2 x 91.4 cm)

FitRight Heavy Absorbency Disposable Underpads

$12.00 10 ct30 x 30" (76.2 x 76.2 cm) 161830 x 36" (76.2 x 91.4 cm) 1619

Medline Moderate Absorbency Fluff Disposable Underpads

$10.00 10 ct 161623 x 36" (58.4 x 91.4 cm)

$15.00 15 ct 161523 x 36" (58.4 x 91.4 cm)

Underpads

1618

1119

16161614 1406

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NAME DESCRIPTION QTY. ITEM # PRICE

Remedy® Antifungal Powder 3-oz. (28.3 g) 1/ea 1245 $10.00

Medicated Foot Powder 4-oz. (113.4 g) 1/ea 1138 $5.00

Antifungal Cream 1% Tolnaftate

1.25-fl. oz. (37 ml) 1/ea 1143 $6.00

1% Clotrimazole Vaginal Cream

7-Day with Applicator 1/ea 1194 $8.00

Antifungal Cream 1% Clotrimazole

0.5-fl. oz. (15 ml) 1/ea 1120 $7.00

Anti-Itch Cream 1.25-fl. oz. (37 ml) 1/ea 1045 $5.00

Natrapel® Tick & Insect Repellent

3.4-fl.oz. (101 ml) 1/ea 1075* $9.00

Ben’s® Tick & Insect Repellent 3.4-fl.oz. (101 ml) 1/ea 1048 $9.00

Anti-Fungal & Anti-Itch

*Cannot ship to P.O. Boxes, Alaska, Hawaii, or Puerto Rico.

1245

1194

1138 1045

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NAME DESCRIPTION QTY. ITEM # PRICE

Medicated Chest Rub 3.53-fl. oz. (104 ml) 1/ea 1026 $7.00

Saline Nasal Spray 3-fl. oz. (89 ml) 1/ea 1033 $6.00

Allergy Relief, 10 mg Loratadine

10 mg 30/ct 1013 $5.00

Sore Throat Spray, Sugar-Free

6-fl. oz. (177 ml), Cherry

1/ea 1602 $7.00

Sore Throat Lozenges — 18/ct 1034 $5.00

Cough Drops Regular, Honey Lemon

30/ct 1600 $3.00

Cough Drops, Sugar-Free

Black Cherry 25/ct 1021 $3.00

Fluticasone 50 mcg Nasal Spray

50 mcg 120 sprays

1024 $22.00

DM Cough Syrup, Sugar-Free

100 mg / 10 mg, 16-fl. oz. (473 ml)

1/ea 1603 $10.00

All Day Allergy Relief Cetirizine 10mg

10 mg 90/ct 1012 $14.00

Nasal Decongestant Spray 1-fl. oz. (30 ml) 1/ea 1030 $5.00

Cough, Cold & Allergy

102416001026

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Cough, Cold & Allergy

Medication Aids

NAME DESCRIPTION QTY. ITEM # PRICE

Saline Enema — 1/ea 1237 $4.00

Pill Bottle Opener — 1/ea 1693 $5.00

Pill Crusher — 1/ea 1694 $5.00

7-Day Classic Pill Organizer Clear, 1X / Day 1/ea 1695 $4.00

7-Day Pill Organizer with Easy Push Buttons

Multicolor, 1X / Day 1/ea 1697 $5.00

7-Day Pill Organizer with Easy Push Buttons

Multicolor, 2X / Day 1/ea 1698 $6.00

7-Day Pill Organizer Clear, 4X / Day 1/ea 1091 $8.00

Liquid Cough Syrup with Guaifenesin 100 mg,Sugar-Free, Alcohol-Free

16-fl. oz., Cherry 1/ea 1302 $10.00

Liquid Cough Syrup with Guaifenesin 100 mg and Dextromethorphan 10 mg,Sugar-Free, Alcohol-Free

4-fl. oz., Cherry 1/ea 1023 $4.00

NAME DESCRIPTION QTY. ITEM # PRICE

1695

1697

1698

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Pain & Fever Relief

NAME DESCRIPTION QTY. ITEM # PRICE

Curad® Triple Antibiotic Ointment with Pain Relief

1-fl. oz. (30 ml) 1/ea 1925 $8.00

Ultra Strength Muscle Rub 3-fl. oz. (89 ml) 1/ea 1209 $6.00

AZO Urinary Pain Relief Tablets

— 30 tablets

1706 $10.00

Medicated Pads — 100/ct 1707 $8.00

Aspercreme® with 4% Lidocaine Pain Relieving Cream

2.7-fl. oz. (80 ml) 1/ea 1187 $10.00

Epsom Salt 16-oz. (453.6 g) 1/ea 1067 $5.00

Hemorrhoidal Suppositories — 24/ct 1197 $10.00

Muscle and Joint Gel 3-fl. oz. (89 ml), Menthol 2.5%

1/ea 1708 $6.00

BodiHeat® Pain Relieving Heat Pads, 12 hour

— 4/ct 1712 $8.00

Extra Strength Cold & Hot Pain Relief Therapy Patch

Small, 3.14 x 4.72" (8 x 12 cm)

5/ct 1643 $8.00

1187 1197

17061925

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Aspercreme® Pain Relieving Cream

3-fl. oz. (89 ml) 1/ea 1709 $10.00

Hemorrhoidal Ointment 2-fl. oz. (59 ml) 1/ea 1195 $7.00

Lidocaine 4% Pain Relief Patches

— 5/ct 1710 $9.00

Aspirin Low Dose Enteric-Coated Tablets

— 120 tablets

1190 $5.00

Pain Relief Acetaminophen 325 mg 100 tablets

1204 $6.00

Capsaicin Pain Relief Cream 2.1-fl. oz. (62 ml) 1/ea 1192 $8.00

Menthol Gel, 2% 16-fl. oz. (473 ml) 1/ea 1711* $10.00

Excedrin® Tension Headache Caplets

— 24 caplets

1713 $10.00

Headache Cooling Patch — 3/ct 1714 $5.00

Aspirin 81mg Chewable Tablets

— 36 chewable

tablets

1715 $3.00

NAME DESCRIPTION QTY. ITEM # PRICE

*Cannot ship to P.O. Boxes, Alaska, Hawaii, or Puerto Rico.

1192

119017081714

1713

Pain & Fever Relief

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Stomach Remedies

NAME DESCRIPTION QTY. ITEM # PRICE

Extra Strength Antacid Soft Chews

1,177 mg 36 chews

1222 $7.00

ClearLax® Powder Laxative 4.1-oz. (116.2 g) 1/ea 1727 $10.00

Milk of Magnesia 12-fl. oz. (355 ml) 1/ea 1231 $6.00

Bisacodyl 5 mg 25 tablets

2211 $4.00

Antacid Liquid 12-fl. oz. (355 ml) 1/ea 1729 $6.00

Stool Softener Softgels 100 mg 100 softgels

1240 $7.00

Natural Fiber Powder, Sugar-Free

10-oz. (284 g), Orange Flavor

1/ea 1734 $8.00

Gas Relief Simethicone 180 mg 60 softgels

1730 $7.00

Antacid Tablets, Chewable — 30 chewable

tablets

1239 $6.00

Gas Relief Simethicone 80 mg 100 chewable

tablets

1731 $10.00

1727 1240 1734

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1725

NAME DESCRIPTION QTY. ITEM # PRICE

Nicotine Lozenge, 2 mg Mint 72/ct 1725 $40.00

Nicotine Lozenge, 4 mg Mint 72/ct 1211 $40.00

Nicotine Gum, 2 mg Mint 110/ct 1726 $40.00

Nicotine Gum, 4 mg Mint 110/ct 1210 $40.00

Nicotine Patch, 7 mg — 14/ct 1214 $30.00

Nicotine Patch, 14 mg — 14/ct 1212 $30.00

Nicotine Patch, 21 mg — 14/ct 1213 $30.00

Stop Smoking

Laxative Natural Vegetable Tablets

— 100 tablets

1234 $7.00

Dairy Digestive Aid 300 FCC 60 caplets

1732 $10.00

Antacid Tablets 500 mg 150 tablets

1218 $4.00

Anti-Diarrheal Caplets 2 mg 12 caplets

1733 $5.00

NAME DESCRIPTION QTY. ITEM # PRICE

1726 1212

Stomach Remedies

Page 25: 2020 KPSA Over-the-Counter Health and Wellness Products

25CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

Wipes & Cloths

1724

Dry Cleansing Cloth

$5.00 30 ct 17247 x 13" (17.8 x 33 cm)

$8.00 50 ct 172210 x 13" (25.4 x 33 cm)

$6.00 90 ct 172312 x 14" (30.5 x 35.6 cm)

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Eye & Ear Care

NAME DESCRIPTION QTY. ITEM # PRICE

Eye Drops, Irritation Relief 0.5-fl. oz. (15 ml) 1/ea 1036 $5.00

Artificial Tears Eye Drops 0.5-fl. oz. (15 ml) 1/ea 1630 $6.00

Refresh Plus® Lubricant Eye Drops, Single Use Dose

30 vials 1/ea 1631 $24.00

Eye Drops, Itchy Eye Relief 0.2-fl. oz. (5 ml) 1/ea 1037 $12.00

Earwax Treatment Drops 0.5-fl. oz. (15 ml) 1/ea 1035 $5.00

16301036

Wipes & Cloths

NAME DESCRIPTION QTY. ITEM # PRICE

Remedy Nourishing Skin Protectant Wipes

— 8/pk 1516 $9.00

1516

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Leg & Foot Care

Toe Crest Pad

$15.00 3 ctSmall/Right 1682Small/Left 1679Medium/Right 1683Medium/Left 1680Large/Right 1684Large/Left 1681

Arch Binders™

$15.00 1 pr7–71/2" (18–19 cm) 16658–81/2" (20–21 cm) 166681/2–9" (22–23 cm) 166791/2–10"(24–25 cm) 1668

NAME DESCRIPTION QTY. ITEM # PRICE

Curad® Mediplast Wart Pad 2 x 3" (5.1 x 7.6 cm) 3 pads 1132 $2.00

Lamb’s Wool Padding — 1/ea 1468 $8.00

Corn Cushions — 9/ct 1433 $5.00

Medicated Corn Removers — 9/ct 1664 $5.00

Visco-Gel® Bunion Guard™ — 1/ea 1431 $10.00

Hammer Toe Crest — 1/ea 1441 $9.00

1132 1468

1431

1665

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1654

Peel-Away™ Adjustable Heel Lift

$15.00 1 eaSmall 1674Medium 1673Large 1672

Evenup™ Shoe Leveler

$40.00 1 eaMedium 1654Large 1655

Gel Toe Cap

$5.00 1 prS/M 1675L/XL 1676

$40.00 10 ctS/M 1678L/XL 1677

Double Loop Hammer Toe Straightener

$20.00 1 prRight 1652Left 1653

16751672 1652

Cast Protector

$10.00 1 eaLarge 1656

1656

Leg & Foot Care

Page 29: 2020 KPSA Over-the-Counter Health and Wellness Products

PE

RSO

NA

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29CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

Compression Garments

Curad® Knee High Compression Hoisery, 15–20 mmHg, Beige

$17.00 1 prSize A (Ankle: 7–77/8"; Calf: 10–3") 1685

Size B (Ankle: 8–87/8"; Calf: 12–15") 1686

Size C (Ankle: 9–97/8"; Calf: 14–17") 1687

Size D (Ankle: 10–107/8"; Calf: 16–19") 1688

$20.00 1 prSize E (Ankle: 11–117/8"; Calf: 18–21") 1689

Size F (Ankle: 12–127/8"; Calf: 20–23") 1690

Size G (Ankle: 13–137/8"; Calf: 22–26") 1691

Curad Knee High Compression Hoisery, 15–20 mmHg, Black

$17.00 1 prSize A (Ankle: 7–77/8"; Calf: 10–3") 1657

Size B (Ankle: 8–87/8"; Calf: 12–15") 1658

Size C (Ankle: 9–97/8"; Calf: 14–17") 1659

Size D (Ankle: 10–107/8"; Calf: 16–19") 1660

$20.00 1 prSize E (Ankle: 11–117/8"; Calf: 18–21") 1661

Size F (Ankle: 12–127/8"; Calf: 20–23") 1662

Size G (Ankle: 13–137/8"; Calf: 22–26") 1663

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Curad Knee-High Cushioned Compression Hosiery, 15–20 mmHg, White

$18.00 1 prSize A (Ankle: 7–77/8"; Calf: 10–3") 2185

Size B (Ankle: 8–87/8"; Calf: 12–15") 1125

Size C (Ankle: 9–97/8"; Calf: 14–17") 1123

Size D (Ankle: 10–107/8"; Calf: 16–19") 1692

Copper Fit® Compression Socks, Black

$20.00 1 prS/M 1736

L/XL 1735

Compression Garments

Copper Fit® Wrist Sleeve

$20.00 1 eaSmall 1739Medium 1738Large 1737Extra Large 1740

Page 31: 2020 KPSA Over-the-Counter Health and Wellness Products

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31CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

1161

Oral Care

NAME DESCRIPTION QTY. ITEM # PRICE

Pepsodent® Toothpaste 5.5-fl. oz. (163 ml) 1/ea 1161 $4.00

Aim™ Mint Gel 5.5-fl. oz. (163 ml) 1/ea 1479 $4.00

Battery Powered Toothbrush — 1/ea 1150 $15.00

Battery Powered Toothbrush, Replacement Heads

— 2/ct 1151 $10.00

BrushPicks® — 275/ct 1152 $6.00

biotène® Dry Mouth Spray 1.5-fl. oz. (44 ml) 1/ea 1482 $12.00

Toothbrush, Super Soft — 1/ea 1163 $2.00

Super Poligrip® Denture Adhesive Cream

2.4-fl. oz. (71 ml) 2/ct 1700 $15.00

biotène® Dry Mouth Oral Rinse

16-fl. oz. (473 ml) 1/ea 1480 $10.00

Super Poligrip® Denture Adhesive Cream

2.4-fl. oz. (71 ml) 1/ea 1162 $9.00

Mouth Moisturizer 3-g packets 5/ct 1492 $3.00

Denture Cleanser — 90 tablets

1155 $8.00

1150 1482

1162

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Tongue Cleaner — 1/ea 1495 $4.00

Denture Adhesive 2-fl. oz. (59 ml) 1/ea 1485 $6.00

Interplak® OptiClean™ Rechargeable Toothbrush

— 1/ea 1149 $35.00

Interplak OptiClean Rechargeable Toothbrush, Replacement Heads

— 2/ct 1488 $15.00

Medicated Lip Treatment — 2/pk 1158 $5.00

Dental Floss, Waxed Mint 100-yds. (91.4 m) 1/ea 1154 $3.00

Mint Flossers — 90/ct 1157 $5.00

Denture Brush — 1/ea 1876 $5.00

Oral Pain Relief Gel 0.33-fl. oz. (10 ml) 1/ea 1160 $5.00

Sensitive Toothpaste 4.3-fl. oz. (127 ml) 1/ea 1494 $5.00

G U M® Proxabrush® Go-Betweens Cleaners

— 10/ct 1487 $6.00

NAME DESCRIPTION QTY. ITEM # PRICE

1488 1154 1487

Oral Care

Page 33: 2020 KPSA Over-the-Counter Health and Wellness Products

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33CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

Skin Care

NAME DESCRIPTION QTY. ITEM # PRICE

Zinc Oxide Ointment 16-fl. oz. (473 ml) 1/ea 1605 $15.00

Vitamin A and D Plus E Ointment

13-fl. oz. (385 ml) 1/ea 1716 $12.00

Remedy® Cleanser No Rinse Foam

8-fl. oz. (237 ml) 1/ea 1428 $10.00

Remedy Nourishing Skin Cream

8-fl. oz. (236.6 ml) 1/ea 1246 $8.00

Remedy HydraGuard® Skin Repair Cream

4-fl. oz. (113 g) 1/ea 1517 $9.00

Remedy Z-Guard® Skin Protectant Paste

4-oz. (118 ml) 1/ea 1115 $6.00

A&D Ointment 4-fl. oz. (113 g) 1/ea 1717 $5.00

Soothe & Cool® Unscented No Rinse Cleanser

8-fl. oz. (237 ml) 1/ea 1430 $10.00

Soothe & Cool® Cornstarch Body Powder

14-oz. (397 g) 1/ea 1718 $5.00

Sunscreen Lotion, SPF 30 8-fl. oz. (237 ml) 1/ea 1252 $10.00

1517 1115 1527

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Sunscreen Lotion, SPF 50 8-fl. oz. (237 ml) 1/ea 1527 $12.00

Moisture Lip Balm, SPF 15 0.15-oz. (4 g) 1/ea 1491 $2.00

Soothing Oatmeal Bath Treatment

— 8/ct 1720 $9.00

Petroleum Jelly 13-oz. (369 g) 1/ea 1076 $6.00

Aloe Gel with Lidocaine 0.5% 8-fl. oz. (237 ml) 1/ea 1251 $7.00

Aloe Vera Gel 16-fl. oz. (473 ml) 1/ea 2045 $10.00

Cotton Swabs — 300/ct 1647 $5.00

Cotton Balls — 200/ct 1051 $5.00

NAME DESCRIPTION QTY. ITEM # PRICE

1720 1252 1251

Skin & Hair Care

Page 35: 2020 KPSA Over-the-Counter Health and Wellness Products

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35CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

Hand Sanitizers

NAME DESCRIPTION QTY. ITEM # PRICE

Hand Sanitizer, Alcohol-Free Foam

8-fl. oz. (236.6 ml) 8/pk 1401 $12.00

Hand Sanitizer Gel 4-fl. oz. (118 ml) 1/ea 1402 $4.00

Hand Sanitizer Gel 8-fl. oz. (236.6 ml) 1/ea 1070 $4.00

Hand Sanitizer Wipes — 160/ct 1071 $10.00

10711401 1402

Page 36: 2020 KPSA Over-the-Counter Health and Wellness Products

VITA

MIN

S & SU

PP

LEM

EN

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36

1743 1744 1292 1748

Vitamins & Supplements

NAME DESCRIPTION QTY. ITEM # PRICE

Alpha Lipoic Acid Supplement

300 mg 50 caplets

1743‡ $14.00

Multivitamin Gummies Raspberry Flavor 60/ct 1744‡ $12.00

Vitamin B-6 100 mg 100 tablets

1292‡ $10.00

Magnesium Oxide 400 mg 120 tablets

1745‡ $9.00

Ferrous Sulfate (Iron 65mg)

325 mg 100 tablets

1269‡ $6.00

L-Lysine 500 mg 100 tablets

1259‡ $8.00

Calcium 600 mg 150 tablets

1747‡ $7.00

Calcium Citrate with Vitamin D-3

315 mg / 250 IU 100 tablets

1748‡ $14.00

Calcium with Vitamin D-3

500 mg / 400 IU 60 chewable

tablets

1291‡ $7.00

Vitamin B-12 500 mcg 100 tablets

1291 $7.00

Page 37: 2020 KPSA Over-the-Counter Health and Wellness Products

VITA

MIN

S & SU

PP

LEM

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37CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

Vitamins & Supplements

NAME DESCRIPTION QTY. ITEM # PRICE

Folic Acid 400 mcg 100 tablets

1271‡ $7.00

Vitamin C 500 mg 100 tablets

1293‡ $6.00

Eye Vitamin & Mineral Supplement with Lutein

— 60 tablets

1267‡ $10.00

Calcium with Vitamin D 600 mg / 800 IU 300 tablets

1749‡ $16.00

Diabetes Glucose Tablets 4 g, Orange Flavor 50 chewable

tablets

1757‡ $9.00

AREDS 2 Eye Vitamin & Mineral Supplement

— 120 softgels

1632‡ $40.00

CoQ-10 100 mg 30 softgels

1265‡ $12.00

Vitamin C Chewable Tablets 500 mg 110 tablets

1750‡ $9.00

Vitamin A 10,000 IU 110 softgels

1286‡ $6.00

Sentry Multivitamin — 130 tablets

1276‡ $14.00

Flax Seed Oil 1,000 mg 60 softgels

1270‡ $8.00

1293 1267 1757 1270

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NAME DESCRIPTION QTY. ITEM # PRICE

Sentry Senior 50+ Multivitamin

— 100 tablets

1261‡ $12.00

ImmuBlast™ Immune System Support

Orange Flavor 32 chewable

tablets

1751‡ $8.00

Vitamin D3 2,000 IU 250 tablets

1295‡ $10.00

Niacin 100 mg 100 tablets

1752‡ $5.00

Vitamin B Complex Plus B-12

— 100 tablets

1753‡ $8.00

Biotin 500 mcg 60 tablets

1258‡ $11.00

Calcium Chews with Vitamins D & K

650 mg / Chocolate 60/ct 1754‡ $12.00

Glucosamine and Chondroitin

750 mg / 600 mg 100 tablets

1755‡ $30.00

Ferrous Sulfate Elixer 220 mg / 5 ml / 16-fl. oz. (473 ml)

1/ea 1756‡ $6.00

Omega-3 Fish Oil 1,000 mg / 1 IU 90 softgels

1280‡ $10.00

Melatonin 5 mg 30 tablets

1275‡ $7.00

17511261 1258 1275

Vitamins & Supplements

Page 39: 2020 KPSA Over-the-Counter Health and Wellness Products

39CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

NO

TES

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Notes

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40

NO

TES

_________________________________________________________________________________

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Notes

Page 41: 2020 KPSA Over-the-Counter Health and Wellness Products

41CALL 1-844-232-6906 (TTY 711) OR VISIT KP.ORG/OTC/GA TO ORDER OTC PRODUCTS

NO

TES

_________________________________________________________________________________

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Notes

Page 42: 2020 KPSA Over-the-Counter Health and Wellness Products

61104516

Notice of nondiscrimination Kaiser Permanente complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also:

• Provide no cost aids and services to people with disabilities to communicateeffectively with us, such as:♦ Qualified sign language interpreters.♦ Written information in other formats, such as large print, audio, and accessible

electronic formats.• Provide no cost language services to people whose primary language is not English,

such as:♦ Qualified interpreters.♦ Information written in other languages.

If you need these services, call Member Services at 1-800-232-4404 (TTY 711), 8 a.m. to 8 p.m., seven days a week.

If you believe that Kaiser Permanente has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with our Civil Rights Coordinator by writing to Attention: Member Services, Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305 or calling Member Services at the number listed above. You can file a grievance by mail or phone. If you need help filing a grievance, our Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.

Page 43: 2020 KPSA Over-the-Counter Health and Wellness Products

60577109_ACA_1557_MarCom_GA_2017_Taglines

Français (French) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-865-5813 (TTY: 711).

Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-865-5813 (TTY: 711).

ગજુરાતી (Gujarati) સચુના: જો તમે ગજુરાતી બોલતા હો, તો નન:શલુ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-888-865-5813 (TTY: 711).

Kreyòl Ayisyen (Haitian Creole) ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-888-865-5813 (TTY: 711).

हिन्दी (Hindi) ध्यान दें: यहद आप हििंदी बोलते िैं तो आपके ललए मुफ्त में भाषा सिायता सेवाएिं उपलब्ध िैं। 1-888-865-5813 (TTY: 711) पर कॉल करें। 日本語 (Japanese) 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-888-865-5813(TTY: 711)まで、お電話にてご連絡ください。

한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-865-5813 (TTY: 711) 번으로 전화해 주십시오.

Naabeehó (Navajo) Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dé̖é̖’, t’áá jiik’eh, éí ná hóló̖, koji̖’ hódíílnih 1-888-865-5813 (TTY: 711).

Português (Portuguese) ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-888-865-5813 (TTY: 711).

Pусский (Russian) ВНИМАНИЕ: eсли вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-865-5813 (TTY: 711).

Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-865-5813 (TTY: 711).

Tagalog (Tagalog) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-865-5813 (TTY: 711).

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-865-5813 (TTY: 711).

60577109_ACA_1557_MarCom_GA_2017_Taglines

NONDISCRIMINATION NOTICE Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Health Plan) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Kaiser Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. We also: • Provide no cost aids and services to people with disabilities to communicate

effectively with us, such as: • Qualified sign language interpreters • Written information in other formats, such as large print, audio, and

accessible electronic formats

• Provide no cost language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages

If you need these services, call 1-888-865-5813 (TTY: 711) If you believe that Kaiser Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by mail at: Member Relations Unit (MRU), Attn: Kaiser Civil Rights Coordinator, Nine Piedmont Center, 3495 Piedmont Road, NE Atlanta, GA 30305-1736. Telephone Number: 1-888-865-5813. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019, 1-800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

____________________________________________________________________

HELP IN YOUR LANGUAGE ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-865-5813 (TTY: 711).

አማርኛ (Amharic) ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-888-865-5813 (TTY: 711).

.، فإن خدمات المساعدة اللغوية تتوافر لك بالمجانالعربيةإذا كنت تتحدث :ملحوظة (Arabic) العربية (.TTY :711) 5813-865-888-1 اتصل برقم

中文 (Chinese) 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電1-888-865-5813(TTY:711)。

اگر به زبان فارسی گفتگو می کنيد، تسهيلات زبانی بصورت رايگان برای توجه: (Farsi) فارسی تماس بگيريد.1-888-865-5813 (TTY: 711) شما فراهم می باشد. با

Help in your language

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-865-5813 (TTY: 711).

Page 44: 2020 KPSA Over-the-Counter Health and Wellness Products

Please recycle. Nine Piedmont Center • 3495 Piedmont Road, NE • Atlanta, GA 30305 • 855-512-5997

353471118 07/19 ©2019 Kaiser Foundation Health Plan of Georgia, Inc.