Over-the-Counter Benefits

Benefit Overview

Wellcare By Fidelis Care offers members a pre-paid account that is replenished monthly (check your Evidence of Coverage document to determine if you qualify).  Your account can be used to purchase over-the-counter (OTC) eligible items that help treat injuries or illness. You can use this card to purchase non-prescription, over-the-counter drugs and many common health-related items at local pharmacies, including CVS, Walgreens, Rite Aid, and Duane Reade, without having to submit a receipt.

OTC items may only be purchased by you for your own personal use. The dollar benefit amount is automatically replenished each month. Any unused dollars at the end of the month are not rolled over and cannot be used in following months. Examples of what can be purchased using your pre-paid debit card are Acetaminophen (Tylenol), antacids, and topical antibiotics. 


OTC Catalog | English 

Wellcare-By-Fidelis-Care-OTC-Catalog-Preview

Catálogo OTC | Español

Wellcare-By-Fidelis-Care-OTC-Catalog-Preview-Spanish

OTC 카탈로그 | 한국인

Wellcare-By-Fidelis-Care-OTC-Catalog-Preview-Korean

OTC目录| 中国人

Wellcare-By-Fidelis-Care-OTC-Catalog-Preview-Chinese


*Please keep this valuable booklet nearby. You’ll need it to look up the OTC items you want to purchase online or in store.


 

Three convenient ways to place an order.

Choose the way that works best for you:

Wellcare-By-Fidelis-Care-Health-Insurance-Phone

#1. In Store

You can pick up your OTC items at select OTC Health Solutions® enabled stores nationwide. Tofind your nearest location, go to https://www.cvs.com/otchs/fidelis.

How to use your OTC Health Solutions benefits in store:

1. Refer to your health plan catalog. 

2. Identify approved items in the catalog. Only the items listed in your catalog are availablethrough your plan. If an item with a blue label is not listed, you will not be able to select it. 

3. Go to a select OTCHS enabled CVS Pharmacy®, CVS Pharmacy y mas® or Navarro® store.IMPORTANT: Only select CVS stores participate in this benefit. To find your nearest location,go to https://www.cvs.com/otchs/fidelis/storelocator or contact OTCHS at1-866-528-4679 (TTY: 711). 

4. Look for the blue signs identifying eligible products.* Note: In-store prices may vary fromthose listed in this catalog. However, the prices listed in the catalog are what will bededucted from your benefit. Products with blue labels may be located in the dedicatedOTCHS section or throughout the aisles in the store. 

5. You can redeem your benefit at any register.


Step-5-OTC-Catalog-Image


How to redeem at the cashier/checkout counter:

1. Inform the cashier you have OTC Health Solutions.

2. Present your health plan ID card first, before the cashier begins to scan products.
Your health plan ID card is used to verify eligibility, not as a payment.

Alternative: You can also present the QR code to the store colleague at the register to assistwith the transaction.

QR-Code-Background-OTC-Example


Colleague Instructions

1. Scan QR code.

2. You will be automatically redirected to the OTCHS App on the point-of-sale (POS)terminal.

3. Ask the member for their health plan ID card.

4. Select the member’s plan.

5. Enter the member ID or the member’s first and last name.

6. Scan eligible products and follow instructions on the POS system to complete thetransaction.

7. If you are having trouble locating the member or processing the transaction, pleasecall the dedicated OTCHS Store Support line for assistance. 


*Not all items are available in all stores. If your item is not available, please contact OTCHS or visit your plan’s web page to process your order.

**Please note that the regular retail price in the store may vary. For prices that apply when you use your OTC benefits, please consult this catalog. Catalog prices cannot be combined with promotional offers or ExtraBucks® Rewards.

#2. Online
The fastest and easiest way to order 24/7 is to visit: https://www.cvs.com/otchs/fidelis.

Online orders must be submitted by 11:59 PM ET to be processed the same day. 

How to place an order through our website:

1. Create an account

• If it is your first time placing an order online, you will need to create an account by visiting https://www.cvs.com/otchs/fidelis

• Choose the “Create Account” button and follow the instructions. 

• You will need your member ID, date of birth, ZIP code and current email address.Each member registering needs to have a separate email address. If a member shares anemail address with a spouse or caregiver who also has an OTC account, they will only beable to register one account. 

• You will also need to create a password. 

• If you need help locating your member ID, select “Get help locating your member ID.” 

• Remember to save your password for future orders. You will need your member ID or emailaddress along with your password to sign in again. 

• If you forget your password, choose the “Forgot Password?” button to create a new one. 


2. Place an order

• Once you sign in, your benefit amount and balance will be displayed at the top of the page. 

• Browse through the available products and add to your basket. Your order total willautomatically deduct from your balance at the top of the page. 

• Once you are ready to place your order, choose “Checkout.” 

• On the Checkout page, you must confirm the shipping address displayed is correct byselecting the disclaimer. Then, review and place your order. It will arrive within 14 days. 

• You will receive an email with tracking information once your order has shipped and anotheremail once your order has been delivered. 

• Please review the order frequency limits located on the FAQs to avoid missing benefit funds. 

• Reminder: Orders for each benefit period must be placed by 11:59 PM ET of the last day of theperiod. 


Return Policy: Due to the personal nature of the products, no returns or exchanges are allowed. If you haven’t received your order or if you received a defective or damaged item, please call OTC Health Solutions within 30 days of placing your order.

#3. By Phone

Orders can be placed by calling 1-866-528-4679 (TTY: 711). You can speak to a live agent Monday to Friday, from 9 AM to 8 PM local time. You can also order 24/7 via our automated interactive voice response (IVR) system. Please have your member ID and order ready when placing your order by phone.

How to place an order by phone (IVR system):

1. Call OTCHS using the phone number on file.

Note: The phone number on file is the number provided to OTCHS by your health provider. If you wish to use a different number to order through the IVR system, you can provide thealternative number to an OTCHS agent so it can be added to your account. 

2. Once the system locates your account you will be asked to input your date of birth in MMDDformat. 

3. The account authentication process will start and the system will verify the name andaddress on the account. 

4. Please enter the numerical portion of the item code. 

• Example: If you would like to order item “B33 unscented wipes,” you will select “33” andwait for the prompt to confirm the item. Once the system locates the item, it will read backthe product name and quantity and ask if the selection is correct. Please allow the systemto complete the statement before making your selection. 

• If yes, the system will add the item to your cart. 

• If no, the system will provide an option to edit the product or the quantity. 

5. Once the order is completed, you will have the choice to review the items in the cart orsubmit the order. 

• If you submit the order without review, the system will provide a confirmation number andthe call will be disconnected. 

• If you want to review your order, the system will allow you to edit the items, start over, submitthe order or speak with a representative.Note: Should you choose to speak to a representative, your items will not be saved and you willhave to restart your order. 

• Through the IVR system, you will also be able to track your order and/or request a catalog.


Return Policy: Due to the personal nature of the products, no returns or exchanges are allowed. If you haven’t received your order or if you received a defective or damaged item, please call OTC Health Solutions within 30 days of placing your order.

 

 

 

Frequently Asked Questions (FAQ) | OTC Benefits

 Getting started, Finding your Member ID, Carry-over, Item Availability, Etc.

FAQ-Doctor-Checklist

Where can I find my member ID number?

It can be found on the front of your health plan ID card. 

Sample ID Card:


Wellcare-Fidelis-Care-Sample-OTC-Card


What is the benefit?
  • The OTC benefit offers you an easy way to get generic over-the-counter health and wellnessproducts by going to select OTC Health Solutions-enabled CVS Pharmacy, CVS Pharmacy ymas or Navarro stores nationwide. 

  • You can also order by phone at 1-866-528-4679 (TTY: 711)or online at https://www.cvs.com/otchs/fidelis. You order from a list of approved OTC items,and OTC Health Solutions will mail them directly to your home address. 
How much is my OTC benefit?
The amount depends on your benefit plan. Check your plan documents or call OTC HealthSolutions at 1-866-528-4679 (TTY: 711). 
How often can I use my OTC benefit?

Your OTC benefit can be used three times during the quarter if you use the home delivery service, that is, if you order by phone or online. However, you can use your benefit unlimited times at a select OTCHS-enabled CVS Pharmacy during the quarter. Quarterly benefit periods are distributed as follows:


  • Quarter 1 (January, February and March) 
  • Quarter 2 (April, May and June) 
  • Quarter 3 (July, August and September) 
  • Quarter 4 (October, November and December)
Can I carry over unused benefit amount to the next benefit period?
Unused benefit amounts do not roll over to the next quarter. 
Can I order more than my benefit amount?
You cannot exceed your benefit amount online or by phone. However, you may exceed yourbenefit amount at an OTC Health Solutions-enabled CVS Pharmacy, CVS Pharmacy y mas orNavarro store, however, you will be responsible to pay the difference out of pocket.
Are all items available at the stores?
Not all items are available in stores. Items marked with a “8” in the catalog can only be orderedover the phone or online. 
How long will it take to receive my order?
You will receive your order within 14 days after it was placed. 
Can I cancel my order once it has been placed?
Orders can only be cancelled within ONE HOUR after being processed.
How do I confirm my order was placed?
Once the order has been completed, you will receive a confirmation number. Always make sureto receive and keep your confirmation number.
Can I track my order?
You can opt in to receive tracking information via email or text; simply advise an agent whenplacing your order.
How can I receive another copy of this catalog?
You will receive a digital version of the catalog with every tracking email/text. You can also printa copy from the OTC web page or the top section of this webpage.
Where can I get additional information about the products?
In this catalog you will find SKU numbers that can be used at https://www.cvs.com to searchfor product images and obtain additional product information such as ingredients.
How will the items be shipped?
Items are shipped via USPS to your home at no charge to you. Please allow up to 14 days fordelivery. 
Additional notes
  • There is no limit on the number of items you may order. There is, however, a quantity limitof nine per any single item, per quarter. There are some select products that have speciallimits and these are marked by a “«” or “n” in this catalog.

  • In order to purchase certain vitamin and mineral supplements, your physician mustrecommend it to you for a specific diagnosed condition. These are called “dual-purposeitems” which are marked with a “u.” Please speak with your physician before ordering thesetype of items. 

  • Some items may be covered under Part B or Part D and are marked with a “^”. When anitem is covered by Part B or Part D due to your certain circumstances, you would not useyour OTC benefit to obtain the item. For example, gauze may be covered under Part B whenit is being used as prescribed to perform surgical wound dressing changes. 

  • Products in this catalog are intended for personal use and may be ordered only for theenrollee.

*If you have not received your items within 14 days after ordering, please call:1-866-528-4679 (TTY: 711), Monday to Friday, 9 AM to 8 PM local time.  

     

     

    Additional Information

    Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal.

    From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.

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    Last Updated 10.1.2021