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Get Simplyotc

Eck ( ) items you want on the order form that add up to your benefit amount or less. 3. Fold this form and put in an envelope. Place a first class postage stamp on the envelope and send it to: OTC Health Solutions, 9675 NW 117th Avenue, Suite 202 Miami, FL 33178 PEDIDO POR CORREO: 1. Escriba claramente su nombre, direcci n, n mero de tel fono y su n mero de afiliado en el espacio indicado. Su direcci n debe coincidir con la direcci n que tenemos en su archivo de afiliado. No se completa.

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How to fill out the Simplyotc online

This guide provides a comprehensive overview of how to fill out the Simplyotc online order form accurately and efficiently. Following these steps ensures that you can easily order over-the-counter items covered by your health plan.

Follow the steps to successfully complete the Simplyotc online order form.

  1. Click the ‘Get Form’ button to obtain the Simplyotc online order form and open it for editing.
  2. In the top section of the form, enter your personal details clearly – this includes your name, address, phone number, and member ID number. Ensure your shipping address matches the address on file to avoid any issues with your order.
  3. Carefully review the list of eligible items. Mark (√) the items you wish to order, ensuring that the total cost does not exceed your benefit amount.
  4. If applicable, follow the guidelines for ordering dual-purpose items which require prior consultation with your primary care physician.
  5. Once you have completed the form, review all information for accuracy and clarity.
  6. After ensuring all details are correct, you can either save the form, download it for your records, or print it out to send it by mail if you prefer that method.

Complete your Simplyotc order form online today to access your eligible items conveniently.

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Over-the-counter (OTC) medicines are drugs you can buy without a prescription. Some OTC medicines relieve aches, pains, and itches. Some prevent or cure diseases, like tooth decay and athlete's foot. Others help manage recurring problems, like migraines and allergies.

What is the Over-the-Counter (OTC) benefit? The OTC benefit offers you an easy way to get generic over-the-counter health and wellness products by going to any OTC Health Solutions-enabled CVS Pharmacy®, CVS Pharmacy y mas®, or Navarro® store.

An OTC allowance benefit for the things you need The OTC allowance benefit can be used to buy eligible non-prescription items, plus health and wellness items. There are 2 types of OTC allowance benefits: OTC Mail Order or OTC Allowance.

You can use this card to buy eligible over-the-counter (OTC) medicines and health-related items. In 2022, the OTC card benefit is $120 per month (up to $1,440 per year). Any remaining balance at the end of the month will not carry over to the next month.

As long as you are an active member, your OTC Card will automatically reload on the first day of every quarter (January 1, April 1, July 1, and October 1). You have the full 3 months to use your benefit amount. Be aware that any balance remaining at the end of a quarter does not roll over to the next quarter.

An OTC allowance benefit for the things you need The OTC allowance benefit can be used to buy eligible non-prescription items, plus health and wellness items.

To get started, simply use this catalog to select the item(s) you want, then order online or by phone, and we'll ship your order directly to your door. The OTC Benefit is reset once every three months (quarterly). You can only place one order per quarter. Any unused benefit does not roll over to the next quarter.

Ways You Can Use Your OTC Benefit Card Visit a participating retailer. Shop for approved items. Approved items vary whether you have Traditional OTC or the Expanded OTC Benefit. During checkout, use your OTC Card. Approved purchases will be automatically paid for up to your approved balance.

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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