Carolina Complete Health offers two ways for members to access over-the-counter (OTC) medications:
Carolina Complete Health covers certain over-the-counter medications at the pharmacy when a valid prescription is written by a Carolina Complete Health provider. Covered over-the-counter drugs must be manufactured by a company that has signed a National Medical Drug Rebate Agreement with the Centers for Medicare and Medicaid Services (CMS). These covered over-the-counter drugs include:
In addition to the over-the-counter medications covered at the pharmacy, Carolina Complete Health members also have access to our OTC Value-Added Service.
Through the program, member can order commonly used over-the-counter products up to a value of $30 per calendar quarter from our OTC catalog. These products include first aid supplies and cold medicine through CVS. Please view our OTC Catalog (PDF) for more information.
Please use the following resources for coverage details: