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  • Simply Otc

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DISCOUNT PHARMACY & SELECT MIAMI-DADE CVS/pharmacy y m s STORES Eligible Items: Each eligible OTC item is either a medicine, ointment or spray, or used for treatment of a condition which is addressed by a medicine, ointment or spray, which has active medical ingredients. First aid supplies including bandages, dressings, and non-sport tapes are also eligible. Non-eligible items will not be covered. RECOGER EN CUALQUIER FARMACIA NAVARRO Y CIERTAS FARMACIAS CVS/pharmacy y m s EN MIAMI DADE.

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How to fill out the Simply Otc online

This guide provides clear instructions on filling out the Simply Otc online. By following these steps, users will be able to successfully complete the order form for their over-the-counter items.

Follow the steps to fill out the Simply Otc form online

  1. Press the ‘Get Form’ button to access the Simply Otc document and open it in the online editor.
  2. Clearly input your name, address, phone number, and member ID number in the designated fields at the top of the form. Ensure that your shipping address matches the address registered in your member account, as discrepancies may prevent your order from being processed.
  3. Review the list of eligible items. Check (√) the items you wish to order, ensuring that the total cost does not exceed your allowed benefit amount.
  4. After making your selections, review your entries for accuracy. Make any necessary adjustments.
  5. Finally, you can save your changes, download, print, or share the completed order form based on your preference to complete your transaction.

Complete your Simply Otc order form online today for easy access to your necessary health items.

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Click on REGISTER to create your account (you only need to register one time). Login to check your balance, view product images and descriptions. Place your order. Track your order status or manage your account information.

Eligible items include but are not limited to: fiber supplements, first aid supplies, medicines, ointments, sprays with active medical ingredients that alleviate symptoms, topical sunscreen, supportive items for comfort such as knee braces and adult incontinence products, and mouth care such as dental floss and ...

You can use your OTC card for covered items at participating local retailers, including: CVS. Walgreens. Duane Reade.

Please call OTC Card Services at 1-888-682-2400 (24 hours, 7 days a week) or go online to the OTC Network website (by clicking on this link, you will leave the Fidelis Care website).

You can order on line from the Wellcare website www.wellcare.com/medicare. Order using the Interactive Voice Response system (IVR). Just call the number that is on the back of your ID card.

You can use your OTC prepaid benefits card to purchase approved or covered OTC items in a retail store. You cannot use your card on a retail store's website. (You can, however, purchase from the DrugSource website for your plan. )

Any unused balance does not roll over to the next month or quarter. Online: Sign in or register for Humana Pharmacy, and select Over-the-Counter (OTC) Items under Shop Products to see a list of products. Fax: Fill out the Health and Wellness Products Order Form and fax only the order form pages to: 1-800-379-7617.

To place online orders through the OTC (Over the Counter and Diabetic Supplies) System you must be an active member and register through the Member Portal. The Member Portal is a central destination for all information related to your health, benefits, providers, claims and medication.

You can order on line from the Wellcare website www.wellcare.com/medicare. Order using the Interactive Voice Response system (IVR). Just call the number that is on the back of your ID card.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232