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ITEM DESCRIPTIONART. DESCRIPCIÓNQUANTITY COMPARABLECANTIDAD COMPARABLEPRICEPRECIOFirst Aid Supplies /Suministros de primeros auxilios80 Ear Thermometer,1 unit Ear 25DigitalThermometer,DigitalITEM DESCRIPTIONART. DESCRIPCIÓNQUANTITY COMPARABLECANTIDAD COMPARABLEPRICEPRECIOLaxatives / Laxantes82 Iron - With StoolSoftener Agent30ctFerro-Sequels 1085 Hydrogen PeroxideSolution16ozSwan 5106 Adult GlycerinSuppositories12ctFleet 6116 Corn Remover.31ozFreezone 10114 Fiber Caplets36ctFiberCon 11117 Cotton Balls70ctCotton Balls 6115 Fiber Gummies149 Personal First Aid Kit1 kitFirst Aid Kit 14178 Bandage AntibioticOne Size20ctBand-AidAntibiotic 8120ct VitafusionFiber WellGummies184 Petroleum Jelly185 Butterfly Closures13oz12ct 7 suresKendallIce PackFuturoFuturo1ct1ctFuturoFuturo 15 201ctFuturo 121ct1ctFuturoFuturo 10 10Gauze Roll 2” X 2 ydsReusable Ice PackWrist Brace – One SizeElbow BraceAdjustable252 Ankle Brace Adjustable253 Back Support –One Size Adjustable254 Elastic Knee SupportAdjustable255 Hand Support S/M256 Hand Support L/XLLaxatives / Laxantes44 DSS 100mg Capsules100ct Colace45 Bisacodyl Suppository 12ct10mgDulcolaxSuppository 4 14 9 14 6 446 Bisacodyl Tab 5mg100ct Dulcolax Tabs 547 GlycerinSuppository – Child12ctFleetGlycerineSuppository 3 17208 Daily Fiber Sugar Free 10ozMetamucil209 Pink BismuthChewablePepto-Bismol 430ct 8266 Milk of Magnesia SUS 12oz Phillips(360)Miscellaneous Items / Artículos misceláneos 656 Pill Box – 7 Days77 Sugar Substitute136 Glucose TabletFast Acting141 Sharp’s Container157 Bathroom Scale1ctPill Box100ct Sweet ’N Low10ct GlucoseTablets1qtMedline1ctBathroomScale2ctDr. Scholl’s1ctTablet Cutter24ct Always24ct Depends 4 6 616ctDepends 1418ctDepends 1416ctTide POD 8172187188228Moleskin PaddingTablet CutterMaxi Pad LinerUnderwear UnisexSmall Adult Diaper22”-36” Waist229 Underwear UnisexMedium Adult Diaper32”-44” Waist230 Underwear UnisexLarge Adult Diaper45”-58” Waist124 Laundry DetergentPOD1-866-577-9010 6 25 5 6 9 147

ITEM DESCRIPTIONART. DESCRIPCIÓNQUANTITY COMPARABLECANTIDAD COMPARABLEPRICEPRECIOMiscellaneous Items / Artículos misceláneos231 Underwear UnisexXLarge Adult Diaper59”-64” Waist15ctDepends 14236 Baby Outlet Cover8ctOutlet Cover 5237 Baby Cabinet Lock1ctCabinet Lock 5242 Shoe Horn1ctShoe Horn 5243 Shower Cap1ctShower Cap 1245 Food Aid Bumper1ctMcKesson 12246 Flashlight, LEDWith Batteries1ctFlashlight 14247 Ear Plugs3 pairs Ear Plugs 12482703463521ct1ct1ea1eaCap OpenerVicksNight LightBaby - ToiletLock 9 25 4 9Toothbrush 2Pill Bottle Opener AidVaporizer 1 GallonNight LightBaby - Toilet LockOral Care / Cuidado oral66 Toothbrush (medium) 1 ea94 Melatonin, 5mg tablets 60ctMelatonin 12107 Hot/Cold Patches5ctIcy Hot 11233 Pregnancy Test Kit2ctFirst Response 12Pediculicides / Pediculicidas48 Lice Treatment4ozRID LiceTreatment 9Personal Care / Cuidado Personal38 Ear Wax Drops.5oz69 Facial Tissues3Kleenex Facial 4packs Tissues@ 10perpack70 Baby Powder4ozBaby Powder 471 Bar Soap4x4ozIvory Bath Bar 872 Nail Clipper1 eaNail ClipperMurine74 Latex Gloves (medium) 100ct Latex Gloves 6 4 8 676 Hand Sanitizer8ozHand Sanitizer 4 284 Lotion, Cocoa Butter,Non-Medicated8.5oz Palmers 988 Insect Repellent6ozOFF DeepWoodsAerosol with25% DEETInsectRepellent 16142 Blood Pressure Digital 1 unit SmartHeartAutomaticWrist MonitorMonitor 25 668 Denture Adhesive1.4ozFixodent86 Waxed Dental Floss1 pkJ&J Floss 7109 Toothpaste (adults)6ozToothpaste 68ozListerine 8112 Toothache Gel (adult) .33oz Anbesol 10170 Sensitive Tooth PasteWhite4.5oz Sensodyne 9171 Flosser Picks90ct 6SunshineHealth.comOver-the-Counter /Medicamentos de venta libreSunblock SPF 930Polident108 Toothpaste (children’s) 4.6oz Toothpaste8PRICEPRECIO4oz40ctFlosser PicksQUANTITY COMPARABLECANTIDAD COMPARABLE75 Sunblock SPF 3067 Denture Tabs111 MouthwashITEM DESCRIPTIONART. DESCRIPCIÓN190 Acne Treatment 10%1.5ozRugby191 Oil Free Acne Wash6ozNeutrogena 6 10

ITEM DESCRIPTIONART. DESCRIPCIÓNQUANTITY COMPARABLECANTIDAD COMPARABLEPRICEPRECIOPersonal Care / Cuidado Personal4.5oz Gold Bond 13222 Odor Control SprayPowder4oz 5223 Non-DEET InsectRepellent100ml OFF 11238 Hair Brush & Comb Set 1ctHair Brush 3239 Hair Pick, Mini Plastic1ctHair Pick 1240 Nail File1ctNail File 2258 Deodorant, Men’s1.7ozNon-Medicated, StickDegree 5259 Body Wash, Cucumber 8ozDove 5261 Dandruff Shampoo13.5oz Head &ShouldersQUANTITY COMPARABLECANTIDAD COMPARABLEPRICEPRECIOVitamins & Minerals / Vitaminas y minerales192 Diabetic Skin LotionOdor-EatersITEM DESCRIPTIONART. DESCRIPCIÓN63 Glucosamine/Chondroitin Tab50ct64 Iron Supplement325mg Tab100ct Ironsupplement65 Omega 3 Fish Oil1000mg60ct81 Folic Acid Tab400mcg Tab100ct Folic Acid Tab 6400mcg83 Multivitamin LiquidWith Iron4ozGlucosamine/ 12Chondroitin 4Omega 3 Fish 7Oil 1000mgGeritolMultivitaminLiquid /withIron 8193 Coenzyme Q-10 50mg 30ctSpring Valley 13 5197 Vitamin B12 500mcg60ctNature’sBounty 10262 Deodorant, Women’s, 1.4ozNon-Medicated, StickLady SpeedStick 5198 B Complex PlusVitamin C125ctNature’sBounty 7263 Dandruff A-D 1%ShampooNizoral 15200 Vitamin B-6100ct Nature’sBounty 6203 Lutein Soft Gels30ct 197ozSmoking Cessation / Dejar de fumarOcuvite57 Nicotine PolacrilexGum 2mg50ctNicorette 15235 Prenatal VitaminTablet100ct Nature Made 758 Nicotine PolacrilexGum 4mg50ctNicorette 15264 Stress B With ZincTablet60ct 9Nature Made341 Omega DHA Gummy 120ct Omega DHA 16GummyVitamins & Minerals / Vitaminas y minerales49 Calcium Carbonate600mg Tab60ct50 MultivitaminsWith Minerals130ct Theragran-M 1052 Vitamin A 10,000uCaps100ct Vitamin A 599 Kotex SecurityTampon Regular53 Vitamin C 500mg Tabs 100ct Vitamin C 5126 Cleansing Cloth, Floral 32ctSummer’s Eve 954 Vitamin E 400IU Gels100ct Vitamin E 9Cottonelle 859 Senior VitaminWith Mineral Tabs60ct 11127 Personal Fresh CareCloth, Flushable 7128 Phenazopyridine AZO 30ctStandard TabletUristat 13Caltrate 600CentrumSilver62 Vitamin D 400IU Tabs 100ct Vitamin D 6Women’s Personal Care /Cuidado personal para mujeres 98 Miconazole 3-Day,3pkMonistatVaginal Cream18ct42ctKotex 20 101-866-577-9010 9 9

Things to Remember The following items are not covered underyour OTC benefit: Alternative medicines (botanicals,herbals, probiotics and neutraceuticals), baby diapers,cosmetics, food supplements, or replacement items(hearing aid batteries, contact lens containers, etc.when not factory packaged with an original item). You cannot use future allowance amountswhen placing your order. Products in this catalog should be ordered onlyfor the enrolled member. Products listed in this brochure are available inmostly generic forms comparable to the leadingname brand. In rare cases items may be temporarilyunavailable or a similar substitute will be provided basedon manufactures backorder or on hand stock availability. Please allow up to 14 days for delivery ofin-stock items. You will be notified if an itemis out of stock and may take longer for delivery. If you receive a damaged item, call1-866-577-9010, Monday – Friday from 8 a.m.to 8 p.m. The item will be exchanged for an identicalitem at no cost to you. Damaged products must beexchanged within 30 days of purchase. No otherreturns are allowed. In order to purchase certain vitamin and mineralsupplements, your physician must recommend itto you for a specific diagnosed condition. Theseare known as Dual Purpose items. Please speak withyour physician before ordering these type of items.Cosas que debe recordar Los siguientes artículos no están cubiertos bajoel beneficio de OTC: medicinas alternativas(botánicos, herbarios, probióticos y nutracéuticos),pañales, cosméticos, suplementos alimenticios orepuestos (pilas para aparatos auditivos, contenedoresde lentes de contacto, etc., cuando no esténempaquetados de fábrica con un elemento original). No puede utilizar subsidios futuros parasus pedidos. Los productos en este catálogo deben solicitarsesólo para los miembros inscritos. Los productos enumerados en este folleto estándisponibles en forma principalmente genérica encomparación con la marca líder en el mercado. Enalgunos casos únicamente, los artículos pueden noestar disponibles temporalmente, o se proporcionaráun sustituto similar con base en lista de fabricaciónpendiente o inventario disponible.10SunshineHealth.com Por favor, espere hasta 14 días para recibir susartículos en stock. Se le notificará si un artículo estáagotado y la entrega puede tomar más tiempo. Si recibe un artículo dañado, llame al 1-866-5779010, de lunes a viernes de 8:00 a.m. a 8:00 p.m.Intercambiaremos el articulo por uno idéntico sincosto alguno. Los productos dañados deben serintercambiados dentro de 30 días de compra.No se permiten otras devoluciones. Para comprar ciertas vitaminas y minerales, sumédico debe recomendárselos a usted para unacondición diagnosticada específica. Éstos seconocen como artículos de Doble Propósito. Por favorhable con su médico antes de pedir este tipo deartículos.

STATEMENT OF NON-DISCRIMINATIONSunshine Health complies with applicable Federal civilrights laws and does not discriminate on the basisof race, color, national origin, age, disability, or sex.Sunshine Health does not exclude people or treat themdifferently because of race, color, national origin, age,disability, or sex.DECLARACIÓN DE NO DISCRIMINACIÓNSunshine Health cumple con las leyes federalescorrespondientes referidas a derechos civiles y nodiscrimina sobre la base de raza, color, origen nacional,edad, discapacidad o sexo. Sunshine Health no excluyea las personas ni las trata de forma diferente debido a suraza, color, origen nacional, edad, discapacidad o sexo.Sunshine Health: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to peoplewhose primary language is not English, such as: Qualified interpreters Information written in other languagesSunshine Health: Ofrece ayudas y servicios gratuitos a las personas condiscapacidades para comunicarse en forma eficaz connosotros, como: Intérpretes calificados en lenguaje de señas Información escrita en otros formatos (letra grande,audio, formatos electrónicos accesibles, otrosformatos) Ofrece servicios idiomáticos gratuitos alas personas cuyo idioma principal no esInglés, como: Intérpretes calificados Información escrita en otros idiomasIf you need these services, contact Sunshine Health at1-866-796-0530 (Relay FL 1-800- 955-8770).If you believe that Sunshine Health has failed to providethese services or discriminated in another way on thebasis of race, color, national origin, age, disability, or sex,you can file a grievance with: Grievance/Appeals UnitSunshine Health, 1301 International Parkway, Suite 400,Sunrise, Florida 33323, 1-866-796-0530 (Relay Florida1-800-955-8770), Fax, 1-800-225-2573. You can file agrievance in person or by mail, fax, or email. If you needhelp filing a grievance, Sunshine Health is available tohelp you. You can also file a civil rights complaint with theU.S. Department of Health and Human Services, Officefor Civil Rights electronically through the Office for CivilRights 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, 200Independence 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.htmlSi necesita estos servicios, contacte aSunshine Health al 1-866-796-0530(Relay FL 1-800-955-8770).Si considera que Sunshine Health no ha brindado estosservicios o ha discriminado de otra manera por raza,color, origen nacional, edad, discapacidad o sexo, puedepresentar una denuncia ante: Grievance/Appeals UnitSunshine Health, 1301 International Parkway, Suite 400,Sunrise, Florida 33323, 1-866-796-0530 (Relay Florida1-800-955-8770), Fax, 1-800-225-2573. Puede presentaruna denuncia en persona o por correo o fax o correoelectrónico. Si necesita ayuda para presentar unadenuncia, Sunshine Health está disponible para ayudarle.También puede presentar una queja sobre derechosciviles ante el Departamento de Salud y ServiciosHumanos de EE.UU., Oficina para los Derechos Civiles,electrónicamente a través del Portal de Quejas de laOficina para los Derechos Civiles, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o por correoo teléfono al: U.S. Department of Health and HumanServices, 200 Independence Avenue SW., Room 509F,HHH Building, Washington, DC 20201, 1-800-368-1019,800-537-7697 (TDD).Los formularios para denuncias están disponibles 866-577-901011

This information is available for free in other languages. Please contactour customer service number at 1-866-796-0530, TDD 1-800-955-8770Monday through Friday, 8 a.m. to 8 p.m. Sunshine Health complies withapplicable Federal civil rights laws and does not discriminate on thebasis of race, color, national origin, age, disability or sex.Esta información está disponible en otros idiomas de manera gratuita.Comuníquese con nuestro número de servicio al cliente al1-866-796-0530, TDD 1-800-955-8770 de lunes a viernes,de 8 a.m. a 8 p.m. Sunshine Health cumple con las leyes de derechosciviles federales aplicables y no discrimina basándose en la raza, color,origen nacional, edad, discapacidad o sexo.1301 International ParkwaySuite 400Sunrise, Florida 333231-866-796-0530(TTY 1-800-955-8770)SunshineHealth.com@SunHealthFL 2020 Sunshine State Health Plan. All rights reserved.12/19/19

Health Over-the-Counter Health and Wellness Benefit! Your Sunshine Health benefits include a monthly allowance. Use this allowance to purchase over-the-counter (OTC) items that you probably use every day. These include first aid supplies, cold/ cough medications, eye drops, toothpaste, pain relievers, vitamins and personal care items.