Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
ADVANTAGE
OVER THE COUNTER DRUGS AND ITEMS GUIDE(OTC)
2020
Triple-S Advantage 2020 Over the Counter Items Guide Page 1 of 53
Y0082_20CI002E_C
Over the Counter Drugs and Items Guide
2020
What are Over the Counter (OTC) drugs and Items?
OTC drugs are non-prescription drugs that are not normally covered by the Medicare Part D prescription drug benefit. OTC drugs are used for the treatment of medical symptoms such as cough, cold, pain, diarrhea and upset stomach, among others.
When can I begin to use my OTC drugs and Items benefit and what does it include?
You can begin to use your OTC benefit, once your enrollment is effective with the plan. This guide includes OTC drugs and items for the health and wellness over the counter. It contains a list of some common-use drugs, but it does not include all drugs and brands covered by the plan.
Do OTC drugs and items covered by the plan have any cost?
Triple-S Advantage will provide coverage for these OTC drugs and items at no cost to you. These drugs are covered under the Part C. The cost of these OTC drugs will not count toward your total prescription drugs costs of the Part D drugs.
What are the rules for getting OTC drugs and items?
You will be able to obtain OTC drugs and items without a medical order. The following rules apply for getting OTC drugs and items:
1. Triple-S Advantage will cover up to a maximum dollar amount for OTC drugs and items every three months. After the maximum dollar amount is reached, Triple-S Advantage will not cover these drugs until the following three months, when the maximum quarterly coverage starts again. The quarters are according to calendar year, for example: January-March, April-June, July-September and October-December, with a total of four quarters per year. The amounts must be used in full as they do not accumulate from quarter to quarter. Each plan offers different OTC maximum dollar amounts. Check your Evidence of Coverage for the specific amount of your plan.
Triple-S Advantage 2020 Over the Counter Items Guide Page 2 of 53
Y0082_20CI002E_C
2. OTC drugs must be obtained through the Triple-S Advantage network, and they may only be purchased and used by the enrollee.
3. The categories of OTC drugs and items must be included in this guide, to be covered. The availability of brands and costs may vary depending on the network pharmacy you visit.
What are the advantages of using OTC drugs?
The use of OTC drugs allows the patient to have greater access to a variety of drugs available in the market for the treatment of some medical symptoms. In addition, it helps the patient save money, because they usually cost less than other drugs.
You may use OTC drugs to treat some medical symptoms. Consult your physician or pharmacist, and remember to always read the package labeling for specific instructions on how to take them, as well as any warnings or precautions you should consider when taking them.
How do I use this OTC Drugs and Items Guide?
This guide classifies OTC drugs and items by category, according to the most common symptoms they are used for. For example, drugs to treat cough and congestion are classified under the category Cough / Cold / Allergies. If you know what your OTC drug is used for, look for the category name in the Table of Contents. Then look for your OTC drug under that category. You can also look for the name of some OTC drugs examples in the alphabetical Index at the end of this document.
Where I should contact in case of doubts and questions?
This guide is effective from January 1, 2020 through December 31, 2020. For more information, contact Member Services at 1-888-620-1919 toll free, TTY users should call 1-866-620-2520, Monday to Sunday from 8:00 a.m. to 8:00 p.m. or visit our website www.sssadvantage.com.
Triple-S Advantage 2020 Over the Counter Items Guide Page 3 of 53
Y0082_20CI002E_C
Triple-S Advantage, Inc. is an independent licensee of BlueCross BlueShield Association.
Triple-S Advantage, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Triple-S Advantage, Inc. cumple con las leyes federales aplicables de derechos civiles y no discrimina por razón de raza, color, origen de nacionalidad, edad, discapacidad, o sexo.
Triple-S Advantage, Inc. 遵守適用的聯邦民權法律規定,不因種族、膚色、民族血統、年齡、殘障或性
別而歧視任何人.
Triple-S Advantage 2020 Over the Counter Items Guide Page 4 of 53
Y0082_20CI002E_C
Table of Contents
ALTERNATIVE MEDICINES [MEDICINA ALTERNATIVA] ............................................................. 5
ANALGESICS - ANTI-INFLAMMATORY [ANALGÉSICOS - ANTIINFLAMATORIOS] ................... 5
ANALGESICS - NONNARCOTIC [ANALGÉSICOS - NO NARCÓTICOS] ...................................... 5
ANORECTAL AGENTS [AGENTES ANORECTALES] ................................................................... 6
ANTIDIARRHEAL AGENTS [AGENTES ANTIDIARREICOS] ......................................................... 6
ANTIEMETICS [ANTIEMÉTICOS] ................................................................................................... 7
ANTISEPTICS & DISINFECTANTS [ANTISÉPTICOS & DESINFECTANTES] ............................... 7
CHEMICALS [QUÍMICOS] .............................................................................................................. 7
COUGH/COLD/ALLERGY [TOS/RESFRIADO/ALERGIA] .............................................................. 7
DERMATOLOGICALS [DERMATOLÓGICOS] ............................................................................. 20
DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS [PRODUCTOS
DIETÉTICOS/PRODUCTOS PARA EL MANEJO DE DIETA] ....................................................... 23
GENITOURINARY AGENTS - MISCELLANEOUS [AGENTES GENITOURINARIOS -
MISCELÁNEOS] ........................................................................................................................... 23
HEMATOPOIETIC AGENTS [AGENTES HEMATOPOYÉTICOS] ................................................. 23
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS [HIPNÓTICOS/SEDANTES/AGENTES
PARA DESÓRDENES DEL SUEÑO] ............................................................................................ 25
LAXATIVES [LAXANTES] ............................................................................................................ 25
MEDICAL DEVICES AND SUPPLIES [DISPOSITIVOS MÉDICOS Y SUMINISTROS] ................. 28
MINERALS & ELECTROLYTES [MINERALES & ELECTROLITOS] ............................................ 30
MULTIVITAMINS [MULTIVITAMINAS] .......................................................................................... 34
NASAL AGENTS - SYSTEMIC AND TOPICAL [AGENTES NASALES - SISTÉMICOS Y
TÓPICOS] ..................................................................................................................................... 35
NUTRIENTS [NUTRIENTES]......................................................................................................... 36
OPHTHALMIC AGENTS [AGENTES OFTÁLMICOS] ................................................................... 36
OTIC AGENTS [AGENTES ÓTICOS] ............................................................................................ 37
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC [AGENTES
PSICOTERAPÉUTICOS Y NEUROLÓGICOS - MISCELÁNEOS] ................................................. 38
VAGINAL PRODUCTS [PRODUCTOS VAGINALES] ................................................................... 38
VITAMINS [VITAMINAS] ............................................................................................................... 39
Triple-S Advantage 2020 Over the Counter Items Guide Page 5 of 53
Y0082_20CI002E_C
Over the Counter List
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
THERAPEUTIC CATEGORY [CATEGORÍA TERAPÉUTICA]
Therapeutic Class [Clase Terapéutica]
ALTERNATIVE MEDICINES [MEDICINA ALTERNATIVA]
Alternative Medicine Combinations [Medicina Alternativa En Combinación]
adult omega plus dha tab chew
gnp triple omega complex cap dr
omega 3-6-9 cap
omega-3 fusion liq
ANALGESICS - ANTI-INFLAMMATORY [ANALGÉSICOS - ANTIINFLAMATORIOS]
Nonsteroidal Anti-inflammatory Agents (nsaids) [Agentes Antiinflamatorios No-Esteroidales (Nsaids)]
ADVIL JUNIOR STRENGTH 100 mg tab
ALEVE 220 mg cap, 220 mg tab
ibuprofen 200 mg cap, 200 mg tab ADVIL
ANALGESICS - NONNARCOTIC [ANALGÉSICOS - NO NARCÓTICOS]
Analgesics Other [Analgésicos, Otros]
acetaminophen 120 mg rect supp, 325 mg tab, 500 mg tab, 650 mg rect supp TYLENOL
acetaminophen 160 mg/5ml liq, 160 mg/5ml soln TYLENOL
acetaminophen er 650 mg tab er TYLENOL
acetaminophen extra strength 500 mg/15ml liq TYLENOL
apap 160 mg/5ml oral elix TYLENOL
apap 500 500 mg/5ml liq TYLENOL
childrens pain reliever 80 mg tab chew TYLENOL
cvs pain relief regular st 325 mg cap TYLENOL
ELIXSURE FEVER/PAIN 160 mg/5ml Oral Gel
FEBROL 325 mg/5ml soln
FEVERALL INFANTS 80 mg rect supp
FEVERALL JUNIOR STRENGTH 325 mg rect supp
non-aspirin extra strength 500 mg tab disint TYLENOL
nortemp infants 80 mg/0.8ml susp
sm pain reliever 500 mg cap
TRIAMINIC FEVER REDUCER 160 mg/5ml syr
TYLENOL CHILDRENS 160 mg/5ml susp
TYLENOL CHILDRENS CHEWABLES 160 mg tab chew
TYLENOL GO TABS EXTRA STRENGTH 500 mg tab chew
Salicylates [Salicilatos]
adult aspirin low strength 81 mg tab disint BAYER / ECOTRIN
aspirin 120 mg rect supp, 200 mg rect supp, 300 mg rect supp, 325 mg tab, 60 mg rect supp, 600 BAYER / ECOTRIN
Triple-S Advantage 2020 Over the Counter Items Guide Page 6 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
mg rect supp, 650 mg tab dr, 81 mg tab, 81 mg tab chew
aspirin ec 325 mg tab dr
ASPIR-LOW 81 mg tab dr
backache relief extra strength 467 mg tab
BAYER ADVANCED ASPIRIN EX ST 500 mg tab
cvs backache relief 500 mg tab
DEWITTS PAIN RELIEVER 325 mg tab
ECOTRIN MAXIMUM STRENGTH 500 mg tab dr
HALFPRIN 162 mg tab dr
MOMENTUM MUSCULAR BACKACHE 580 mg tab
ST JOSEPH ADULT 75 mg tab chew
ANORECTAL AGENTS [AGENTES ANORECTALES]
Rectal Combinations [Combinaciones Rectales]
ANUSOL 1-12.5 % rect oint
CURAD ZINC OXIDE 20-80 % crm
cvs hemorrhoidal rect supp
cvs hemorrhoidal 0.25-3-12-18 % rect crm
FLEET PAIN-RELIEF 1-12 % pad
FORMULATION R 0.25-3-85.5 % rect supp
grx hemorrhoidal 0.25-14-71.9 % rect oint
hemorrhoidal 0.25-3-85.5 % rect supp, 0.25-85.39 % rect supp, 0.25-88.44 % rect supp, 79-3 % rect supp PREPARATION H
hemorrhoidal 0.25-14-74.9 % rect oint, 1-0.25-14.4-15 % rect crm, 3 % rect oint PREPARATION H
hemorrhoidal cooling 0.25-50 % rect gel PREPARATION H
MAJOR-PREP HEMORRHOIDAL 2000-1:10000-3 rect crm
MEDICONE 3-2.5-2.2-6.6 % rect oint
PREPARATION H 5-14.4 % rect crm
ra hemorrhoid relief 0.25-85.5 % rect supp
ra hemorrhoidal 0.25-3-14-71.9 % rect oint
rectacaine 88.7-0.25 % rect supp
RECTICARE 5-20 % pad
SG HEMORRHOIDAL 0.25-11 % rect oint
TRONOLANE 1-5 % rect crm
ANTIDIARRHEAL AGENTS [AGENTES ANTIDIARREICOS]
Antidiarrheal Agents - Misc. [Agentes Antidiarreicos - Misceláneos]
bismatrol maximum strength 525 mg/15ml susp KAOPECTATE / PEPTO-BISMOL
bismuth 262 mg tab chew PEPTO-BISMOL
PEPTO-BISMOL 262 mg tab
pink bismuth 262 mg/15ml susp PEPTO-BISMOL
Triple-S Advantage 2020 Over the Counter Items Guide Page 7 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
Antidiarrheal Combinations [Antidiarreicos En Combinación]
IMODIUM MULTI-SYMPTOM RELIEF 2-125 mg tab
Antiperistaltic Agents [Agentes Antiperistálticos]
anti-diarrheal 1 mg/5ml liq
anti-diarrheal 2 mg cap IMODIUM
IMODIUM A-D 2 mg tab chew
loperamide hcl 2 mg tab IMODIUM A-D
loperamide hcl 1 mg/7.5ml susp IMODIUM A-D
ANTIEMETICS [ANTIEMÉTICOS]
Antiemetics - Miscellaneous [Antieméticos - Misceláneos]
anti-nausea 1.87-1.87-21.5 soln EMETROL
ANTISEPTICS & DISINFECTANTS [ANTISÉPTICOS & DESINFECTANTES]
Antiseptics & Disinfectants [Antisépticos & Desinfectantes]
hydrogen peroxide 3 % ext soln
HYLAMEND FIRST AID ANTISEPTIC 1.8 % gel
ra hydrogen peroxide wipes 3 % ext misc
Chlorine Antiseptics [Antisépticos De Cloro]
MERTHIOLATE (NEW FORMULA) 0.13-50 % External Tincture
Iodine Antiseptics [Antisépticos De Yodo]
iodine tincture 2 % External Tincture
povidone-iodine 10 % ext soln
CHEMICALS [QUÍMICOS]
Liquids [Líquidos]
isopropyl alcohol 70 % soln
isopropyl alcohol (rubbing) 70 % soln
COUGH/COLD/ALLERGY [TOS/RESFRIADO/ALERGIA]
Antitussives [Antitusivos]
BUCKLEYS COUGH 12.5 mg/5ml liq
CREOMULSION ADULT 20 mg/15ml syr
CREO-TERPIN 10 mg/15ml syr
daytime cough 15 mg/15ml liq VICKS DAYQUIL
dextromethorphan polistirex er 30 mg/5ml susp er DELSYM
ELIXSURE COUGH 7.5 mg/5ml Oral Gel
gnp cough relief 15 mg/5ml liq
HOLD 5 mg m/t lozg
LITTLE COLDS COUGH FORMULA 7.5 mg/ml liq
ROBITUSSIN CHILDRENS COUGH LA 7.5 mg/5ml syr
SCOT-TUSSIN DIABETES 10 mg/5ml liq
silphen dm cough 10 mg/5ml syr
SUCRETS DM 10 mg m/t lozg
Triple-S Advantage 2020 Over the Counter Items Guide Page 8 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
TRIAMINIC LONG ACTING COUGH 7.5 mg/5ml liq
tussin cough 15 mg cap ROBITUSSIN
tussin cough 15 mg/5ml syr ROBITUSSIN
wal-tussin cough relief 7.5 mg tab chew ROBITUSSIN
Cough/cold/allergy Combinations [Combinaciones Para Tos/Resfriado/Alergia]
666 COLD PREPARATION 60-650-20 mg/30ml liq
ABATUSS DMX 30-1-15 mg/5ml liq
ACTICON 2-60 mg tab
ACTICON 1-30 mg/5ml soln
ACTIDOGESIC 1-500 mg tab
ADVIL ALLERGY & CONGESTION 4-10-200 mg tab
ADVIL ALLERGY SINUS 2-30-200 mg tab
ADVIL COLD & SINUS LIQUI-GELS 30-200 mg cap
ADVIL COLD/SINUS 30-200 mg tab
ADVIL SINUS CONGESTION & PAIN 10-200 mg tab
af-apap allergy sinus 2-30-500 mg tab
af-cough fm decong 15-1-7.5-162.5 mg/5ml liq
af-dibromm dm 15-1-5 mg/5ml oral elix
af-flu cough/cold 30-2-15-500 mg tab
af-nitetime 60-7.5-30-1000 mg/30ml liq
af-pseudoephedrine sinus 30-200 mg cap
af-triacting nitetime 15-1-7.5 mg/5ml liq
af-triacting sore throat 15-160-7.5 mg/5ml liq
af-tussin cf 30-10-100 mg/5ml syr
ALAHIST CF 10-2-20 mg tab
ALAHIST DM 7.5-2-15 mg/5ml liq
ALAHIST LQ 25-7.5 mg/5ml liq
ALDEX D 16-5 mg/5ml susp
ALDEX GS 30-190 mg tab
ALDEX GS DM 30-15-190 mg tab
ALDEX-CT 12.5-5 mg tab chew
ALKA-SELTZER PLS ALLERGY & CGH 5-6.25-10-325 mg cap
ALKA-SELTZER PLUS COLD 2-7.8-325 mg tab eff
ALKA-SELTZER PLUS COLD & COUGH 5-2-10-325 mg cap, 7.8-2-10-325 mg tab eff
ALKA-SELTZER PLUS COLD & FLU 10-12.5-20-650 mg pckt, 5-2-10-250 mg tab eff
Triple-S Advantage 2020 Over the Counter Items Guide Page 9 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
ALKA-SELTZER PLUS DAY/NIGHT cap, oral misc
ALKA-SELTZER PLUS NIGHT COLD 7.8-6.25-10-500 mg tab eff
ALKA-SELTZER PLUS SINUS 7.8-325 mg tab eff
ALKA-SELTZER PLUS-D SINUS/COLD 30-2-10-325 mg cap
ALLEGRA-D ALLERGY & CONGESTION 180-240 mg tab er 24 hr
ALLERFRIM 1.25-30 mg/5ml syr
allergy multi-symptom 2-5-325 mg tab
allergy multi-symptom day/nght oral misc TYLENOL MULTI-SYMPTOM
allergy multi-symptom night 25-5-325 mg tab TYLENOL MULTI-SYMPTOM / MUCINEX /
SUDAFED PE
altarussin-pe 30-100 mg/5ml syr
ambi 10peh/400gfn 10-400 mg tab
ambi 10peh/400gfn/20dm 10-400-20 mg tab
ambi 10peh/4cpm/20dm 10-4-20 mg tab
ambi 12.5cpd/100gfn/30pse 30-12.5-100 mg/5ml liq
ambi 12.5cpd/1dcpm/30pse 30-1-12.5 mg/5ml liq
ambi 20dm/4cpm 20-4 mg tab
ambi 40pse/400gfn/20dm 40-400-20 mg tab
ambi 60pse/400gfn 60-400 mg tab
ambi 60pse/400gfn/20dm 60-400-20 mg tab
ambi 60pse/4cpm 60-4 mg tab
ambi 60pse/4cpm/20dm 60-4-20 mg tab
AMBIFED 30-400 mg tab
AMBIFED DM 30-20-400 mg tab
AMBIFED-G 20-400 mg tab
AMBIFED-G DM 20-20-400 mg tab
ap-hist dm 7.5-4-15 mg/5ml liq
APRODINE 2.5-60 mg tab
aquanaz 10-15-400 mg tab
balamine dm 5-2-10 mg/5ml syr
BENADRYL-D ALLERGY/SINUS CHILD 12.5-5 mg/5ml soln
BENAPHEN PLUS 25-60 mg cap er
BICLORA 25-25 mg tab
BICLORA 12.5-12.5 mg/5ml liq
BICLORA-D 60-25-25 mg tab
BICLORA-D 30-12.5-12.5 mg/5ml liq
biobron sf 10-15-350 mg/5ml syr
biodesp dm 5-15-100 mg/5ml syr
Triple-S Advantage 2020 Over the Counter Items Guide Page 10 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
biogtuss 10-15-300 mg/5ml liq GILTUSS
bionatuss dxp 10-2-20 mg/5ml liq
bio-rytuss 5-2-10 mg/5ml liq
biospec dmx 15-25 mg/5ml liq
bp 8 cough 30-15-175 mg/5ml liq
brohist d 4-10 mg tab
BROMPHENEX DM 60-4-30 mg/5ml syr
bronchial asthma relief 12.5-200 mg tab
BRONCOTRON PED 10-15-350 mg/5ml liq
BRONCOTRON PED DROPS 2.5-5-100 mg/ml liq
BRONCOTRON-D 10-40-400 mg/10ml susp
BRONCOTRON-S 20-400 mg/5ml liq
BRONKAID 25-400 mg tab
brontuss dx 10-20-200 mg/5ml liq
BROVEX PB DM 10-4-20 mg tab
BROVEX PSB 4-20 mg/5ml liq
BROVEX PSB DM 20-4-20 mg/5ml liq
BROVEX PSE 4-40 mg tab
BROVEX PSE DM 40-4-20 mg tab
capmist dm 30-30-400 mg tab, 60-15-400 mg tab
capron dm 7.5-7.5 mg/5ml liq
capron dmt 30-30 mg tab
CARBAPHEN CH 10-4-24 mg/5ml susp
CARBAPHEN PED CH 2.5-1.25-8 mg/ml susp
CARDEC 1-3.5 mg/ml liq
cardec dm 3.5-1-3 mg/ml liq
ceron 4-12.5 mg/5ml syr
CERTUSS-D 60-25-400 mg tab
chlo hist 12.5-1 mg/5ml soln
CHLO TUSS 30-1-12.5 mg/5ml liq, 5-1-12.5 mg/5ml liq
chlo tuss ex 12.5-100 mg/5ml liq
chlophed 5-12.5-100 mg/5ml liq
chlorpheniramine-pseudoeph 0.8-9 mg/ml soln
CLEAR COUGH DM 100-15 mg/5ml syr
codal-dm 5-8.33-10 mg/5ml syr
coditussin ac 200-10 mg/5ml liq
coditussin dac 30-10-200 mg/5ml liq
cold & allergy 1-2.5 mg/5ml oral elix DIMETAPP
cold & flu nighttime/daytime (Liquid) oral misc
cold & flu relief nighttime 15-6.25-325 mg/15ml liq CORICIDIN HBP
cold & flu relief nighttime d 60-12.5-30-1000 mg/30ml liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 11 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
cold & flu severe daytime 5-10-200-325 mg/15ml liq THERAFLU
cold control pe cold/flu med 25-10-650 mg tab
COLD MEDICINE PLUS 2-30-325 mg cap
cold multi-symptom day/night 5-2-10-325 mg oral misc COMTREX
cold/cough multi-symptom 30-10-100-250 mg cap
cold/flu relief 10-5-325 mg/15ml liq TYLENOL MULTI-SYMPTOM / THERAFLU
cold/flu relief day/night oral misc
COMTREX DEEP CHEST COLD 325-200 mg tab
COMTREX FLU THERAPY DAY/NIGHT 2-5-325 & 5-325 mg oral misc
CONTAC COLD/FLU DAY & NIGHT 2-5-500 & 5-500 mg oral misc, 2-5-500 mg tab
CONTAC COLD+FLU MAX ST 5-500 mg tab
CONTAC DAY/NIGHT ALLERGY/SINUS 60650/60-650-50 mg tab
CONTAC DAY/NIGHT COLD/FLU 60-650-30-50 mg tab
CONTAC SEVERE COLD/FLU 30-325-15 mg tab
CORICIDIN D 2-30-325 mg tab
CORICIDIN HBP 10-325-2 mg tab
CORICIDIN HBP COLD/FLU 2-325 mg tab
cough & cold 4-30 mg tab CORICIDIN HBP
cough & sore throat nighttime 15-6.25-500 mg/15ml liq CORICIDIN HBP
cvs allergy & congest relief 25-60 mg tab
cvs non-aspirin severe cold 30-15-200-325 mg tab
cvs non-drying sinus pe 5-200 mg tab
cvs severe cold & cough Packet oral misc
cvs stuffy nose & cold child 2.5-100 mg/5ml liq
DALLERGY 1-5 mg tab, 12.5-5 mg tab chew, 25-10 mg tab
DALLERGY 1-2 mg/ml liq, 1-5 mg/5ml syr, 12.5-5 mg/5ml syr
day time 30-250-10 mg cap
day time 30-10-100-325 mg/15ml liq
day time multi-sympt cold/flu 10-5-325 mg cap MUCINEX / ROBITUSSIN
DAYCLEAR ALLERGY RELIEF 25-50 mg tab
DAYTIME COLD MEDICINE 325-15 mg/15ml liq
DECON-A 2-5 mg/ml liq
DECONEX 10-390 mg cap
Triple-S Advantage 2020 Over the Counter Items Guide Page 12 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
DECONEX DM 10-15-390 mg cap
DECONEX DMX 10-17.5-385 mg tab
DECONEX IR 10-385 mg tab
decorel forte plus cold/cough 5-15-200-325 mg tab
DELTUSS DP 1-30 mg/5ml liq
DESGEN DM 30-10-200 mg tab
despec dm 5-10-100 mg/5ml syr
despec eda 2.5-5-50 mg/ml liq
despec nr 1.5-4-20 mg/ml liq
despec-dm 40-30-400 mg tab
dexbrompheniramine-phenyleph 2-10 mg tab
dextromethorphan-guaifenesin 20-400 mg tab
dex-tuss 300-10 mg/5ml liq
DIABETIC TUSSIN COLD & FLU 10-12.5-325 mg/5ml liq
DIABETIC TUSSIN COLD/FLU 325-4-15 mg cap
DICEL 2-30 mg tab chew
DICEL DM 30-2-10 mg tab chew
DIMETANE DX 30-2-10 mg/5ml liq
DIMETAPP COLD/ALLERGY 1-2.5 mg tab chew
DIMETAPP DM COLD/COUGH 2.5-1-5 mg/5ml liq
DIMETAPP LONG ACT COUGH/COLD 1-7.5 mg/5ml syr
DIMETAPP MULTISYMPTOM COLD/FLU 6.25-2.5-160 mg/5ml liq
DIMETAPP NIGHT COLD/CONGESTION 6.25-2.5 mg/5ml liq
diphenhydramine-apap (sleep) 25-500 mg tab TYLENOL PM
DOLOGEN 1-325 mg tab, 2-650 mg tab
DOLOGESIC 1-500 mg/15ml liq
dometuss-dmx 10-30-200 mg/5ml liq
DONATUSSIN 10-4-20 mg/5ml syr, 5-12.5-120 mg/5ml syr
DONATUSSIN DM 1.5-1-3 mg/ml liq
drinex 4-60-650 mg tab
DRIXORAL COLD/ALLERGY 6-120 mg tab er 12 hr
DRIXORAL COUGH/SORE THROAT 325-15 mg cap
drymax af 15-4-25 mg tab
drymax af 45-4-25 mg/5ml syr
DURAFLU 60-20-200-325 mg tab
DURAVENT DM 10-15-395 mg tab
Triple-S Advantage 2020 Over the Counter Items Guide Page 13 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
DURAVENT PE 10-395 mg tab
ED A-HIST 4-10 mg/5ml liq
ed a-hist dm 10-4-10 mg tab
ed bron gp 5-100 mg/5ml liq
ED-A-HIST 3-10 mg tab
ENDACON 10-20-100 mg/5ml syr
ENTEX PAC 60-375 & 20 mg &mg/5ml oral kit
ENTEX T 60-375 mg tab
entre-b 6-10 mg/5ml susp
entre-cough tannate 30-15-175 mg/5ml susp
entre-hist pse 0.938-10 mg/ml liq
eq allergy/sinus headache 12.5-30-500 mg tab
eq cold relief complete 30-2-15-325 mg tab
eq cold relief convenience pak oral misc
eq daytime cold/flu relief 30-325-15 mg/15ml liq
eq flu/severe cold/congestion 60-4-30-1000 mg pckt
eq sinus relief max st 30-500 mg tab
eq tussin cold/congestion 30-10-200 mg cap
eql flu/cold/cough night time 60-4-20-650 mg pckt
eql flu/severe cold daytime 20-10-500 mg pckt
eql flu/severe cold/congestion 60-1000-30 mg pckt
eql pain relief plus flu 15-1-7.5-160 mg/5ml liq
esocor p 30-4-30 mg/5ml susp
extussive 10-100-85-35 mg/5ml liq
FATHER JOHNS MEDICINE PLUS 10-4-10 mg/30ml soln
FENESIN DM IR 15-400 mg tab
flu bp maximum strength 15-500-2 mg tab CORICIDIN HBP
flu/severe cold & cough day 20-10-650 mg pckt
genetuss 10-10-100 mg/5ml soln
GILTUSS ALLERGY & SINUS 3.5-10 mg tab
GILTUSS COUGH & COLD 10-28-388 mg tab
GILTUSS COUGH & COLD 10-29-390 mg/5ml liq
GILTUSS COUGH ALLERGY & SINUS 10-3.5-24 mg tab
GILTUSS SINUS & CONGESTION ORAL TABLET 10-388 MG
glen pe 16-5 mg/5ml liq
glenmax peb 4-10 mg/5ml liq
glenmax peb dm 5-2-10 mg/5ml liq
glentuss 30-6.25-15 mg/5ml liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 14 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
gnp cold relief plus 2-5-250 mg tab eff
goodsense nighttime sinus 6.25-5-325 mg cap
guaiatussin ac 100-10 mg/5ml syr
guaifenesin dac 30-10-100 mg/5ml soln
guaifenesin-dm 100-10 mg/5ml syr ROBITUSSIN DM
hayfebrol 2-30 mg/5ml soln
herbiomed deep cold & flu nt 10-25-20-650 mg/20ml liq
herbiomed fast acting 650-20-10 mg/20ml liq
HISTENOL-FORTE 30-325-10 mg tab
HISTEX 2-5 mg tab
HISTEX-DM 10-2.5-20 mg/5ml syr
HISTEX-PE 2.5-10 mg/5ml syr
intense cough reliever 20-300 mg/5ml liq
J-TAN D PD 1-7.5 mg/ml liq
kls cold & flu ms day/night tab pack
LITTLE REMEDIES FOR COLDS 2.5-1.25-80 mg/ml liq
LODRANE D 4-60 mg cap
LOHIST-D 2-30 mg/5ml liq
lohist-dm 5-2-10 mg/5ml syr
LORTUSS EX 22.5-10-100 mg/5ml liq, 30-10-100 mg/5ml liq
LORTUSS LQ 6.25-30 mg/5ml liq
MAR-COF CG EXPECTORANT 225-7.5 mg/5ml liq
MARDROPS-DX 15-5-50 mg/ml liq
MARDROPS-EX 15-50 mg/ml liq
MAXICHLOR PEH DM 10-4-18 mg tab
MAXIFED 60-360 mg tab
MAXIFED DM 20-10-200 mg/5ml liq
MAXIFLU DM 60-20-400-500 mg tab
maxi-tuss dm 4-18 mg/5ml liq
m-clear 200-9 mg cap
m-clear wc 100-6.3 mg/5ml soln
m-end dm 15-2-15 mg/5ml liq
m-end dmx 20-0.667-10 mg/5ml liq
MUCINEX COUGH CHILDRENS 5-100 mg/5ml liq
MUCINEX FAST-MAX 5-10-200-325 mg cap
MUCINEX FAST-MAX CONGEST COUGH 5-10-200 mg tab
MUCINEX FAST-MAX DAY/NIGHT cap pack, (Tablet) oral misc
MUCINEX FAST-MAX DAY/NIGHT oral misc
Triple-S Advantage 2020 Over the Counter Items Guide Page 15 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
MUCINEX FAST-MAX DAY/NIGHT TAB oral misc
mucus d 120-1200 mg tab er 12 hr MUCINEX D
mucus relief cold flu throat 5-10-200-325 mg/10ml liq MUCINEX FAST-MAX
mucus relief d 40-400 mg tab MUCINEX D
mucus relief dm 60-1200 mg tab er 12 hr MUCINEX DM MAX
mucus relief multi symptom 2.5-5-100 mg/5ml liq MUCINEX FAST-MAX
mucus-dm 30-600 mg tab er 12 hr MUCINEX DM
MULTIDEXOL M 60-4-30-500 mg/20ml syr
multi-symptom cold day/night oral misc
myhist-dm 7.5-12.5-15 mg/5ml liq
NASOHIST DM 2-1-3 mg/ml liq
NASOPEN 9.375-30 mg/5ml liq
NASOPEN PE 50-10 mg/15ml liq
NEO DM 1.75-0.75-2.75 mg/ml liq, 50-3-30 mg/5ml syr
neotuss 30-200 mg/5ml liq
NEOTUSS-D 7.5-30-200 mg/5ml liq
neutrahist pdx 9-0.8-3 mg/ml soln
NEXAFED SINUS PRESSURE + PAIN 30-325 mg tab
nighttime cold/flu relief 15-6.25-325 mg cap ROBITUSSIN
nighttime cough 6.25-15 mg/15ml liq VICKS NYQUIL
NINJACOF 12.5-12.5 mg/5ml liq
NINJACOF-A 12.5-12.5-160 mg/5ml liq
NINJACOF-D 30-12.5-12.5 mg/5ml liq
NINJACOF-XG 200-8 mg/5ml liq
nite-time cold/flu relief 5-6.25-15-500 mg/15ml liq
NIVANEX DMX 10-15-380 mg tab
nohist-dm 10-4-15 mg/5ml liq
NOREL AD 4-10-325 mg tab
NOREL CS 10-4-12.5 mg/5ml liq
pain relief plus multi-symptom 2.5-1-5-160 mg/5ml susp DIMETAPP / TRIAMINIC
pain reliever pm ex st 25-500 mg tab
PEDIACARE COUGH/RUNNY NOSE 5-160-1 mg/5ml liq
PEDIACARE MULTI-SYMPTOM 2.5-1-5-160 mg/5ml liq
pe-hist dm 5-2-15 mg/5ml syr
PERCOGESIC 12.5-325 mg tab
PERCOGESIC EXTRA STRENGTH 12.5-500 mg tab
PHENABID DM 10-3.5-28 mg tab
Triple-S Advantage 2020 Over the Counter Items Guide Page 16 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
PHENFLU DM 10-20-400-500 mg tab
phenylephrine-dm-gg 10-18-200 mg/15ml liq VANACOF DM
POLY HIST FORTE 7.5-10 mg tab
poly-hist dm 5-25-10 mg/5ml liq
poly-hist pd 6.25-6.25 mg/ml liq
polytussin dm 5-10-1 mg/5ml syr
POLY-VENT DM 45-15-400 mg tab, 60-20-380 mg tab
POLY-VENT IR 45-400 mg tab, 60-380 mg tab
pseudoephedrine-guaifenesin er 60-600 mg tab er 12 hr MUCINEX D
px daytime multi-symptom 30-325-15 mg cap
px nitetime multi-symptom 30-6.25-15-325 mg cap
pyril dm 5-16-15 mg/5ml susp
pyrilamine-phenylephrine 25-10 mg tab
PYRROXATE 4-10-650 mg tab
ra acetaminophen flu cold 30-500-15 mg tab
ra tussin nighttime cough dm 12.5-30 mg/10ml liq
REFENESEN CHEST CONG/PAIN RLF 650-400 mg tab
RELCOF IR 10-380 mg tab
RESCON 2-60 mg tab
RESPAIRE-30 30-150 mg cap
ROBITUSSIN CHILD COUGH/COLD CF 2.5-5-50 mg/5ml liq
ROBITUSSIN COUGH+CHEST CONG DM 10-200 mg cap
ROBITUSSIN COUGH+CHEST CONG DM 20-200 mg/20ml liq
ROBITUSSIN NIGHTTIME COUGH 1-7.5 mg/5ml liq
ROBITUSSIN NIGHTTIME COUGH DM 3.125-7.5 mg/5ml liq
ROBITUSSIN PK COLD DAY/NGHT DM oral misc
ROBITUSSIN SEVERE NIGHTTIME 12.5-5-325 mg/10ml liq
RU-HIST-D 30-10 mg tab
RU-HIST-D 30-10 mg/5ml liq
rydex g 38.5-398 mg tab
rymed 2-10 mg tab
sb non aspirin sinus 30-500 mg cap, 6.25-30-500 mg tab
SCOT-TUSSIN liq, 4-4-160 mg/5ml liq
SCOT-TUSSIN DM 2-15 mg/5ml liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 17 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
SCOT-TUSSIN SENIOR 15-200 mg/5ml liq
severe cold & flu day/night Oral Liquid Therapy Pack
severe cold/flu nighttime ms 5-6.25-10-325 mg/15ml liq DELSYM
simuc-dm 25-225 mg/5ml soln
SINADRIN PE COMPLETE SINUS REL 2-10-650 mg tab
SINE-OFF NIGHT TIME FORMULA 25-30-500 mg tab
sinus congestion/pain daytime 5-325 mg tab
sm cold & allergy childrens 1-15 mg/5ml oral elix
sm cold & allergy pe 4-10 mg tab
sm cough/runny nose childrens 1-5 mg/5ml liq
sm cough/sore throat daytime 1000-30 mg/30ml liq
sm tussin cf 30-10-100 mg/5ml liq
sorbutuss nr 15-150-127.5 mg/7.5ml liq
STAFLEX 2-250 mg tab
STAHIST 2-10 mg/5ml liq
stahist ad 25-60 mg tab
stahist ad 25-60 mg/5ml liq
SUDAFED PE DAY & NIGHT 25-10 & 10 mg oral misc
SUDAFED PE PRESSURE+PAIN+COLD 5-10-100-325 mg tab
SUDAFED PRESSURE+PAIN 12 HR 120-220 mg tab er 12 hr
sudatuss dm 30-2-15 mg/5ml syr
supress dm pediatric 5-50 mg/ml liq
TEKRAL 100-120 mg tab er 12 hr
THERACOF PLUS COUGH/COLD REL 5-10-100-325 mg/5ml liq
THERAFLU COLD & COUGH 10-20-20 mg pckt
THERAFLU COLD/COUGH NIGHTTIME 25-10 mg Oral Strip
THERAFLU EXPRESSMAX SEV CLD/CG 12.5-5-325 mg tab
THERAFLU FLU & SORE THROAT 20-10-650 mg pckt
THERAFLU FLU/CHEST CONGESTION 1000-400 mg pckt
THERAFLU MAX-D COLD & FLU 60-30-400-1000 mg pckt
THERAFLU POWERPODS SEVERE COLD 20-10-650 mg oral misc, 25-10-650 mg oral misc
Triple-S Advantage 2020 Over the Counter Items Guide Page 18 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
THERAFLU SEVERE COLD DAYTIME 15-5-325 mg tab
THERAFLU SEVERE COLD NIGHTTIME 25-10-500 mg pckt, 5-2-10-325 mg tab
THERAFLU SEVERE COLD/CGH NIGHT 25-10-650 mg pckt
THERAFLU WARMING RELIEF SINUS 12.5-5-325 mg/15ml liq
TREXBROM 10-4-25 mg/5ml liq
triacting cough/sore throat 160-7.5 mg/5ml liq
triacting expectorant 15-50 mg/5ml syr
TRIAMINIC CHEST/NASAL CONGEST 2.5-50 mg/5ml liq, 2.5-50 mg/5ml syr
TRIAMINIC COLD & ALLERGY 1-2.5 mg/5ml syr
TRIAMINIC COUGH & CONGESTION 5-100 mg/5ml syr
TRIAMINIC COUGH & SORE THROAT 160-5 mg/5ml syr
TRIAMINIC COUGH/RUNNY NOSE 1-5 mg tab chew
TRIAMINIC COUGH/SORE THROAT 160-5 mg tab chew
TRIAMINIC FLU COUGH & FEVER 7.5-160-1 mg/5ml syr
TRIAMINIC FLU/COUGH/FEVER 7.5-160-1 mg/5ml liq
TRIAMINIC NIGHT TIME COLD/CGH 6.25-2.5 mg/5ml syr
TRIAMINIC-D 15-1-7.5 mg/5ml syr
TRISPEC DEX 30-25 mg/5ml liq
TRISPEC DMX 10-187 mg/5ml liq, 15-125 mg/5ml liq
TRISPEC PSE 30-10-187 mg/5ml liq, 30-15-125 mg/5ml liq
tusdec-dm 7.5-2-15 mg/5ml liq
TUSICOF 10-20-400 mg/5ml liq
TUSNEL 60-30-400 mg tab
TUSNEL 30-15-200 mg/5ml liq
TUSNEL C 30-10-100 mg/5ml syr
TUSNEL PEDIATRIC 15-5-50 mg/5ml liq
TUSNEL-DM PEDIATRIC 7.5-2.5-25 mg/ml liq
tussafex-a 6-2-15 mg/5ml liq
tussin cf 5-10-100 mg/5ml liq ROBITUSSIN CF
tussin cf max multi-symptom 5-10-200 mg/5ml liq ROBITUSSIN CF
tussin dm 100-10 mg/5ml liq DIABETIC TUSSIN DM
tussin dm max 10-200 mg/5ml liq DIABETIC TUSSIN MAX ST
Triple-S Advantage 2020 Over the Counter Items Guide Page 19 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
tussi-pres b 10-4-20 mg/5ml liq
TUSSI-PRES PEDIATRIC 2.5-5-75 mg/5ml liq
TUSSLIN 10-28-388 mg/5ml liq
TUSSLIN PEDIATRIC 2.5-7.5-88 mg/ml liq
TYLENOL CHEST CONGESTION 500-200 mg/15ml liq
TYLENOL COLD MULTI-SYMPTOM DAY 10-5-325 mg tab
TYLENOL COLD/FLU SEVERE 5-10-200-325 mg tab
TYLENOL COLD/FLU SEVERE DAY 60-1000-30 mg/30ml liq
TYLENOL COUGH/SORE THROAT 15-6.25-500 mg/15ml oral misc
TYLENOL SINUS CONVENIENCE PACK oral misc
VANACOF AC 12.5-25 mg/30ml liq
VANACOF APE 10-50-25 mg/15ml liq
VANACOF G 25-200 mg/5ml liq
VANACOF GPE 10-25-200 mg/15ml liq
VANACOF-8 25-50 mg/15ml liq
VANATAB AC 12.5-25 mg tab
VANATAB DM 5-9-198 mg tab
VANATAB DX 30-12.5-200 mg tab
VICKS DAYQUIL HBP COLD & FLU 325-10 mg cap
VICKS DAYQUIL MUCUS CONTROL DM 10-200 mg/15ml liq
VICKS DAYQUIL/NYQUIL COUGH 6.25-15 & 15 mg/15ml Oral Liquid Therapy Pack
VICKS DAYQUIL/NYQUIL SEVERE tab pack
VICKS FORMULA 44 CHESTY COUGH 20-200 mg/15ml syr
VICKS FORMULA 44 COUGH/COLD PM 30-650-4 mg/15ml liq
VICKS FORMULA 44M MULTI-SYMPT 7.5-162.5-1 mg/5ml liq
VICKS NATURE FUSION COLD & FLU 30-7.5-650 mg/30ml liq
VICKS NATURE FUSION CONGEST 20-200 mg/30ml liq
VICKS NYQUIL CHILDRENS CLD/CGH 2-15 mg/15ml liq
VICKS NYQUIL COLD & FLU NIGHT 30-650-4 mg/30ml liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 20 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
VICKS NYQUIL SEVERE COLD & FLU 5-6.25-10-325 mg tab
VICKS SINEX DAYQUIL/NYQUIL oral misc
VICKS SINEX DAYTIME 5-325 mg cap
VIRAVAN-P 20-30 mg/5ml liq
VIRAVAN-PDM 30-20-15 mg/5ml liq
WAL-DRYL PE ALLERGY & SINUS 25-10 mg tab
WAL-FLU COLD & SORE THROAT 20-10-325 mg pckt
WAL-FLU SEVERE COLD DAYTIME 10-650 mg pckt
wal-tap cold/allergy 2-5 mg/10ml liq
y-tuss 30-2-12.5 mg/5ml liq
Z-COF I 30-15-211 mg/5ml susp
Z-DEX 2.5-3-35 mg/ml liq
ZODRYL DEC 25 5-1-20 mg/ml susp
ZODRYL DEC 30 4.286-1-20 mg/ml susp
ZODRYL DEC 35 3.75-1-20 mg/ml susp
ZODRYL DEC 40 3.333-1-20 mg/ml susp
z-tuss e 30-9-200 mg/5ml liq
ZYNCOF 20-400 mg/5ml syr
Expectorants [Expectorantes]
guaifenesin 200 mg tab, 400 mg tab MUCINEX
guaifenesin 100 mg/5ml liq DIABETIC TUSSIN / MUCINEX / ROBITUSSIN
guaifenesin er 1200 mg tab er 12 hr MUCINEX
HERBAL EXPEC 150 mg/15ml liq
mucus relief er 600 mg tab er 12 hr
tussin 100 mg/5ml syr DIABETIC TUSSIN EX
VICKS CASERO 100 mg/6.25ml liq
yodefan-nf chest congestion 200 mg/5ml liq
DERMATOLOGICALS [DERMATOLÓGICOS]
Antibiotics - Topical [Antibióticos - Tópicos]
antibiotic 3.5-10000 crm
bacitracin 500 unit/gm oint
bacitracin zinc 500 unit/gm oint
BACITRAYCIN PLUS 500-10 unit-mg/gm oint
BAND-AID PLUS ANTIBIOTIC 500-10000 unit/gm pad
double antibiotic 500-10000 unit/gm oint
first aid antibiotic 4 % oint
NEOSPORIN PLUS PAIN RELIEF MS 3.5-10000-10 crm
POLYSPORIN 500-10000 unit/gm ext pwdr
PROCOMYCIN 4 % crm
Triple-S Advantage 2020 Over the Counter Items Guide Page 21 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
ra triple antibiotic 3.5-400-5000 ext aer
triple antibiotic 5-400-5000 oint
triple antibiotic pain relief 1 % oint NEOSPORIN PLUS
Antifungals - Topical [Antifungales - Tópicos]
alevazol 1 % oint
anti-fungal 25 % ext liq
AZOLEN TINCTURE 2 % ext soln
BIORX SPONIX ANTI-FUNGAL 22 % ext soln
BLIS-TO-SOL 12 % ext pwdr
butenafine hcl 1 % crm
clotrimazole 1 % crm FUNGICURE / LOTRIMIN AF / MYCELEX
clotrimazole 1 % ext soln FUNGICURE / LOTRIMIN AF / MYCELEX
FUNGAL NAIL ERASER 1 % ext soln
FUNGI-NAIL 25 % ext soln
FUNGOID TINCTURE 2 % ext kit
LAMISIL ADVANCED 1 % gel
LAMISIL AT SPRAY 1 % ext soln
LOTRIMIN AF 2 % ext aer, 2 % ext pwdr
LOTRIMIN AF POWDER 2 % ext aer pwdr
miconazole nitrate 2 % crm LOTRIMIN AF / NEOSPORIN AF / SECURA
NIZORAL A-D 1 % shampoo
SCHOLLS FUNGAL NAIL MANAGEMENT 1 % ext kit
terbinafine hcl 1 % crm LAMISIL AT
TINACTIN 1 % ext aer
tolnaftate 1 % crm, 1 % ext aer pwdr, 1 % ext pwdr LAMISIL AF / TINACTIN
TRIFUNGOL 10 % ext soln
triple paste af 2 % oint DERMAFUNGAL
ZEASORB-AF 2 % gel, 2 % lot
Antihistamines-topical [Antihistamínicos - Tópicos]
anti-itch maximum strength 2 % ext soln BENADRYL
BENADRYL ITCH STOPPING 2 % gel
derma-pax 0.5 % lot
DI-DELAMINE 0.12-1-0.5 % gel
DI-DELAMINE 1-0.5 % ext liq
itch relief 2 % crm BENADRYL
Corticosteroids - Topical [Corticosteroides - Tópicos]
BALNEOL FOR HER 0.25 % lot
CORTICAINE 0.5 % crm
CORTIZONE-10 1 % gel
CORTIZONE-10/ALOE 1 % ext liq
DERMA-PAX-HC lot
HC DERMAPAX 0.5-0.5 % ext liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 22 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
hydrocortisone 0.5 % crm, 0.5 % oint, 1 % lot, 1 % oint CORTIZONE-10
hydrocortisone 1 % crm ALA-CORT
hydrocortisone acetate-aloe 0.5 % crm
hydrocortisone-aloe 0.5 % crm, 1 % oint
hydrocortisone-aloe 1 % crm ALA-CORT
ITCH-X 1 % foam
NEOSPORIN ESSENTIALS TRIAL PK 1 & 1 % ext kit
scalp relief maximum strength 1 % ext soln CORTAID
VAGISIL 1 % crm
Emollients [Emolientes]
ammonium lactate 12 % crm, 12 % lot LAC-HYDRIN
LAC-HYDRIN FIVE 5 % lot
NOBLE MYSTIQUE EMU-LAC 10 % crm
PRO:12 MOUSSE AL12 12 % foam
Local Anesthetics - Topical [Anestésicos Locales - Tópicos]
clear anti-itch 1-0.1 % lot
cvs instant burn relief 0.5 % ext aer
Misc. Topical [Tópicos Misceláneos]
isopropyl alcohol 70 % ext liq
Scabicides & Pediculicides [Escabicidas & Pediculicidas]
BARC 5.52-2.2-0.18 % ext liq
bedding spray lice treatment 0.5 % aer RID
EXODERM 10-3 % bar
LICE B GONE ext kit
LICE B GONE shampoo
lice killing 4-0.33 % shampoo RID
lice treatment 1 % ext liq, 1 % lot NIX / RID
lice treatment max st cmb kit NIX / RID
LICEMD 0.33-4 % gel
LICEMD COMPLETE 0.33-4 % ext kit
LICIDE TREATMENT cmb kit
NIX COMPLETE LICE TREATMENT 1 & 0.25 % cmb kit
NIX LICE CONTROL 0.25 % liq
PRONTO 0.33-4 % ext kit
PRONTO 0.4 % aer
pyrethins-piperonyl butoxide 0.2-2 % ext liq
ra lice egg remover gel NIX
ra lice solution 0.5-0.33-4 % cmb kit RID
RID 0.33-4 % ext liq
RID COMPLETE LICE ELIMINATION cmb kit
RID LICE KILLING MOUSSE 0.33-4 % foam
sb lice treatment 0.3-3 % ext liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 23 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
SCHOOLTIME SHAMPOO shampoo
STEP 2 8 % ext soln
TEGRIN-LT LICE TREATMENT 0.33-3.15 % shampoo
VANALICE 0.3-3.5 % gel
Wound Care Products [Productos Para El Cuidado De Heridas]
PEDI-PRE TAPE SPRAY ext liq
DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS [PRODUCTOS DIETÉTICOS/PRODUCTOS PARA EL MANEJO DE DIETA]
Nutritional Supplements [Suplementos Nutricionales]
ESTRONATURAL tab
GENITOURINARY AGENTS - MISCELLANEOUS [AGENTES GENITOURINARIOS - MISCELÁNEOS]
Urinary Analgesics [Analgésicos Urinarios]
AZO URINARY PAIN RELIEF 99.5 mg tab
urinary pain relief 95 mg tab, 97.5 mg tab AZO
VH ESSENTIALS UTI RELIEF 97.2 mg tab
HEMATOPOIETIC AGENTS [AGENTES HEMATOPOYÉTICOS]
Cobalamins [Cobalaminas]
b-12 100 mcg tab, 1000 mcg cap, 1000 mcg Oral Lozenge, 1000 mcg tab, 1000 mcg tab disint, 1000 mcg tab subl, 2000 mcg tab, 250 mcg tab, 2500 mcg tab, 2500 mcg tab subl, 3000 mcg cap, 3000 mcg Oral Lozenge, 3000 mcg tab subl, 50 mcg tab, 500 mcg tab, 500 mcg tab subl, 5000 mcg cap, 5000 mcg tab disint, 5000 mcg tab subl
b-12 (methylcobalamin) 1000 mcg tab subl
B-12 DOTS 500 mcg tab disint
b-12 dual spectrum 5000 mcg tab er
b12 fast dissolve 5000 mcg tab disint
b-12 fast dissolve 5000 mcg tab subl
b-12 super strength 5000 mcg/ml subl liq
B12-ACTIVE 1 mg tab chew
cvs b12 2500 mcg tab chew
cvs b-12 1500 mcg tab disint
cvs b-12 1000 mcg/15ml liq
fast acting b12 2500 mcg tab subl
methyl b-12 1000 mcg Oral Lozenge
ra vitamin b-12 1000 mcg/ml liq
RAPID B-12 ENERGY 200 mcg/spray liq
VB12 MAX 1 mg/ml liq
vitamin b 12 100 mcg Oral Lozenge, 250 mcg Oral Lozenge
vitamin b12 1000 mcg tab er
Triple-S Advantage 2020 Over the Counter Items Guide Page 24 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
vitamin b-12 50 mcg Oral Lozenge, 500 mcg Oral Lozenge, 5000 mcg Oral Lozenge, 6000 mcg tab subl
vitamin b-12 3000 mcg/ml subl liq
vitamin b-12 er 1500 mcg tab er, 2000 mcg tab er
Folic Acid/folates [Ácido Fólico/Folatos]
FA-8 0.8 mg cap
folic acid 400 mcg tab, 800 mcg tab
Iron [Hierro]
BPROTECTED PEDIA IRON 75 (15 Fe) mg/ml soln
cvs iron 240 (27 Fe) mg tab
cvs slow release iron 143 (45 Fe) mg tab er
eq slow-release iron 45 mg tab er
eql slow release iron 160 (50 Fe) mg tab er
EZFE 200 434.8 (200 Fe) mg cap
fe-40 40 mg cap
fe-caps 250 mg cap er
FEMIRON 63 (20 Fe) mg tab
FEOSOL 200 (65 Fe) mg tab
FEOSOL NATURAL RELEASE 45 mg tab
FERATAB 300 (60 Fe) mg tab
fer-gen-sol 75 (15 Fe) mg/0.6ml soln
FEROSUL 220 (44 Fe) mg/5ml oral elix
ferretts 325 (106 Fe) mg tab
ferretts chewable iron 18 mg tab chew
ferretts ips 40 mg/15ml soln
FERRIMIN 150 150 mg tab
FERROCITE 324 mg tab
ferrous aspartate 112 (18 Fe) mg tab
ferrous fumarate 29 mg tab, 90 mg tab
ferrous gluconate 216 mg tab, 225 (27 Fe) mg tab, 239 (27 Fe) mg tab, 246 (27 Fe) mg tab, 324 (37.5 Fe) mg tab, 324 (38 Fe) mg tab, 325 (37.5 Fe) mg tab, 325 mg tab
ferrous sulfate 27 mg tab, 324 (65 Fe) mg tab dr, 325 (65 Fe) mg tab dr, 83 mg tab
ferrous sulfate 220 (44 Fe) mg/5ml liq, 300 (60 Fe) mg/5ml syr
ferrous sulfate er 140 (45 Fe) mg tab er, 50 mg tab er
gnp iron 142 (45 Fe) mg tab er
gnp slow release iron 47.5 mg tab er
HEMATEX 100 mg/5ml liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 25 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
high potency iron 86 (27 Fe) mg cap
IRCON 66 mg tab
iron 18 mg tab er, 246 (28 Fe) mg tab, 28 mg tab, 325 (65 Fe) mg tab, 90 (18 Fe) mg tab FEOSOL
iron (ferrous gluconate) 256 (28 Fe) mg tab
iron chews pediatric 15 mg tab chew
IRON UP 15 mg/0.5ml liq
NEPHRO-FER 350 (115 Fe) mg tab
NIFEREX 100 mg/5ml oral elix
NOVAFERRUM 50 50 mg cap
NOVAFERRUM PEDIATRIC DROPS 15 mg/ml liq
NU-IRON 150 mg cap
PROFE 391.3 (180 Fe) mg cap
PROFERRIN ES 12 mg tab
slow release iron 140 (45 Fe) mg tab er
sm iron 134 mg tab
sm slow release iron 143 (45 Fe) mg tab er
SPATONE PUR-ABSORB IRON 5 mg/20ml liq
wee care 15 mg/1.25ml susp
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS [HIPNÓTICOS/SEDANTES/AGENTES PARA DESÓRDENES DEL SUEÑO]
Antihistamine Hypnotics [Hipnóticos Antihistamínicos]
ADVIL PM 200-25 mg cap, 200-38 mg tab
ALEVE PM 220-25 mg tab
BAYER PM 38.3-500 mg tab
eql pain relief pm 25-500 mg cap
EXCEDRIN PM 500-38 mg tab
GNP NIGHT-TIME CRAMP RELIEF 50-500 mg tab
GOODYS PM 38-500 mg pckt
pain relief day & night ex st 25-500 & 500 mg oral misc
TYLENOL PM EXTRA STRENGTH 1000-50 mg/30ml liq
UNISOM PM PAIN 50-325 mg tab
LAXATIVES [LAXANTES]
Bulk Laxatives [Laxantes Formadores De Volumen]
advanced fiber complex cap
BENEFIBER tab, tab chew
BENEFIBER DRINK MIX pckt
CITRUCEL pckt
clear soluble fiber oral pwdr BENEFIBER
cvs easy fiber pckt
cvs easy fiber oral pwdr
Triple-S Advantage 2020 Over the Counter Items Guide Page 26 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
cvs fiber gummies 2 gm tab chew
cvs natural fiber supplement 58.6 % pckt CITRUCEL / KONSYL / METAMUCIL
cvs natural fiber supplement 53.8 % oral pwdr
EQUALACTIN 625 mg tab chew
fiber oral pwdr
FIBER CHOICE 1.5 gm tab chew
FIBER COMPLETE tab
fiber laxative 0.52 gm cap CITRUCEL / KONSYL / METAMUCIL
fiber therapy 500 mg tab CITRUCEL / KONSYL / METAMUCIL
FIBEREX F15 15 gm/30ml liq
genfiber 50 % oral pwdr
geri-mucil 68 % oral pwdr
hm fiber 400 mg cap REGULOID
HYDROCIL 95 % pckt
HYDROCIL 95 % oral pwdr
HYFIBER WITH FOS 12 gm/30ml liq
KONSYL 60.3 % pckt, 71.67 % pckt
KONSYL 60.3 % oral pwdr, 71.67 % oral pwdr
konsyl daily fiber 100 % pckt, 28.3 % pckt
konsyl daily fiber 100 % oral pwdr
KONSYL FIBER 625 mg tab
KONSYL-D 52.3 % pckt
KONSYL-D 52.3 % oral pwdr
LIQUAFIBER 5 gm/15ml liq
METAMUCIL oral wafer, 0.36 gm cap
METAMUCIL CLEAR & NATURAL oral pwdr
METAMUCIL FIBER 51.7 % pckt
METAMUCIL FREE & NATURAL 43 % oral pwdr
METAMUCIL MULTIHEALTH FIBER 58.12 % pckt
METAMUCIL MULTIHEALTH FIBER 55.46 % oral pwdr, 63 % oral pwdr
METAMUCIL SMOOTH TEXTURE 28 % pckt
mucilin 49 % pckt
mucilin sf 70 % pckt
mucilin sf 70 % oral pwdr
nat-rul psyllium seed husks 500 mg cap
natural fiber laxative 28.3 % oral pwdr, 30.9 % oral pwdr, 48.57 % oral pwdr, 58.6 % oral pwdr METAMUCIL / KONSYL
NUTRISOURCE FIBER pckt
NUTRISOURCE FIBER oral pwdr
PHILLIPS FIBER GOOD 2 gm tab chew
psyldex 30 % oral pwdr
sb fib lax orange 33 % oral pwdr
sb natural fiber laxative 49 % oral pwdr
Triple-S Advantage 2020 Over the Counter Items Guide Page 27 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
SERUTAN 39 % oral gr
sm fiber 51.7 % oral pwdr
sm fiber powder 25 % oral pwdr, 27 % oral pwdr
SOLUBLE FIBER THERAPY oral pwdr
UNIFIBER oral pwdr
Laxative Combinations [Combinaciones Laxantes]
BENEFIBER PLUS B VITS & FA tab
BENEFIBER PLUS CALCIUM tab chew
BENEFIBER PLUS CALCIUM oral pwdr
BENEFIBER PLUS HEART HEALTH oral pwdr
docusate sodium-casanthranol 100-30 mg cap
fiber/d3 adult gummies 2.5-500 gm-unit tab chew
FIBERALL oral pwdr
FIBERCHOICE PLUS CALCIUM 2-250-100 gm-mg-unit tab chew
HALEYS M-O 6-25 % susp
medi-laxx 8.6-50 mg cap
METAMUCIL PLUS CALCIUM cap
natural vegetable laxative tab
SENNA PROMPT 9-500 mg cap
SENOKOT S 8.6-50 mg tab
Laxatives - Miscellaneous [Laxantes - Misceláneos]
CEO-TWO rect supp
FLEET LIQUID GLYCERIN SUPP 5.4 gm/dose rect enema
glycerin (adult) 2 gm rect supp, 2.1 gm rect supp, 3 gm rect supp COLACE
glycerin (child) 1.2 gm rect supp
glycerin (pediatric) 1 gm rect supp
PEDIA-LAX 2.8 gm rect supp
polyethylene glycol 3350 pckt MIRALAX
polyethylene glycol 3350 oral pwdr MIRALAX
sm glycerin pediatric 80.7 % rect supp
Stimulant Laxatives [Laxantes Estimulantes]
AGORAL MAXIMUM STRENGTH 25 mg/15ml liq
bisacodyl 10 mg rect supp DULCOLAX
bisacodyl ec 5 mg tab dr DULCOLAX / EX-LAX
chocolated laxative 15 mg tab chew EX-LAX
EVAC-U-GEN 10 mg tab chew
FLEET BISACODYL 10 mg/30ml rect enema
LITTLE TUMMYS LAXATIVE 8.8 mg/ml liq
natural vegetable laxative 65-325 mg tab
ra senna 8.6 mg cap SENOKOT
senna 8.6 mg tab
senna oral pwdr
Triple-S Advantage 2020 Over the Counter Items Guide Page 28 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
senna 176 mg/5ml syr, 8.8 mg/5ml syr
senna laxative 25 mg tab
SENNA SMOOTH 15 mg tab
SENOKOT EXTRA STRENGTH 17.2 mg tab
sen-o-tabs 187 mg tab
Surfactant Laxatives [Laxantes Surfactantes]
COLACE CLEAR 50 mg cap
docusate calcium 240 mg cap KAOPECTATE STOOL SOFTNER
docusate sodium 100 mg cap, 100 mg tab, 250 mg cap COLACE / DULCOLAX
docusate sodium 50 mg/5ml liq, 60 mg/15ml syr COLACE / DULCOLAX
DOCUSOL MINI 283 mg rect enema
DOCUSOL PLUS MINI-ENEMA 20-283 mg rect enema
PEDIA-LAX 50 mg/15ml liq
MEDICAL DEVICES AND SUPPLIES [DISPOSITIVOS MÉDICOS Y SUMINISTROS]
Bandages-dressings-tape [Vendajes-Apósitos-Cinta Adhesiva]
adhesive bandages misc
adhesive paper tape
ALLEVYN THIN 2"X2-3/8" pad
BAND-AID ISLAND SURG DRESSING 4"X10" pad, 4"X14" pad, 4"X7" pad
bordered gauze 6"X6" pad
CURAD NON-STICK pad
CURITY ABDOMINAL 5"X9" pad, 7-1/2"X8" pad
CURITY BURN DRESSING 18"X18" pad
CURITY GAUZE SPONGE 4"X8" pad
CURITY GAUZE SPONGES 3-1/2"X4" pad
CURITY NON-ADHERENT 9"X16" strip
CURITY NON-ADHERING DRESSING 3"X16" pad, 3"X8" pad
cvs non-stick 1-1/2"X2" pad
DERMACEA SUPER SPONGE 6"X6-3/4" pad
foam dressing pad
gauze pads 4"X4" pad
KENDALL HYDROPHILIC FOAM DRESS 3"X3-1/2" pad, 5"X5" pad
KERLIX SUPER SPONGES LARGE 7-3/4"X8-3/4" pad
KERLIX SUPER SPONGES XL 9-3/4"X10-3/4" pad
kp silicone scar therapy gel strip
MEDIPORE + PAD ADHESIVE DRESS 2"X2-3/4" pad, 3-1/2"X10" pad, 3-1/2"X13-3/4" pad, 3-1/2"X6" pad, 3-1/2"X8" pad
Triple-S Advantage 2020 Over the Counter Items Guide Page 29 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
NEXCARE PREMIUM ADHESIVE GAUZE 2-3/8"X4" pad
non-stick 2"X3" pad, 3"X4" pad
RESTORE CONTACT LAYER 8"X12" pad
RESTORE DUO DRESSING 2"X4" pad, 4"X5" pad
RESTORE FOAM DRESSING 2.5"X2.5" pad, 6"X8" pad, 8"X8" pad
RESTORE FOAM HEEL DRESSING 4.7"X7.5" pad
RESTORE ODOR ABSORBING DRESS 6"X10" pad
silicone scar sheets sheet
sterile gauze 3"X3" pad
stretch gauze bandage misc
surgical dressing 8"X10" pad
TEGADERM FOAM ADHESIVE 2-3/4"X2-3/4" pad, 2-3/4"X3" pad, 3-1/2"X3-1/2" pad, 4"X4-1/2" pad, 5-1/2"X5-1/2" pad, 5-5/8"X5-5/8" pad, 5-5/8"X6-1/8" pad, 7-1/2"X8-3/4" pad
TELFA ISLAND DRESSING 2"X3-3/4" pad
TELFA NON-ADHERENT 3"X6" pad
TELFA PLUS BARRIER ISLAND DRES 4"X6" pad, 6"X7" pad
THERAGAUZE 4.125"X4.125" pad
TIELLE 2-3/4"X3-1/2" pad, 4-1/4"X4-1/4" pad, 5-7/8"X7-3/4" pad, 7"X7" pad
transparent film dressing misc
tubular gauze misc
VERSIVA XC 8"X7" pad
wound treatment kit
Blood Pressure Devices [Dispositivos Para La Toma De Presión Sanguínea]
blood pressure cuff misc
blood pressure monitor dev, kit
First Aid Kits [Botiquines De Primeros Auxilios]
FIRST AID cmb kit
Incontinence Supplies [Suministros Para La Incontinencia]
undergarment misc CERTAINTY / DEPEND
underpads misc CURITY / PREVAIL
Misc. Devices [Dispositivos Misceláneos]
cotton balls misc
digital thermometer misc
ear thermometer misc
oral thermometer misc
rectal thermometer misc
Triple-S Advantage 2020 Over the Counter Items Guide Page 30 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
MINERALS & ELECTROLYTES [MINERALES & ELECTROLITOS]
Calcium [Calcio]
advanced calcium formula 200 mg tab
all day 600-500 mg-unit tab er 24 hr
AVORIA CAL+D 500-40-60-400 pckt
BONE DENSITY 300-200 mg-unit tab
bone meal tab
bone meal-vit a & d 650 mg tab
cal/mag 200-100 mg tab
cal/mag citrate 250-125 mg tab
CALCET CREAMY BITES 500-400 mg-unit tab chew
CALCET PETITES 200-250 mg-unit tab
CALCI-CHEW 1250 (500 Ca) mg tab chew
CALCI-MIX 1250 (500 Ca) mg cap
calcionate 1.8 gm/5ml syr
CALCITRATE 950 mg tab
cal-citrate 150 mg cap
calcitrate plus d 315-200 mg-unit tab
cal-citrate plus vitamin d 250-100 mg-unit tab
calcium 250 mg cap, 333-80-133-133 tab, 500 mg tab chew, 500-100 mg-unit tab chew, 600 mg tab, 600-400 mg-unit tab chew CALTRATE
calcium + d 500-1000-40 mg-unt-mcg tab chew
calcium + d + k 750-500-40 mg-unt-mcg tab
calcium + d3 600-200 mg-unit tab
calcium 1000 + d 1000-800 mg-unit tab
calcium 1200 1200-1000 mg-unit tab chew CALTRATE
calcium 500 500-250-200 mg-mg-unit tab
calcium 500 + d3 250-500 mg-unit tab chew, 500-600 mg-unit tab OS-CAL EXTRA D3
calcium 500+d 500-200 mg-unit tab, 500-400 mg-unit tab OS-CAL CALCIUM + D3
calcium 600 1500 (600 Ca) mg tab, 600 mg tab
calcium 600 + minerals 600-200 mg-unit tab
calcium 600 + soy 600-200-25 mg-unit-mg tab
calcium 600 iron/d 600-18-125 mg-mg-unit tab
calcium 600/vitamin d 600-400 mg-unit tab, 600-400 mg-unit tab chew
calcium 600/vitamin d3 600-800 mg-unit tab CALTRATE D
calcium 600+d 600-200 mg-unit tab
calcium 600+d plus minerals 600-400 mg-unit tab
calcium acetate 668 (169 Ca) mg tab
calcium aspartate 75 mg tab
calcium carbonate 500 (200 Ca) mg oral wafer
Triple-S Advantage 2020 Over the Counter Items Guide Page 31 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
calcium carbonate 800 mg/2gm oral pwdr
calcium carbonate-vitamin d 500-400 mg-unit tab, 600-200 mg-unit cap, 600-400 mg-unit tab
CALCIUM CHELA-MAX 167 mg cap
calcium citrate 1040 mg tab, 200 mg tab, 250 mg tab, 333 mg tab
calcium citrate 760 mg/3.5gm oral gr
calcium citrate + d 250-200 mg-unit tab, 300-100 mg-unit tab
calcium citrate + d3 200-250 mg-unit tab
calcium citrate chewy bite 500-500 mg-unit tab chew
calcium citrate malate-vit d 250-100 mg-unit tab
calcium citrate-vitamin d 200-125 mg-unit tab, 250-50 mg-unit tab, 315-250 mg-unit tab
calcium citrate-vitamin d3 1000-400 liq
calcium for women 500-100-40 tab chew
calcium gluconate 50 mg tab, 500 mg tab, 648 (60 Ca) mg tab, 650 mg tab, 975 mg tab
calcium gummies 250-100-500 mg-unit tab chew
calcium lactate 100 mg tab, 325 mg tab, 648 mg tab, 650 mg tab, 750 mg tab
calcium lactate monohydrate pwdr
calcium magnesium 240-180-100 liq, 500-100-500 liq, 600-100-300 liq
calcium magnesium 750 300-300 mg tab
calcium oyster shell 500 mg tab
calcium plus d3 absorbable 600-2500 mg-unit cap
calcium plus vitamin d 300-100 mg-unit cap, 500-50 mg-unit cap
calcium soft chews 500-1-1000-40 mg-unt-mcg tab chew, 500-500-40 mg-unt-mcg tab chew
calcium/c/d 500-10-250 mg-mg-unit tab chew
calcium/d3 adult gummies 200-96.6-200 mg-mg-unit tab chew
calcium/vitamin d3 gummies 200-200 mg-unit tab chew, 250-350 mg-unit tab chew
calcium+d3 gradual release 600-40-500 mg-mg-unit tab er 24 hr
CALCIUM+MENAQ7 500-200-90 mg-unt-mcg tab, 600-1000-90 mg-unt-mcg tab
calcium-magnesium 250-155 mg tab
calcium-magnesium-vitamin d 200-100-33.3 mg-mg-unit cap, 250-125-200 mg-mg-unit oral wafer, 400-166.7-133.3 mg-mg-unit tab
Triple-S Advantage 2020 Over the Counter Items Guide Page 32 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
calcium-magnesium-vitamin d 600-300-400 liq
calcium-magnesium-zinc 167-83-8 mg tab, 333-133-5 mg tab, 333-133-8.3 mg tab, 334-134-5 mg tab, 500-250-12.5 mg tab
calcium-phosphorus-vitamin d 140-25-100 mg-mg-unit oral wafer
calcium-vitamin d 500-125 mg-unit tab, 600-200 mg-unit tab
calcium-vitamin d3 250-125 mg-unit tab, 600-400 mg-unit cap, 600-500 mg-unit cap
calcium-vitamin d-minerals 600-400 mg-unit tab chew, 600-800 mg-unit tab chew
cal-co3s 200 mg cap
cal-cyum 500-100 mg-unit oral wafer
cal-glu 500 mg cap
cal-lac 500 mg cap
CAL-MAG 500-250 mg tab
cal-mag aspartate 333.33-167 mg tab
CAL-MAG CHELA-MAX 70-83 mg cap
CAL-MAG COMPLEX 300-150-400 mg-mg-unit tab
calmag thins 200-50 mg tab
CAL-MAG/CHELA-MAX 70-83.5 mg cap
cal-mint 260 mg tab chew
CAL-QUICK 500-400 mg-unt/5ml liq
CALTRATE 600+D PLUS MINERALS 600-800 mg-unit tab
CALTRATE 600+D3 SOFT 600-800 mg-unit tab chew
CALTRATE GUMMY BITES 250-400 mg-unit tab chew
CALTRATE MINIS PLUS MINERALS 300-800 mg-unit tab
CELEBRATE CALCIUM PLUS 500 500-333 mg-unit tab chew
chelated calcium 200 mg tab
chewable calcium 500-200-40 mg-unt-mcg tab chew
CHEWABLE CALCIUM/D 300-100 mg-unit tab chew
CITRACAL +D3 250-107-500 mg-mg-unit tab chew
CITRACAL CALCIUM GUMMIES 250-115-250 mg-mg-unit tab chew
CITRACAL PLUS HEART HEALTH 315-250-200 mg-unit-mg tab
Triple-S Advantage 2020 Over the Counter Items Guide Page 33 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
coral calcium 133-66.7-133 mg-mg-unit cap, 185-50-100 mg-mg-unit cap, 200-100-100 mg-unit cap, 250-125-100 mg-unit cap, 500 mg cap
coral calcium plus 185-28-2.5-200 cap, 250-125-200 mg-mg-unit cap
cvs yogurt+calcium gummies 250-100 mg-unit tab chew
dolomite 130-78 mg tab
elite ca/mg 100-50 mg tab
elite calcium 150 mg tab
eql calcium/vitamin d 600-100 mg-unit cap
liquid calcium with d3 600-1000 mg-unit cap
liquid calcium/vitamins a & d 200-275-60 mg-unt-unt cap
localnesium 166.67-83.33 mg tab
localnesium-c 400-116.7-166.7 mg tab
MAGNEBIND 200 450-200 mg tab
MAGNEBIND 300 250-300 mg tab
ONE-A-DAY CALCIUM PLUS 500-100-50 mg-unit-mg tab chew
OPURITY CALCIUM CITRATE PLUS 300-20-200 mg-mg-unit tab chew
OS-CAL 500-600 mg-unit tab chew
OS-CAL ULTRA 600 mg tab
OSTEO-PORETICAL 600-1000 mg-unit tab
OSTIGEN 350 mg oral misc
oyster calcium + d 250-125 mg-unit tab, 500-125 mg-unit tab
oyster shell calcium 500+d 500-400 mg-unit tab chew
oyster shell calcium plus d 333-133 mg-unit tab, 500-125 mg-unit tab
oyster shell calcium/d 250-250 mg-unit tab, 500-200 mg-unit tab
oyster shell calcium/vitamin d 500-200 mg-unit pckt
oyster shell/vitamin d 600-125 mg-unit tab
parva-cal 250-100 mg-unit tab, 500-200 mg-unit tab
POSTURE 600-280 mg tab
POSTURE-D CALCIUM/MAGNESIUM 600-280-500-50 tab
qc calcium-magnesium-zinc-d3 333.4-133 mg-unit tab
ra calcium 500 mg tab
Triple-S Advantage 2020 Over the Counter Items Guide Page 34 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
ra calcium hi-cal/vitamin d 250-125 mg-unit tab, 500-200 mg-unit tab
ra calcium-boron 500-1.5 mg tab
risacal-d 105-81-120 mg-mg-unit tab
SM CORAL CALCIUM 1000 (390 Ca) mg tab
super cal-mag-d 500-250-125 mg-mg-unit tab
UPCAL D 250-40-125 mg-unit tab chew
VIACTIV CALCIUM PLUS D 650-12.5-40 mg-mcg tab chew
VIACTIV FLAVOR GLIDES 500-200-40 mg-unt-mcg tab
MULTIVITAMINS [MULTIVITAMINAS]
B-complex Vitamins [Vitaminas Del Complejo B]
APETEX oral elix
b complex cap
b-complex high potency tab er
b-complex/b-12 subl liq
vitamin b complex tab
B-complex W/ C [Complejo B Con Vitamina C]
balanced b complex cr tab er
gnp b-complex plus vitamin c tab
stress b-complex/vit c/zinc tab
super b complex/vitamin c tab
vitamin b complex-c cap
B-complex W/ Folic Acid [Complejo B Con Ácido Fólico]
b complex plus tab
b complex-biotin-fa tab
b complex-c-folic acid tab
b-50 complex tab er
balanced b-50 tab er
b-complex cap
b-complex/folic acid/vitamin c tab er
benfotiamine multi-b cap
EXTRESS-30 cap er
NEPHRONEX 0.9 mg/5ml liq
NERVO B-12 SL Oral Lozenge
renal vitamin 0.8 mg tab NEPHRO-VITE
rena-vite rx 1 mg tab
reno caps 1 mg cap
B-complex W/ Iron [Complejo B Con Hierro]
APETIGEN-PLUS soln
b complex-c-iron tab
Bioflavonoid Products [Productos Bioflavonoides]
citrus bioflavonoids 700 mg/0.7gm oral pwdr
liquid c liq
Triple-S Advantage 2020 Over the Counter Items Guide Page 35 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
M2 C 500 mg cap er
vasoflex forte 150-150-150 mg cap
vitamin c tab chew
vitamin c/bioflavonoids 1000-25 mg tab VASOFLEX
vitamin c-bioflavonoids 1000-100 mg tab er ESTER-C
Multiple Vitamins W/ Iron [Vitaminas Múltiples Con Hierro]
chlorella cap
stress formula/iron tab
Multiple Vitamins W/ Minerals [Vitaminas Múltiples Con Minerales]
ACTIVESSENTIALS pckt
AIRBORNE Oral Lozenge, tab eff
biovol syr
body/hair/skin/nails cap
CENTRUM tab chew
M2 B-60 tab er
multivitamin liq CENTRUM
multi-vitamin/minerals tab CENTRUM / OCUSOFT / OCUVITE-EYE
Multivitamins [Multivitaminas]
CHEW-12 tab chew
MIL-A-MULSION 10-15000 unit/drop Oral Emulsion
multiple vitamins tab ONE-A-DAY
multivitamin+ liq
multivitamins cap
one-daily multi-vitamin pckt
Specialty Vitamins Products [Productos Vitamínicos De Especialidad]
CAL-CO3Y 200-100-30 mg-unit-mg cap
ICAPS LUTEIN & ZEAXANTHIN tab dr
nutramix pckt
ULTRA WOMAN tab er
vitamins for hair tab
WAL-BORN tab eff
Vitamins W/ Lipotropics [Vitaminas Con Lipotrópicos]
b-stress cap
complex b-100 tab er
geravine oral elix
LIPOFLAVONOID tab
NASAL AGENTS - SYSTEMIC AND TOPICAL [AGENTES NASALES - SISTÉMICOS Y TÓPICOS]
Nasal Steroids [Esteroides Nasales]
allergy spray 24 hour 55 mcg/act nasal aer NASACORT ALLERGY 24HR
budesonide 32 mcg/act nasal susp RHINOCORT AQUA
FLONASE SENSIMIST 27.5 mcg/spray nasal susp
fluticasone propionate 50 mcg/act nasal susp FLONASE
Triple-S Advantage 2020 Over the Counter Items Guide Page 36 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
NUTRIENTS [NUTRIENTES]
Misc. Nutritional Substances [Sustancias Nutricionales Misceláneas]
cvs omega-3 gummy fish/dha 113.5 mg tab chew
emulsified omega-3 712-1024 mg/15ml liq
ESKIMO-3 53.33-80-2.23 mg-mg-unit cap
fish oil 1000 mg cap dr, 1200 mg cap dr, 1360 mg cap, 435 mg cap, 600 mg cap, 645 mg cap, 875 mg cap, 875 mg tab chew
FISH OIL PEARLS 150 mg cap, 180 mg cap, 183.33 mg cap
gnp fish oil 840 mg cap dr
OCEAN BLUE MINICAPS OMEGA-3 350 mg cap
omega 3 340 mg cap dr
omega-3 1400 mg cap, 350 mg cap dr
OMEGA-3 1450 725 mg cap
OMEGA-3 2100 1050 mg cap
omega-3 epa fish oil 1205 mg cap
omega-3 fish oil 1000 mg cap, 1200 mg cap, 300 mg cap, 500 mg cap
omega-3 fish oil ex st 880 mg cap
OMEGA-3 IQ 240 mg tab chew
OMEGAPURE 900 EC 1290 mg cap dr
PRO NUTRIENTS OMEGA 3 332.5 mg cap dr
ra fish oil 1400 mg cap dr, 600 mg cap dr, 900 mg cap
RA FISH OIL EXTRA STRENGTH 870 mg cap
salmon oil-1000 200 mg cap
sm fish oil 554 mg cap
SUPER TWIN EPA/DHA 1250 mg cap
SYSTANE OMEGA-3 HEALTHY TEARS 500 mg cap dr
ULTRA OMEGA 3 952 mg cap
OPHTHALMIC AGENTS [AGENTES OFTÁLMICOS]
Artificial Tears And Lubricants [Lágrimas Artificiales Y Lubricantes]
artificial tears 0.1-0.3 % ophth soln, 0.2-0.2-1 % ophth soln, 1-0.3 % ophth soln, 1.4 % ophth soln, 5-6 mg/ml ophth soln
artificial tears pf 0.1-0.3 % ophth soln
BIOLLE GEL TEARS 1 % ophth gel
BLINK TEARS 0.25 % ophth gel, 0.25 % ophth soln
CLEAR EYES FOR DRY EYES 1-0.25 % ophth soln
CLEAR EYES PURE RELIEF PF 0.25 % ophth soln
Triple-S Advantage 2020 Over the Counter Items Guide Page 37 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
COMPUTER EYE DROPS 1 % ophth soln
cvs lubricant drops 0.25-0.3 % ophth gel
DAKRINA 2.7-2 % ophth soln
FRESHKOTE PF 2.7-2 % ophth soln
GENTEAL MILD 0.2 % ophth soln
GENTEAL SEVERE 0.3 % ophth gel
GONIOVISC 2 % ophth soln
HYPOTEARS 1-1 % ophth soln
IMPROVUE 1.7 % Ophthalmic Solution Prefilled Syringe
ISOPTO TEARS 0.5 % ophth soln
lubricant eye drops 0.4-0.3 % ophth soln, 0.5 % ophth soln, 0.6 % ophth soln
REFRESH TEARS / SYSTANE / SYSTANE BALANCE
lubricant eye drops pf 0.5 % ophth soln REFRESH PLUS
lubricating eye drops 0.5-0.9 % ophth soln REFRESH OPTIVE
MUROCEL 1 % ophth soln
NUTRATEAR 0.6 % ophth soln
PURE & GENTLE LUBRICANT 3 mg/ml ophth soln
REFRESH 1.4-0.6 % ophth soln
REFRESH DRY EYE THERAPY 1-1 % ophth soln
REFRESH LIQUIGEL 1 % ophth gel
REFRESH OPTIVE 1-0.9 % ophth gel
REFRESH OPTIVE ADVANCED 0.5-1-0.5 % ophth soln
REFRESH OPTIVE ADVANCED PF 0.5-1-0.5 % ophth soln
REFRESH OPTIVE SENSITIVE 0.5-0.9 % ophth soln
REFRESH P.M. ophth oint
RETAINE HPMC 0.3 % ophth soln
RETAINE MGD 0.5-0.5 % ophth emul
SOOTHE 0.6-0.6 % ophth soln
STERILE LUBRICANT 0.7 % Ophthalmic Liquid
SYSTANE 0.4-0.3 % ophth gel
SYSTANE PRESERVATIVE FREE 0.4-0.3 % ophth soln
tgt lubricant eye drops 0.95 % ophth soln
THERATEARS 0.25 % ophth soln
THERATEARS PF 0.25 % ophth soln
VISINE TIRED EYE RELIEF 0.2-0.36-1 % ophth soln
VIVA DROPS 1 % ophth soln
OTIC AGENTS [AGENTES ÓTICOS]
Triple-S Advantage 2020 Over the Counter Items Guide Page 38 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
Otic Agents - Miscellaneous [Agentes Óticos - Misceláneos]
CLEARCANAL EAR WAX REMOVAL 6.5 % otic kit
ear dry 95 % otic liq AURO-DRI
ear wax removal drops 6.5 % otic soln DEBROX
ear wax removal system otic oil
instant ear-dry 95-5 % otic liq
MIN-O-EAR otic liq
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC [AGENTES PSICOTERAPÉUTICOS Y NEUROLÓGICOS - MISCELÁNEOS]
Smoking Deterrents [Disuasivos Para Dejar De Fumar]
NICORETTE 4 mg m/t lozg
nicotine 14 mg/24hr td patch 24hr, 21 mg/24hr td patch 24hr, 21-14-7 mg/24hr td kit, 7 mg/24hr td patch 24hr NICODERM CQ
nicotine polacrilex 2 mg m/t gum, 2 mg m/t lozg, 4 mg m/t gum NICORETTE
VAGINAL PRODUCTS [PRODUCTOS VAGINALES]
Miscellaneous Vaginal Products [Productos Vaginales Misceláneos]
anti-itch 5-2 % vag crm
FEMINEASE vag crm
NORFORMS vag supp
REPLENS vag gel
VAGISIL FEMININE MOISTURIZER vag lot
VAGISIL YEAST-CONTROL vag supp
Vaginal Anti-infectives [Antiinfecciosos Vaginales]
clotrimazole 1 % vag crm GYNE-LOTRIMIN / MYCELEX-7
clotrimazole 3 2 % vag crm GYNE-LOTRIMIN
cvs miconazole 1 combo pack 1200 & 2 mg & % vag kit
miconazole 3 vag kit
miconazole 3 4 % vag crm
miconazole 3 combo pack 200 & 2 mg-% (9gm) vag kit MONISTAT 3
miconazole 3 combo pack app 200 & 2 mg-% (9gm) vag kit MONISTAT 3
miconazole 7 100 mg vag supp MONISTAT 7
miconazole nitrate 2 % vag crm MONISTAT 7
MONISTAT 1 COMBO PACK 1200 & 2 mg & % vag kit
MONISTAT 3 COMBINATION PACK 200-2 mg-% vag kit
MONISTAT 7 100 & 2 mg & % vag kit
MONISTAT 7 COMBO PACK APP 100 & 2 mg-% (9gm) vag kit
Triple-S Advantage 2020 Over the Counter Items Guide Page 39 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
MONISTAT 7 COMPLETE THERAPY 100-2 mg-% vag kit
MYCELEX-7 COMBO PACK vag kit
tioconazole-1 6.5 % vag oint MONISTAT 1
VITAMINS [VITAMINAS]
Oil Soluble Vitamins [Vitaminas Solubles En Aceite]
a-25 25000 unit cap
AQUA-E 75 unit/ml liq
aqueous vitamin d 400 unit/ml liq
BIO-D-MULSION 400 unt/0.04ml liq
BIO-D-MULSION FORTE 2000 unt/0.04ml liq
cvs d3 1000 unit tab chew
D3 DOTS 2000 unit tab disint
d3 maximum strength 5000 unit/ml liq
DDROPS 1000 unt/0.03ml liq, 1000 ut/0.028ml liq, 2000 unt/0.03ml liq, 2000 ut/0.028ml liq
DDROPS BOOSTER 600 ut/0.028ml liq
DECARA 25000 unit cap
KEY-E 400 unit tab chew
LIQUI-E 400 unit/15ml liq
natural vitamin e 200 unit tab
OPTIMAL D3 M 14000 unit cap
OPURITY VITAMIN D 5000 unit tab chew
sm vitamin d3 4000 unit cap
THERA-D 4000 4000 unit tab
VITAMELTS VITAMIN D 1000 unit tab disint
vitamin a 10000 unit cap, 10000 unit tab, 8000 unit cap, 8000 unit tab
VITAMIN A FISH 7500 unit cap
vitamin a palmitate 15000 unit tab
vitamin a-beta carotene 10000-1000 unit tab, 15000-10000 unit tab
vitamin d 2000 unit cap
vitamin d (cholecalciferol) 1000 unit tab, 400 unit tab
vitamin d3 1000 unit cap, 10000 unit cap, 10000 unit tab, 20 mcg tab, 2000 unit tab, 2000 unit tab chew, 3000 unit tab, 400 unit cap, 5000 unit cap, 5000 unit tab disint, 50000 unit cap, 50000 unit tab MAXIMUM D3
vitamin d3 1000 unit/spray liq, 1200 unit/15ml liq, 5000 unit/0.5ml liq
vitamin d-3 5000 unit tab
vitamin e 100 unit cap, 100 unit tab, 1000 unit cap, 200 unit cap, 400 unit tab, 600 unit cap
Triple-S Advantage 2020 Over the Counter Items Guide Page 40 of 53
Y0082_20CI002E_C
Drug Name [Nombre del Medicamento]
Reference Name [Nombre de Referencia]
vitamin e 100 unt/0.25ml oral oil, 15 unit/0.3ml soln
vitamin e-400 400 unit cap
WELLESSE VITAMIN D3 1000 unit/10ml liq
Water Soluble Vitamins [Vitaminas Solubles En Agua]
acerola c-500 500 mg tab chew
ascorbic acid 250 mg tab chew
ascorbic acid oral gr
b-6 500 mg tab
biotin 1 mg cap, 10 mg cap, 10 mg tab, 1000 mcg tab, 1000 mcg tab chew, 2500 mcg cap, 300 mcg tab, 5 mg cap, 5 mg tab, 5 mg tab disint, 5000 mcg tab subl, 7500 mcg tab, 800 mcg tab
biotin forte 3 mg tab
biotin maximum 10000 mcg tab disint
BPROTECTED VITAMIN C 500 mg/5ml liq
buffered vitamin c 1000 mg cap
c-1000 1000 mg tab er
c-1500/rose hips sr 1500 mg tab er
c-500 500 mg tab er
c-500 sr 500 mg cap er
calcium ascorbate 500 mg tab
CECON 90 mg/ml soln
CRUSH VITAMIN C DROPS 60 mg m/t lozg
CYTO B7 5 mg/ml liq
eql vitamin c drops 53 mg m/t lozg
eql vitamin c gummies 125 mg tab chew
fruit c 100 mg tab chew
LEXINAL 2.5 mg tab
LIQUID C 500 500 mg/15ml liq
NEURO-K-250 T.D. 250 mg cap
PROTEXIN 500 mg/15ml syr
pyridoxine hcl 100 mg tab
ra vitamin b-6 cr 200 mg tab er
ra vitamin c 300 mg tab chew
VITAMELTS VITAMIN C 60 mg tab disint
vitamin b6 200 mg tab, 250 mg tab
vitamin b-6 25 mg tab, 50 mg tab
vitamin c 100 mg tab, 1000 mg tab, 250 mg tab, 500 mg cap, 500 mg pckt, 500 mg tab
vitamin c 500 mg/5ml syr
vitamin c (calcium ascorbate) soln
vitamin c gummie 120 mg tab chew
Triple-S Advantage 2020 Over the Counter Items Guide Page 41 of 53
Y0082_20CI002E_C
Index
6
666 COLD PREPARATION ............................ 8
A
a-25 ............................................................... 39 ABATUSS DMX .............................................. 8 acerola c-500 ................................................ 40 acetaminophen ............................................... 5 acetaminophen er ........................................... 5 acetaminophen extra strength ......................... 5 ACTICON ........................................................ 8 ACTIDOGESIC ............................................... 8 ACTIVESSENTIALS ..................................... 35 adhesive bandages ....................................... 28 adhesive paper ............................................. 28 adult aspirin low strength ................................ 5 adult omega plus dha ...................................... 5 advanced calcium formula ............................ 30 advanced fiber complex ................................ 25 ADVIL ALLERGY & CONGESTION ................ 8 ADVIL ALLERGY SINUS ................................ 8 ADVIL COLD & SINUS LIQUI-GELS .............. 8 ADVIL COLD/SINUS ....................................... 8 ADVIL JUNIOR STRENGTH ........................... 5 ADVIL PM ..................................................... 25 ADVIL SINUS CONGESTION & PAIN ............ 8 af-apap allergy sinus ....................................... 8 af-cough fm decong ........................................ 8 af-dibromm dm ................................................ 8 af-flu cough/cold .............................................. 8 af-nitetime ....................................................... 8 af-pseudoephedrine sinus ............................... 8 af-triacting nitetime .......................................... 8 af-triacting sore throat ..................................... 8 af-tussin cf....................................................... 8 AGORAL MAXIMUM STRENGTH ................ 27 AIRBORNE ................................................... 35 ALAHIST CF ................................................... 8 ALAHIST DM .................................................. 8 ALAHIST LQ ................................................... 8 ALDEX D......................................................... 8 ALDEX GS ...................................................... 8 ALDEX GS DM ............................................... 8 ALDEX-CT ...................................................... 8 alevazol ......................................................... 21 ALEVE PM .................................................... 25 ALKA-SELTZER PLS ALLERGY & CGH ........ 8
ALKA-SELTZER PLUS COLD ........................ 8 ALKA-SELTZER PLUS COLD & COUGH ....... 8 ALKA-SELTZER PLUS COLD & FLU ............. 8 ALKA-SELTZER PLUS DAY/NIGHT ............... 9 ALKA-SELTZER PLUS NIGHT COLD ............ 9 ALKA-SELTZER PLUS SINUS ....................... 9 ALKA-SELTZER PLUS-D SINUS/COLD ......... 9 all day ............................................................ 30 ALLEGRA-D ALLERGY & CONGESTION ...... 9 ALLERFRIM .................................................... 9 allergy multi-symptom ..................................... 9 allergy multi-symptom day/nght ....................... 9 allergy multi-symptom night ............................. 9 allergy spray 24 hour ..................................... 35 ALLEVYN THIN ............................................. 28 altarussin-pe .................................................... 9 ambi 10peh/400gfn.......................................... 9 ambi 10peh/400gfn/20dm ................................ 9 ambi 10peh/4cpm/20dm .................................. 9 ambi 12.5cpd/100gfn/30pse ............................ 9 ambi 12.5cpd/1dcpm/30pse ............................ 9 ambi 20dm/4cpm ............................................. 9 ambi 40pse/400gfn/20dm ................................ 9 ambi 60pse/400gfn .......................................... 9 ambi 60pse/400gfn/20dm ................................ 9 ambi 60pse/4cpm ............................................ 9 ambi 60pse/4cpm/20dm .................................. 9 AMBIFED ........................................................ 9 AMBIFED DM .................................................. 9 AMBIFED-G .................................................... 9 AMBIFED-G DM .............................................. 9 ammonium lactate ......................................... 22 antibiotic ........................................................ 20 anti-diarrheal ................................................... 7 anti-fungal ..................................................... 21 anti-itch .......................................................... 38 anti-itch maximum strength ........................... 21 anti-nausea ..................................................... 7 ANUSOL ......................................................... 6 apap ................................................................ 5 apap 500 ......................................................... 5 APETEX ........................................................ 34 APETIGEN-PLUS.......................................... 34 ap-hist dm ....................................................... 9 APRODINE ..................................................... 9 AQUA-E ........................................................ 39
Triple-S Advantage 2020 Over the Counter Items Guide Page 42 of 53
Y0082_20CI002E_C
aquanaz .......................................................... 9 aqueous vitamin d ......................................... 39 artificial tears ................................................. 36 artificial tears pf ............................................. 36 ascorbic acid ................................................. 40 aspirin ............................................................. 5 aspirin ec......................................................... 6 ASPIR-LOW .................................................... 6 AVORIA CAL+D ............................................ 30 AZO URINARY PAIN RELIEF ....................... 23 AZOLEN TINCTURE .................................... 21
B
b complex...................................................... 34 b complex plus .............................................. 34 b complex-biotin-fa ........................................ 34 b complex-c-folic acid ................................... 34 b complex-c-iron ........................................... 34 b-12 ............................................................... 23 b-12 (methylcobalamin) ................................ 23 B-12 DOTS ................................................... 23 b-12 dual spectrum ....................................... 23 b12 fast dissolve ........................................... 23 b-12 fast dissolve .......................................... 23 b-12 super strength ....................................... 23 B12-ACTIVE ................................................. 23 b-50 complex ................................................ 34 b-6 ................................................................. 40 bacitracin....................................................... 20 bacitracin zinc ............................................... 20 BACITRAYCIN PLUS ................................... 20 backache relief extra strength ......................... 6 balamine dm ................................................... 9 balanced b complex cr .................................. 34 balanced b-50 ............................................... 34 BALNEOL FOR HER .................................... 21 BAND-AID ISLAND SURG DRESSING ........ 28 BAND-AID PLUS ANTIBIOTIC ..................... 20 BARC ............................................................ 22 BAYER ADVANCED ASPIRIN EX ST ............ 6 BAYER PM ................................................... 25 b-complex ..................................................... 34 b-complex high potency ................................ 34 b-complex/b-12 ............................................. 34 b-complex/folic acid/vitamin c ....................... 34 bedding spray lice treatment ......................... 22 BENADRYL ITCH STOPPING ...................... 21 BENADRYL-D ALLERGY/SINUS CHILD ........ 9 BENAPHEN PLUS .......................................... 9
BENEFIBER .................................................. 25 BENEFIBER DRINK MIX .............................. 25 BENEFIBER PLUS B VITS & FA .................. 27 BENEFIBER PLUS CALCIUM ...................... 27 BENEFIBER PLUS HEART HEALTH ........... 27 benfotiamine multi-b ...................................... 34 BICLORA ........................................................ 9 BICLORA-D ..................................................... 9 biobron sf ........................................................ 9 biodesp dm ...................................................... 9 BIO-D-MULSION ........................................... 39 BIO-D-MULSION FORTE .............................. 39 biogtuss ......................................................... 10 BIOLLE GEL TEARS ..................................... 36 bionatuss dxp ................................................ 10 BIORX SPONIX ANTI-FUNGAL .................... 21 bio-rytuss ....................................................... 10 biospec dmx .................................................. 10 biotin .............................................................. 40 biotin forte ..................................................... 40 biotin maximum ............................................. 40 biovol ............................................................. 35 bisacodyl ....................................................... 27 bisacodyl ec .................................................. 27 bismatrol maximum strength ........................... 6 bismuth ............................................................ 6 BLINK TEARS ............................................... 36 BLIS-TO-SOL ................................................ 21 blood pressure cuff ........................................ 29 blood pressure monitor .................................. 29 body/hair/skin/nails ........................................ 35 BONE DENSITY ........................................... 30 bone meal ..................................................... 30 bone meal-vit a & d ....................................... 30 bordered gauze ............................................. 28 bp 8 cough .................................................... 10 BPROTECTED PEDIA IRON ........................ 24 BPROTECTED VITAMIN C ........................... 40 brohist d ........................................................ 10 BROMPHENEX DM ...................................... 10 bronchial asthma relief .................................. 10 BRONCOTRON PED .................................... 10 BRONCOTRON PED DROPS ...................... 10 BRONCOTRON-D......................................... 10 BRONCOTRON-S ......................................... 10 BRONKAID ................................................... 10 brontuss dx .................................................... 10 BROVEX PB DM ........................................... 10 BROVEX PSB ............................................... 10
Triple-S Advantage 2020 Over the Counter Items Guide Page 43 of 53
Y0082_20CI002E_C
BROVEX PSB DM ........................................ 10 BROVEX PSE ............................................... 10 BROVEX PSE DM ........................................ 10 b-stress ......................................................... 35 BUCKLEYS COUGH ...................................... 7 budesonide ................................................... 35 buffered vitamin c .......................................... 40 butenafine hcl ................................................ 21
C
c-1000 ........................................................... 40 c-1500/rose hips sr ....................................... 40 c-500 ............................................................. 40 c-500 sr ......................................................... 40 cal/mag ......................................................... 30 cal/mag citrate ............................................... 30 CALCET CREAMY BITES ............................ 30 CALCET PETITES ........................................ 30 CALCI-CHEW ............................................... 30 CALCI-MIX .................................................... 30 calcionate ...................................................... 30 cal-citrate ...................................................... 30 CALCITRATE ................................................ 30 calcitrate plus d ............................................. 30 cal-citrate plus vitamin d ............................... 30 calcium .......................................................... 30 calcium + d .................................................... 30 calcium + d + k .............................................. 30 calcium + d3 .................................................. 30 calcium 1000 + d ........................................... 30 calcium 1200 ................................................. 30 calcium 500 ................................................... 30 calcium 500 + d3 ........................................... 30 calcium 500+d ............................................... 30 calcium 600 ................................................... 30 calcium 600 + minerals ................................. 30 calcium 600 + soy ......................................... 30 calcium 600 iron/d ......................................... 30 calcium 600/vitamin d ................................... 30 calcium 600/vitamin d3 ................................. 30 calcium 600+d ............................................... 30 calcium 600+d plus minerals ......................... 30 calcium acetate ............................................. 30 calcium ascorbate ......................................... 40 calcium aspartate .......................................... 30 calcium carbonate ................................... 30, 31 calcium carbonate-vitamin d ......................... 31 CALCIUM CHELA-MAX ................................ 31 calcium citrate ............................................... 31
calcium citrate + d ......................................... 31 calcium citrate + d3 ....................................... 31 calcium citrate chewy bite ............................. 31 calcium citrate malate-vit d ............................ 31 calcium citrate-vitamin d ................................ 31 calcium citrate-vitamin d3 .............................. 31 calcium for women ........................................ 31 calcium gluconate ......................................... 31 calcium gummies........................................... 31 calcium lactate .............................................. 31 calcium lactate monohydrate ......................... 31 calcium magnesium....................................... 31 calcium magnesium 750 ................................ 31 calcium oyster shell ....................................... 31 calcium plus d3 absorbable ........................... 31 calcium plus vitamin d ................................... 31 calcium soft chews ........................................ 31 calcium/c/d .................................................... 31 calcium/d3 adult gummies ............................. 31 calcium/vitamin d3 gummies ......................... 31 calcium+d3 gradual release .......................... 31 CALCIUM+MENAQ7 ..................................... 31 calcium-magnesium ...................................... 31 calcium-magnesium-vitamin d ................. 31, 32 calcium-magnesium-zinc ............................... 32 calcium-phosphorus-vitamin d ....................... 32 calcium-vitamin d........................................... 32 calcium-vitamin d3......................................... 32 calcium-vitamin d-minerals ............................ 32 cal-co3s ......................................................... 32 CAL-CO3Y .................................................... 35 cal-cyum ........................................................ 32 cal-glu ............................................................ 32 cal-lac ............................................................ 32 CAL-MAG ...................................................... 32 cal-mag aspartate.......................................... 32 CAL-MAG CHELA-MAX ................................ 32 CAL-MAG COMPLEX ................................... 32 calmag thins .................................................. 32 CAL-MAG/CHELA-MAX ................................ 32 cal-mint .......................................................... 32 CAL-QUICK ................................................... 32 CALTRATE 600+D PLUS MINERALS .......... 32 CALTRATE 600+D3 SOFT ........................... 32 CALTRATE GUMMY BITES ......................... 32 CALTRATE MINIS PLUS MINERALS ........... 32 capmist dm .................................................... 10 capron dm ..................................................... 10 capron dmt .................................................... 10
Triple-S Advantage 2020 Over the Counter Items Guide Page 44 of 53
Y0082_20CI002E_C
CARBAPHEN CH ......................................... 10 CARBAPHEN PED CH ................................. 10 CARDEC ....................................................... 10 cardec dm ..................................................... 10 CECON ......................................................... 40 CELEBRATE CALCIUM PLUS 500 .............. 32 CENTRUM .................................................... 35 CEO-TWO ..................................................... 27 ceron ............................................................. 10 CERTUSS-D ................................................. 10 chelated calcium ........................................... 32 CHEW-12 ...................................................... 35 chewable calcium .......................................... 32 CHEWABLE CALCIUM/D ............................. 32 childrens pain reliever ..................................... 5 chlo hist ......................................................... 10 CHLO TUSS ................................................. 10 chlo tuss ex ................................................... 10 chlophed ....................................................... 10 chlorella......................................................... 35 chlorpheniramine-pseudoeph ........................ 10 chocolated laxative ....................................... 27 CITRACAL +D3 ............................................ 32 CITRACAL CALCIUM GUMMIES ................. 32 CITRACAL PLUS HEART HEALTH .............. 32 CITRUCEL .................................................... 25 citrus bioflavonoids ....................................... 34 clear anti-itch ................................................. 22 CLEAR COUGH DM ..................................... 10 CLEAR EYES FOR DRY EYES .................... 36 CLEAR EYES PURE RELIEF PF ................. 36 clear soluble fiber .......................................... 25 CLEARCANAL EAR WAX REMOVAL .......... 38 clotrimazole ............................................. 21, 38 clotrimazole 3 ................................................ 38 codal-dm ....................................................... 10 coditussin ac ................................................. 10 coditussin dac ............................................... 10 COLACE CLEAR .......................................... 28 cold & allergy ................................................ 10 cold & flu nighttime/daytime .......................... 10 cold & flu relief nighttime ............................... 10 cold & flu relief nighttime d ............................ 10 cold & flu severe daytime .............................. 11 cold control pe cold/flu med .......................... 11 COLD MEDICINE PLUS ............................... 11 cold multi-symptom day/night ........................ 11 cold/cough multi-symptom ............................ 11 cold/flu relief .................................................. 11
cold/flu relief day/night ................................... 11 complex b-100 ............................................... 35 COMPUTER EYE DROPS ............................ 37 COMTREX DEEP CHEST COLD.................. 11 COMTREX FLU THERAPY DAY/NIGHT ...... 11 CONTAC COLD/FLU DAY & NIGHT ............. 11 CONTAC COLD+FLU MAX ST ..................... 11 CONTAC DAY/NIGHT ALLERGY/SINUS ..... 11 CONTAC DAY/NIGHT COLD/FLU ................ 11 CONTAC SEVERE COLD/FLU ..................... 11 coral calcium ................................................. 33 coral calcium plus .......................................... 33 CORICIDIN D ................................................ 11 CORICIDIN HBP ........................................... 11 CORICIDIN HBP COLD/FLU ........................ 11 CORTICAINE ................................................ 21 CORTIZONE-10 ............................................ 21 CORTIZONE-10/ALOE ................................. 21 cotton balls .................................................... 29 cough & cold ................................................. 11 cough & sore throat nighttime ....................... 11 CREOMULSION ADULT ................................. 7 CREO-TERPIN ............................................... 7 CRUSH VITAMIN C DROPS ......................... 40 CURAD NON-STICK ..................................... 28 CURAD ZINC OXIDE ...................................... 6 CURITY ABDOMINAL ................................... 28 CURITY BURN DRESSING .......................... 28 CURITY GAUZE SPONGE ........................... 28 CURITY GAUZE SPONGES ......................... 28 CURITY NON-ADHERENT ........................... 28 CURITY NON-ADHERING DRESSING ........ 28 cvs allergy & congest relief ............................ 11 cvs b12 .......................................................... 23 cvs b-12 ......................................................... 23 cvs b-12 ......................................................... 23 cvs backache relief .......................................... 6 cvs d3 ............................................................ 39 cvs easy fiber ................................................ 25 cvs fiber gummies ......................................... 26 cvs hemorrhoidal ............................................. 6 cvs instant burn relief .................................... 22 cvs iron .......................................................... 24 cvs lubricant drops ........................................ 37 cvs miconazole 1 combo pack ...................... 38 cvs natural fiber supplement ......................... 26 cvs non-aspirin severe cold ........................... 11 cvs non-drying sinus pe ................................. 11 cvs non-stick ................................................. 28
Triple-S Advantage 2020 Over the Counter Items Guide Page 45 of 53
Y0082_20CI002E_C
cvs omega-3 gummy fish/dha ....................... 36 cvs pain relief regular st .................................. 5 cvs severe cold & cough ............................... 11 cvs slow release iron ..................................... 24 cvs stuffy nose & cold child ........................... 11 cvs yogurt+calcium gummies ........................ 33 CYTO B7....................................................... 40
D
D3 DOTS ...................................................... 39 d3 maximum strength ................................... 39 DAKRINA ...................................................... 37 DALLERGY ................................................... 11 day time ........................................................ 11 day time multi-sympt cold/flu ......................... 11 DAYCLEAR ALLERGY RELIEF .................... 11 DAYTIME COLD MEDICINE ......................... 11 daytime cough ................................................. 7 DDROPS....................................................... 39 DDROPS BOOSTER .................................... 39 DECARA ....................................................... 39 DECON-A ..................................................... 11 DECONEX .................................................... 11 DECONEX DM .............................................. 12 DECONEX DMX ........................................... 12 DECONEX IR ................................................ 12 decorel forte plus cold/cough ........................ 12 DELTUSS DP ............................................... 12 DERMACEA SUPER SPONGE .................... 28 derma-pax ..................................................... 21 DERMA-PAX-HC .......................................... 21 DESGEN DM ................................................ 12 despec dm .................................................... 12 despec eda ................................................... 12 despec nr ...................................................... 12 despec-dm .................................................... 12 DEWITTS PAIN RELIEVER ............................ 6 dexbrompheniramine-phenyleph ................... 12 dextromethorphan polistirex er ........................ 7 dextromethorphan-guaifenesin ..................... 12 dex-tuss ........................................................ 12 DIABETIC TUSSIN COLD & FLU ................. 12 DIABETIC TUSSIN COLD/FLU ..................... 12 DICEL ........................................................... 12 DICEL DM ..................................................... 12 DI-DELAMINE ............................................... 21 digital thermometer ....................................... 29 DIMETANE DX ............................................. 12 DIMETAPP COLD/ALLERGY ....................... 12
DIMETAPP DM COLD/COUGH .................... 12 DIMETAPP LONG ACT COUGH/COLD ....... 12 DIMETAPP MULTISYMPTOM COLD/FLU ... 12 DIMETAPP NIGHT COLD/CONGESTION .... 12 diphenhydramine-apap (sleep) ...................... 12 docusate calcium .......................................... 28 docusate sodium ........................................... 28 docusate sodium-casanthranol ..................... 27 DOCUSOL MINI ............................................ 28 DOCUSOL PLUS MINI-ENEMA .................... 28 DOLOGEN .................................................... 12 DOLOGESIC ................................................. 12 dolomite ......................................................... 33 dometuss-dmx ............................................... 12 DONATUSSIN ............................................... 12 DONATUSSIN DM ........................................ 12 double antibiotic ............................................ 20 drinex ............................................................ 12 DRIXORAL COLD/ALLERGY ....................... 12 DRIXORAL COUGH/SORE THROAT ........... 12 drymax af ...................................................... 12 DURAFLU ..................................................... 12 DURAVENT DM ............................................ 12 DURAVENT PE ............................................. 13
E
ear dry ........................................................... 38 ear thermometer ............................................ 29 ear wax removal drops .................................. 38 ear wax removal system ................................ 38 ECOTRIN MAXIMUM STRENGTH ................. 6 ED A-HIST .................................................... 13 ed a-hist dm .................................................. 13 ed bron gp ..................................................... 13 ED-A-HIST .................................................... 13 elite ca/mg ..................................................... 33 elite calcium .................................................. 33 ELIXSURE COUGH ........................................ 7 ELIXSURE FEVER/PAIN ................................ 5 emulsified omega-3 ....................................... 36 ENDACON .................................................... 13 ENTEX PAC .................................................. 13 ENTEX T ....................................................... 13 entre-b ........................................................... 13 entre-cough tannate ...................................... 13 entre-hist pse ................................................ 13 eq allergy/sinus headache ............................. 13 eq cold relief complete .................................. 13 eq cold relief convenience pak ...................... 13
Triple-S Advantage 2020 Over the Counter Items Guide Page 46 of 53
Y0082_20CI002E_C
eq daytime cold/flu relief ............................... 13 eq flu/severe cold/congestion ........................ 13 eq sinus relief max st .................................... 13 eq slow-release iron ...................................... 24 eq tussin cold/congestion .............................. 13 eql calcium/vitamin d ..................................... 33 eql flu/cold/cough night time.......................... 13 eql flu/severe cold daytime............................ 13 eql flu/severe cold/congestion ....................... 13 eql pain relief plus flu .................................... 13 eql pain relief pm ........................................... 25 eql slow release iron ..................................... 24 eql vitamin c drops ........................................ 40 eql vitamin c gummies .................................. 40 EQUALACTIN ............................................... 26 ESKIMO-3 ..................................................... 36 esocor p ........................................................ 13 ESTRONATURAL ......................................... 23 EVAC-U-GEN ............................................... 27 EXCEDRIN PM ............................................. 25 EXODERM .................................................... 22 EXTRESS-30 ................................................ 34 extussive ....................................................... 13 EZFE 200 ...................................................... 24
F
FA-8 .............................................................. 24 fast acting b12 ............................................... 23 FATHER JOHNS MEDICINE PLUS .............. 13 fe-40 .............................................................. 24 FEBROL.......................................................... 5 fe-caps .......................................................... 24 FEMINEASE ................................................. 38 FEMIRON ..................................................... 24 FENESIN DM IR ........................................... 13 FEOSOL ....................................................... 24 FEOSOL NATURAL RELEASE .................... 24 FERATAB ..................................................... 24 fer-gen-sol ..................................................... 24 FEROSUL ..................................................... 24 ferretts ........................................................... 24 ferretts chewable iron .................................... 24 ferretts ips ..................................................... 24 FERRIMIN 150 .............................................. 24 FERROCITE ................................................. 24 ferrous aspartate ........................................... 24 ferrous fumarate ............................................ 24 ferrous gluconate .......................................... 24 ferrous sulfate ............................................... 24
ferrous sulfate er ........................................... 24 FEVERALL INFANTS ...................................... 5 FEVERALL JUNIOR STRENGTH ................... 5 fiber ............................................................... 26 FIBER CHOICE ............................................. 26 FIBER COMPLETE ....................................... 26 fiber laxative .................................................. 26 fiber therapy .................................................. 26 fiber/d3 adult gummies .................................. 27 FIBERALL ..................................................... 27 FIBERCHOICE PLUS CALCIUM .................. 27 FIBEREX F15 ................................................ 26 FIRST AID ..................................................... 29 first aid antibiotic ........................................... 20 fish oil ............................................................ 36 FISH OIL PEARLS ........................................ 36 FLEET BISACODYL ...................................... 27 FLEET LIQUID GLYCERIN SUPP ................ 27 FLEET PAIN-RELIEF ...................................... 6 FLONASE SENSIMIST ................................. 35 flu bp maximum strength ............................... 13 flu/severe cold & cough day .......................... 13 fluticasone propionate ................................... 35 foam dressing ................................................ 28 folic acid ........................................................ 24 FORMULATION R........................................... 6 FRESHKOTE PF ........................................... 37 fruit c ............................................................. 40 FUNGAL NAIL ERASER ............................... 21 FUNGI-NAIL .................................................. 21 FUNGOID TINCTURE ................................... 21
G
gauze pads .................................................... 28 genetuss ........................................................ 13 genfiber ......................................................... 26 GENTEAL MILD ............................................ 37 GENTEAL SEVERE ...................................... 37 geravine ........................................................ 35 geri-mucil ....................................................... 26 GILTUSS ALLERGY & SINUS ...................... 13 GILTUSS COUGH & COLD .......................... 13 GILTUSS COUGH ALLERGY & SINUS ........ 13 GILTUSS SINUS & CONGESTION............... 13 glen pe .......................................................... 13 glenmax peb .................................................. 13 glenmax peb dm ............................................ 13 glentuss ......................................................... 13 glycerin (adult) ............................................... 27
Triple-S Advantage 2020 Over the Counter Items Guide Page 47 of 53
Y0082_20CI002E_C
glycerin (child) ............................................... 27 glycerin (pediatric) ......................................... 27 gnp b-complex plus vitamin c ........................ 34 gnp cold relief plus ........................................ 14 gnp cough relief .............................................. 7 gnp fish oil ..................................................... 36 gnp iron ......................................................... 24 GNP NIGHT-TIME CRAMP RELIEF ............. 25 gnp slow release iron .................................... 24 gnp triple omega complex ............................... 5 GONIOVISC .................................................. 37 goodsense nighttime sinus............................ 14 GOODYS PM ................................................ 25 grx hemorrhoidal ............................................. 6 guaiatussin ac ............................................... 14 guaifenesin.................................................... 20 guaifenesin dac ............................................. 14 guaifenesin er ............................................... 20 guaifenesin-dm ............................................. 14
H
HALEYS M-O ................................................ 27 HALFPRIN ...................................................... 6 hayfebrol ....................................................... 14 HC DERMAPAX ............................................ 21 HEMATEX ..................................................... 24 hemorrhoidal ................................................... 6 hemorrhoidal cooling ....................................... 6 HERBAL EXPEC .......................................... 20 herbiomed deep cold & flu nt ........................ 14 herbiomed fast acting .................................... 14 high potency iron ........................................... 25 HISTENOL-FORTE ....................................... 14 HISTEX ......................................................... 14 HISTEX-DM .................................................. 14 HISTEX-PE ................................................... 14 hm fiber ......................................................... 26 HOLD .............................................................. 7 HYDROCIL ................................................... 26 hydrocortisone .............................................. 22 hydrocortisone acetate-aloe .......................... 22 hydrocortisone-aloe ...................................... 22 hydrogen peroxide .......................................... 7 HYFIBER WITH FOS .................................... 26 HYLAMEND FIRST AID ANTISEPTIC ............ 7 HYPOTEARS ................................................ 37
I
ibuprofen ......................................................... 5 ICAPS LUTEIN & ZEAXANTHIN .................. 35
IMODIUM A-D ................................................. 7 IMODIUM MULTI-SYMPTOM RELIEF ............ 7 IMPROVUE ................................................... 37 instant ear-dry ............................................... 38 intense cough reliever ................................... 14 iodine tincture .................................................. 7 IRCON ........................................................... 25 iron ................................................................ 25 iron (ferrous gluconate) ................................. 25 iron chews pediatric....................................... 25 IRON UP ....................................................... 25 isopropyl alcohol ....................................... 7, 22 isopropyl alcohol (rubbing) .............................. 7 ISOPTO TEARS ............................................ 37 itch relief ........................................................ 21 ITCH-X .......................................................... 22
J
J-TAN D PD .................................................. 14
K
KENDALL HYDROPHILIC FOAM DRESS .... 28 KERLIX SUPER SPONGES LARGE ............ 28 KERLIX SUPER SPONGES XL .................... 28 KEY-E ........................................................... 39 kls cold & flu ms day/night ............................. 14 KONSYL ........................................................ 26 konsyl daily fiber ............................................ 26 KONSYL FIBER ............................................ 26 KONSYL-D .................................................... 26 kp silicone scar therapy gel ........................... 28
L
LAC-HYDRIN FIVE ....................................... 22 LAMISIL ADVANCED .................................... 21 LAMISIL AT SPRAY ...................................... 21 LEXINAL ....................................................... 40 LICE B GONE ............................................... 22 lice killing ....................................................... 22 lice treatment ................................................. 22 lice treatment max st ..................................... 22 LICEMD ......................................................... 22 LICEMD COMPLETE .................................... 22 LICIDE TREATMENT .................................... 22 LIPOFLAVONOID ......................................... 35 LIQUAFIBER ................................................. 26 liquid c ........................................................... 34 LIQUID C 500 ................................................ 40 liquid calcium with d3 .................................... 33 liquid calcium/vitamins a & d ......................... 33
Triple-S Advantage 2020 Over the Counter Items Guide Page 48 of 53
Y0082_20CI002E_C
LIQUI-E ......................................................... 39 LITTLE COLDS COUGH FORMULA .............. 7 LITTLE REMEDIES FOR COLDS ................. 14 LITTLE TUMMYS LAXATIVE ........................ 27 localnesium ................................................... 33 localnesium-c ................................................ 33 LODRANE D ................................................. 14 LOHIST-D ..................................................... 14 lohist-dm ....................................................... 14 loperamide hcl ................................................. 7 LORTUSS EX ............................................... 14 LORTUSS LQ ............................................... 14 LOTRIMIN AF ............................................... 21 LOTRIMIN AF POWDER .............................. 21 lubricant eye drops ........................................ 37 lubricant eye drops pf .................................... 37 lubricating eye drops ..................................... 37
M
M2 B-60 ........................................................ 35 M2 C ............................................................. 35 MAGNEBIND 200 ......................................... 33 MAGNEBIND 300 ......................................... 33 MAJOR-PREP HEMORRHOIDAL .................. 6 MAR-COF CG EXPECTORANT ................... 14 MARDROPS-DX ........................................... 14 MARDROPS-EX ........................................... 14 MAXICHLOR PEH DM .................................. 14 MAXIFED ...................................................... 14 MAXIFED DM ............................................... 14 MAXIFLU DM ................................................ 14 maxi-tuss dm ................................................. 14 m-clear .......................................................... 14 m-clear wc ..................................................... 14 MEDICONE ..................................................... 6 medi-laxx....................................................... 27 MEDIPORE + PAD ADHESIVE DRESS ....... 28 m-end dm ...................................................... 14 m-end dmx .................................................... 14 MERTHIOLATE (NEW FORMULA) ................ 7 METAMUCIL ................................................. 26 METAMUCIL CLEAR & NATURAL ............... 26 METAMUCIL FIBER ..................................... 26 METAMUCIL FREE & NATURAL ................. 26 METAMUCIL MULTIHEALTH FIBER ........... 26 METAMUCIL PLUS CALCIUM ..................... 27 METAMUCIL SMOOTH TEXTURE .............. 26 methyl b-12 ................................................... 23 miconazole 3 ................................................. 38
miconazole 3 combo pack ............................. 38 miconazole 3 combo pack app ...................... 38 miconazole 7 ................................................. 38 miconazole nitrate ................................... 21, 38 MIL-A-MULSION ........................................... 35 MIN-O-EAR ................................................... 38 MOMENTUM MUSCULAR BACKACHE ......... 6 MONISTAT 1 COMBO PACK ....................... 38 MONISTAT 3 COMBINATION PACK ............ 38 MONISTAT 7 ................................................. 38 MONISTAT 7 COMBO PACK APP ............... 38 MONISTAT 7 COMPLETE THERAPY .......... 39 mucilin ........................................................... 26 mucilin sf ....................................................... 26 MUCINEX COUGH CHILDRENS .................. 14 MUCINEX FAST-MAX ................................... 14 MUCINEX FAST-MAX CONGEST COUGH .. 14 MUCINEX FAST-MAX DAY/NIGHT .............. 14 MUCINEX FAST-MAX DAY/NIGHT TAB ...... 15 mucus d ......................................................... 15 mucus relief cold flu throat ............................ 15 mucus relief d ................................................ 15 mucus relief dm ............................................. 15 mucus relief er ............................................... 20 mucus relief multi symptom ........................... 15 mucus-dm ..................................................... 15 MULTIDEXOL M ........................................... 15 multiple vitamins ............................................ 35 multi-symptom cold day/night ........................ 15 multivitamin ................................................... 35 multi-vitamin/minerals .................................... 35 multivitamin+ ................................................. 35 multivitamins ................................................. 35 MUROCEL .................................................... 37 MYCELEX-7 COMBO PACK ......................... 39 myhist-dm ...................................................... 15
N
NASOHIST DM ............................................. 15 NASOPEN ..................................................... 15 NASOPEN PE ............................................... 15 nat-rul psyllium seed husks ........................... 26 natural fiber laxative ...................................... 26 natural vegetable laxative .............................. 27 natural vitamin e ............................................ 39 NEO DM ........................................................ 15 NEOSPORIN ESSENTIALS TRIAL PK ......... 22 NEOSPORIN PLUS PAIN RELIEF MS ......... 20 neotuss .......................................................... 15
Triple-S Advantage 2020 Over the Counter Items Guide Page 49 of 53
Y0082_20CI002E_C
NEOTUSS-D ................................................. 15 NEPHRO-FER .............................................. 25 NEPHRONEX ............................................... 34 NERVO B-12 SL ........................................... 34 NEURO-K-250 T.D. ...................................... 40 neutrahist pdx ............................................... 15 NEXAFED SINUS PRESSURE + PAIN ........ 15 NEXCARE PREMIUM ADHESIVE GAUZE .. 29 NICORETTE ................................................. 38 nicotine ......................................................... 38 nicotine polacrilex ......................................... 38 NIFEREX ...................................................... 25 nighttime cold/flu relief .................................. 15 nighttime cough ............................................. 15 NINJACOF .................................................... 15 NINJACOF-A ................................................ 15 NINJACOF-D ................................................ 15 NINJACOF-XG .............................................. 15 nite-time cold/flu relief ................................... 15 NIVANEX DMX ............................................. 15 NIX COMPLETE LICE TREATMENT ........... 22 NIX LICE CONTROL .................................... 22 NIZORAL A-D ............................................... 21 NOBLE MYSTIQUE EMU-LAC ..................... 22 nohist-dm ...................................................... 15 non-aspirin extra strength ............................... 5 non-stick........................................................ 29 NOREL AD .................................................... 15 NOREL CS .................................................... 15 NORFORMS ................................................. 38 nortemp infants ............................................... 5 NOVAFERRUM 50 ....................................... 25 NOVAFERRUM PEDIATRIC DROPS ........... 25 NU-IRON....................................................... 25 nutramix ........................................................ 35 NUTRATEAR ................................................ 37 NUTRISOURCE FIBER ................................ 26
O
OCEAN BLUE MINICAPS OMEGA-3 ........... 36 omega 3 ........................................................ 36 omega 3-6-9 .................................................... 5 omega-3 ........................................................ 36 OMEGA-3 1450 ............................................ 36 OMEGA-3 2100 ............................................ 36 omega-3 epa fish oil ...................................... 36 omega-3 fish oil ............................................. 36 omega-3 fish oil ex st .................................... 36 omega-3 fusion ............................................... 5
OMEGA-3 IQ ................................................. 36 OMEGAPURE 900 EC .................................. 36 ONE-A-DAY CALCIUM PLUS ....................... 33 one-daily multi-vitamin ................................... 35 OPTIMAL D3 M ............................................. 39 OPURITY CALCIUM CITRATE PLUS ........... 33 OPURITY VITAMIN D ................................... 39 oral thermometer ........................................... 29 OS-CAL ......................................................... 33 OS-CAL ULTRA ............................................ 33 OSTEO-PORETICAL .................................... 33 OSTIGEN ...................................................... 33 oyster calcium + d ......................................... 33 oyster shell calcium 500+d ............................ 33 oyster shell calcium plus d ............................ 33 oyster shell calcium/d .................................... 33 oyster shell calcium/vitamin d ........................ 33 oyster shell/vitamin d ..................................... 33
P
pain relief day & night ex st ........................... 25 pain relief plus multi-symptom ....................... 15 pain reliever pm ex st .................................... 15 parva-cal ....................................................... 33 PEDIACARE COUGH/RUNNY NOSE .......... 15 PEDIACARE MULTI-SYMPTOM .................. 15 PEDIA-LAX ............................................. 27, 28 PEDI-PRE TAPE SPRAY .............................. 23 pe-hist dm ..................................................... 15 PEPTO-BISMOL ............................................. 6 PERCOGESIC .............................................. 15 PERCOGESIC EXTRA STRENGTH ............. 15 PHENABID DM ............................................. 15 PHENFLU DM ............................................... 16 phenylephrine-dm-gg .................................... 16 PHILLIPS FIBER GOOD ............................... 26 pink bismuth .................................................... 6 POLY HIST FORTE ...................................... 16 polyethylene glycol 3350 ............................... 27 poly-hist dm ................................................... 16 poly-hist pd .................................................... 16 POLYSPORIN ............................................... 20 polytussin dm ................................................ 16 POLY-VENT DM ........................................... 16 POLY-VENT IR ............................................. 16 POSTURE ..................................................... 33 POSTURE-D CALCIUM/MAGNESIUM ......... 33 povidone-iodine ............................................... 7 PREPARATION H ........................................... 6
Triple-S Advantage 2020 Over the Counter Items Guide Page 50 of 53
Y0082_20CI002E_C
PRO 12 MOUSSE AL12 .................................... 22
PRO NUTRIENTS OMEGA 3 ....................... 36 PROCOMYCIN ............................................. 20 PROFE ......................................................... 25 PROFERRIN ES ........................................... 25 PRONTO....................................................... 22 PROTEXIN .................................................... 40 pseudoephedrine-guaifenesin er ................... 16 psyldex .......................................................... 26 PURE & GENTLE LUBRICANT .................... 37 px daytime multi-symptom ............................ 16 px nitetime multi-symptom ............................ 16 pyrethins-piperonyl butoxide ......................... 22 pyridoxine hcl ................................................ 40 pyril dm ......................................................... 16 pyrilamine-phenylephrine .............................. 16 PYRROXATE ................................................ 16
Q
qc calcium-magnesium-zinc-d3 ..................... 33
R
ra acetaminophen flu cold ............................. 16 ra calcium...................................................... 33 ra calcium hi-cal/vitamin d ............................. 34 ra calcium-boron ........................................... 34 ra fish oil........................................................ 36 RA FISH OIL EXTRA STRENGTH ............... 36 ra hemorrhoid relief ......................................... 6 ra hemorrhoidal ............................................... 6 ra hydrogen peroxide wipes ............................ 7 ra lice egg remover ....................................... 22 ra lice solution ............................................... 22 ra senna ........................................................ 27 ra triple antibiotic ........................................... 21 ra tussin nighttime cough dm ........................ 16 ra vitamin b-12 .............................................. 23 ra vitamin b-6 cr ............................................ 40 ra vitamin c .................................................... 40 RAPID B-12 ENERGY .................................. 23 rectacaine ....................................................... 6 rectal thermometer ........................................ 29 RECTICARE ................................................... 6 REFENESEN CHEST CONG/PAIN RLF ...... 16 REFRESH ..................................................... 37 REFRESH DRY EYE THERAPY .................. 37 REFRESH LIQUIGEL ................................... 37 REFRESH OPTIVE ....................................... 37 REFRESH OPTIVE ADVANCED .................. 37
REFRESH OPTIVE ADVANCED PF............. 37 REFRESH OPTIVE SENSITIVE ................... 37 REFRESH P.M. ............................................. 37 RELCOF IR ................................................... 16 renal vitamin .................................................. 34 rena-vite rx .................................................... 34 reno caps ...................................................... 34 REPLENS ..................................................... 38 RESCON ....................................................... 16 RESPAIRE-30 ............................................... 16 RESTORE CONTACT LAYER ...................... 29 RESTORE DUO DRESSING ........................ 29 RESTORE FOAM DRESSING ...................... 29 RESTORE FOAM HEEL DRESSING ............ 29 RESTORE ODOR ABSORBING DRESS ...... 29 RETAINE HPMC ........................................... 37 RETAINE MGD ............................................. 37 RID ................................................................ 22 RID COMPLETE LICE ELIMINATION ........... 22 RID LICE KILLING MOUSSE ........................ 22 risacal-d ......................................................... 34 ROBITUSSIN CHILD COUGH/COLD CF ...... 16 ROBITUSSIN CHILDRENS COUGH LA ......... 7 ROBITUSSIN COUGH+CHEST CONG DM .. 16 ROBITUSSIN NIGHTTIME COUGH ............. 16 ROBITUSSIN NIGHTTIME COUGH DM ....... 16 ROBITUSSIN PK COLD DAY/NGHT DM ...... 16 ROBITUSSIN SEVERE NIGHTTIME ............ 16 RU-HIST-D .................................................... 16 rydex g .......................................................... 16 rymed ............................................................ 16
S
salmon oil-1000 ............................................. 36 sb fib lax orange ............................................ 26 sb lice treatment ............................................ 22 sb natural fiber laxative ................................. 26 sb non aspirin sinus....................................... 16 scalp relief maximum strength ....................... 22 SCHOLLS FUNGAL NAIL MANAGEMENT .. 21 SCHOOLTIME SHAMPOO ........................... 23 SCOT-TUSSIN .............................................. 16 SCOT-TUSSIN DIABETES ............................. 7 SCOT-TUSSIN DM ....................................... 16 SCOT-TUSSIN SENIOR ............................... 17 senna ...................................................... 27, 28 senna laxative ............................................... 28 SENNA PROMPT.......................................... 27 SENNA SMOOTH ......................................... 28
Triple-S Advantage 2020 Over the Counter Items Guide Page 51 of 53
Y0082_20CI002E_C
SENOKOT EXTRA STRENGTH ................... 28 SENOKOT S ................................................. 27 sen-o-tabs ..................................................... 28 SERUTAN ..................................................... 27 severe cold & flu day/night ............................ 17 severe cold/flu nighttime ms.......................... 17 SG HEMORRHOIDAL .................................... 6 silicone scar sheets ....................................... 29 silphen dm cough ............................................ 7 simuc-dm ...................................................... 17 SINADRIN PE COMPLETE SINUS REL....... 17 SINE-OFF NIGHT TIME FORMULA ............. 17 sinus congestion/pain daytime ...................... 17 slow release iron ........................................... 25 sm cold & allergy childrens ........................... 17 sm cold & allergy pe ...................................... 17 SM CORAL CALCIUM .................................. 34 sm cough/runny nose childrens .................... 17 sm cough/sore throat daytime ....................... 17 sm fiber ......................................................... 27 sm fiber powder ............................................ 27 sm fish oil ...................................................... 36 sm glycerin pediatric ..................................... 27 sm iron .......................................................... 25 sm pain reliever ............................................... 5 sm slow release iron ..................................... 25 sm tussin cf ................................................... 17 sm vitamin d3 ................................................ 39 SOLUBLE FIBER THERAPY ........................ 27 SOOTHE ....................................................... 37 sorbutuss nr .................................................. 17 SPATONE PUR-ABSORB IRON .................. 25 ST JOSEPH ADULT ....................................... 6 STAFLEX ...................................................... 17 STAHIST ....................................................... 17 stahist ad....................................................... 17 STEP 2 ......................................................... 23 sterile gauze .................................................. 29 STERILE LUBRICANT .................................. 37 stress b-complex/vit c/zinc ............................ 34 stress formula/iron ........................................ 35 stretch gauze bandage ................................. 29 SUCRETS DM ................................................ 7 SUDAFED PE DAY & NIGHT ....................... 17 SUDAFED PE PRESSURE+PAIN+COLD .... 17 SUDAFED PRESSURE+PAIN 12 HR ........... 17 sudatuss dm .................................................. 17 super b complex/vitamin c............................. 34 super cal-mag-d ............................................ 34
SUPER TWIN EPA/DHA ............................... 36 supress dm pediatric ..................................... 17 surgical dressing ........................................... 29 SYSTANE ..................................................... 37 SYSTANE OMEGA-3 HEALTHY TEARS ...... 36 SYSTANE PRESERVATIVE FREE............... 37
T
TEGADERM FOAM ADHESIVE ................... 29 TEGRIN-LT LICE TREATMENT ................... 23 TEKRAL ........................................................ 17 TELFA ISLAND DRESSING ......................... 29 TELFA NON-ADHERENT ............................. 29 TELFA PLUS BARRIER ISLAND DRES ....... 29 terbinafine hcl ................................................ 21 tgt lubricant eye drops ................................... 37 THERACOF PLUS COUGH/COLD REL ....... 17 THERA-D 4000 ............................................. 39 THERAFLU COLD & COUGH ....................... 17 THERAFLU COLD/COUGH NIGHTTIME ..... 17 THERAFLU EXPRESSMAX SEV CLD/CG ... 17 THERAFLU FLU & SORE THROAT ............. 17 THERAFLU FLU/CHEST CONGESTION ..... 17 THERAFLU MAX-D COLD & FLU ................. 17 THERAFLU POWERPODS SEVERE COLD 17 THERAFLU SEVERE COLD DAYTIME ........ 18 THERAFLU SEVERE COLD NIGHTTIME .... 18 THERAFLU SEVERE COLD/CGH NIGHT .... 18 THERAFLU WARMING RELIEF SINUS ....... 18 THERAGAUZE .............................................. 29 THERATEARS .............................................. 37 THERATEARS PF......................................... 37 TIELLE .......................................................... 29 TINACTIN ...................................................... 21 tioconazole-1 ................................................. 39 tolnaftate ....................................................... 21 transparent film dressing ............................... 29 TREXBROM .................................................. 18 triacting cough/sore throat ............................. 18 triacting expectorant ...................................... 18 TRIAMINIC CHEST/NASAL CONGEST ....... 18 TRIAMINIC COLD & ALLERGY .................... 18 TRIAMINIC COUGH & CONGESTION ......... 18 TRIAMINIC COUGH & SORE THROAT ....... 18 TRIAMINIC COUGH/RUNNY NOSE ............. 18 TRIAMINIC COUGH/SORE THROAT ........... 18 TRIAMINIC FEVER REDUCER ...................... 5 TRIAMINIC FLU COUGH & FEVER.............. 18 TRIAMINIC FLU/COUGH/FEVER ................. 18
Triple-S Advantage 2020 Over the Counter Items Guide Page 52 of 53
Y0082_20CI002E_C
TRIAMINIC LONG ACTING COUGH .............. 8 TRIAMINIC NIGHT TIME COLD/CGH .......... 18 TRIAMINIC-D ................................................ 18 TRIFUNGOL ................................................. 21 triple antibiotic ............................................... 21 triple antibiotic pain relief............................... 21 triple paste af ................................................ 21 TRISPEC DEX .............................................. 18 TRISPEC DMX ............................................. 18 TRISPEC PSE .............................................. 18 TRONOLANE .................................................. 6 tubular gauze ................................................ 29 tusdec-dm ..................................................... 18 TUSICOF ...................................................... 18 TUSNEL ........................................................ 18 TUSNEL C .................................................... 18 TUSNEL PEDIATRIC .................................... 18 TUSNEL-DM PEDIATRIC ............................. 18 tussafex-a ..................................................... 18 tussin ............................................................ 20 tussin cf ......................................................... 18 tussin cf max multi-symptom ......................... 18 tussin cough .................................................... 8 tussin dm....................................................... 18 tussin dm max ............................................... 18 tussi-pres b ................................................... 19 TUSSI-PRES PEDIATRIC ............................ 19 TUSSLIN ....................................................... 19 TUSSLIN PEDIATRIC ................................... 19 TYLENOL CHEST CONGESTION ............... 19 TYLENOL CHILDRENS .................................. 5 TYLENOL CHILDRENS CHEWABLES .......... 5 TYLENOL COLD MULTI-SYMPTOM DAY ... 19 TYLENOL COLD/FLU SEVERE ................... 19 TYLENOL COLD/FLU SEVERE DAY ........... 19 TYLENOL COUGH/SORE THROAT ............ 19 TYLENOL GO TABS EXTRA STRENGTH ..... 5 TYLENOL PM EXTRA STRENGTH .............. 25 TYLENOL SINUS CONVENIENCE PACK .... 19
U
ULTRA OMEGA 3 ......................................... 36 ULTRA WOMAN ........................................... 35 undergarment ................................................ 29 underpads ..................................................... 29 UNIFIBER ..................................................... 27 UNISOM PM PAIN ........................................ 25 UPCAL D ...................................................... 34 urinary pain relief .......................................... 23
V
VAGISIL ........................................................ 22 VAGISIL FEMININE MOISTURIZER............. 38 VAGISIL YEAST-CONTROL ......................... 38 VANACOF AC ............................................... 19 VANACOF APE ............................................. 19 VANACOF G ................................................. 19 VANACOF GPE ............................................ 19 VANACOF-8 .................................................. 19 VANALICE .................................................... 23 VANATAB AC ............................................... 19 VANATAB DM ............................................... 19 VANATAB DX ............................................... 19 vasoflex forte ................................................. 35 VB12 MAX ..................................................... 23 VERSIVA XC ................................................. 29 VH ESSENTIALS UTI RELIEF ...................... 23 VIACTIV CALCIUM PLUS D ......................... 34 VIACTIV FLAVOR GLIDES ........................... 34 VICKS CASERO ........................................... 20 VICKS DAYQUIL HBP COLD & FLU ............ 19 VICKS DAYQUIL MUCUS CONTROL DM .... 19 VICKS DAYQUIL/NYQUIL COUGH .............. 19 VICKS DAYQUIL/NYQUIL SEVERE ............. 19 VICKS FORMULA 44 CHESTY COUGH ...... 19 VICKS FORMULA 44 COUGH/COLD PM .... 19 VICKS FORMULA 44M MULTI-SYMPT ........ 19 VICKS NATURE FUSION COLD & FLU ....... 19 VICKS NATURE FUSION CONGEST ........... 19 VICKS NYQUIL CHILDRENS CLD/CGH ...... 19 VICKS NYQUIL COLD & FLU NIGHT ........... 19 VICKS NYQUIL SEVERE COLD & FLU ........ 20 VICKS SINEX DAYQUIL/NYQUIL ................. 20 VICKS SINEX DAYTIME ............................... 20 VIRAVAN-P ................................................... 20 VIRAVAN-PDM ............................................. 20 VISINE TIRED EYE RELIEF ......................... 37 VITAMELTS VITAMIN C ............................... 40 VITAMELTS VITAMIN D ............................... 39 vitamin a ........................................................ 39 VITAMIN A FISH ........................................... 39 vitamin a palmitate ........................................ 39 vitamin a-beta carotene ................................. 39 vitamin b 12 ................................................... 23 vitamin b complex.......................................... 34 vitamin b complex-c....................................... 34 vitamin b12 .................................................... 23 vitamin b-12 ................................................... 24 vitamin b-12 ................................................... 24
Triple-S Advantage 2020 Over the Counter Items Guide Page 53 of 53
Y0082_20CI002E_C
vitamin b-12 er .............................................. 24 vitamin b6...................................................... 40 vitamin b-6 .................................................... 40 vitamin c .................................................. 35, 40 vitamin c (calcium ascorbate) ........................ 40 vitamin c gummie .......................................... 40 vitamin c/bioflavonoids .................................. 35 vitamin c-bioflavonoids .................................. 35 vitamin d........................................................ 39 vitamin d (cholecalciferol).............................. 39 vitamin d3...................................................... 39 vitamin d-3 .................................................... 39 vitamin e.................................................. 39, 40 vitamin e-400 ................................................ 40 vitamins for hair ............................................. 35 VIVA DROPS ................................................ 37
W
WAL-BORN ................................................... 35 WAL-DRYL PE ALLERGY & SINUS ............. 20 WAL-FLU COLD & SORE THROAT ............. 20
WAL-FLU SEVERE COLD DAYTIME ........... 20 wal-tap cold/allergy........................................ 20 wal-tussin cough relief ..................................... 8 wee care ........................................................ 25 WELLESSE VITAMIN D3 .............................. 40 wound treatment ........................................... 29
Y
yodefan-nf chest congestion ......................... 20 y-tuss ............................................................. 20
Z
Z-COF I ......................................................... 20 Z-DEX ........................................................... 20 ZEASORB-AF ............................................... 21 ZODRYL DEC 25 .......................................... 20 ZODRYL DEC 30 .......................................... 20 ZODRYL DEC 35 .......................................... 20 ZODRYL DEC 40 .......................................... 20 z-tuss e .......................................................... 20 ZYNCOF ....................................................... 20
Multi-language Interpreter Services
English: ATTENTION: If you speak English, language assistance
services, free of charge, are available to you. Call 1-888-620-1919 (TTY: 1-
866-620-2520).
Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios
gratuitos de asistencia lingüística. Llame al 1-888-620-1919 (TTY: 1-866-
620-2520).
Chinese: 注意:如果您使用繁體中文,您可以免費獲得語言援助服務
。請致電1-888-620-1919 (TTY: 1-866-620-2520).
French: ATTENTION: Si vous parlez français, des services d'aide
linguistique vous sont proposés gratuitement. Appelez le 1-888-620-1919
(TTY: 1-866-620-2520).
Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn
ngữ miễn phí dành cho bạn. Gọi số 1-888-620-1919 (TTY: 1-866-620-
2520).
German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen
kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-
888-620-1919 (TTY: 1-866-620-2520).
Korean: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를
무료로 이용하실 수 있습니다. 1-888-620-1919 (TTY: 1-866-620-2520)
번으로 전화해 주십시오.
Arabic: بالمجان لك تتوافر اللغوية المساعدة خدمات فإن ،اللغة اذكر تتحدث كنت إذا :ملحوظة.
.(2520-620-866-1 :والبكم الصم هاتف رقم) 1919-620-888-1 برقم اتصل
Hindi: ध्यान दें: यदद आप द िंदी बोलते ैं तो आपके दलए मफु्त में भाषा स ायता सेवाएिं उपलब्ध ैं। 1-888-
620-1919 (TTY: 1-866-620-2520) पर कॉल करें।
Italian: ATTENZIONE: In caso la lingua parlata sia l'italiano, sono
disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-
888-620-1919 (TTY: 1-866-620-2520).
Portugués: ATENÇÃO: Se fala português, encontram-se disponíveis
serviços linguísticos, grátis. Ligue para 1-888-620-1919 (TTY: 1-866-620-
2520).
French Creole: ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou
lang ki disponib gratis pou ou. Rele 1-888-620-1919 (TTY: 1-866-620-
2520).
Polish: UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej
pomocy językowej. Zadzwoń pod numer 1-888-620-1919 (TTY: 1-866-
620-2520).
Japanese: 注意事項:日本語を話される場合、無料の言語支援をご利
用いただけます。1-888-620-1919 (TTY: 1-866-620-2520)まで、お電話
にてご連絡ください。
Ukrainian: УВАГА! Якщо ви розмовляєте українською мовою, ви
можете звернутися до безкоштовної служби мовної підтримки.
Телефонуйте за номером 1-888-620-1919 (телетайп: 1-866-620-2520).
Catalan: ATENCIÓ: Si parleu Català, teniu disponible un servei d”ajuda
lingüística sense cap càrrec. Truqueu al 1-888-620-1919 (TTY o teletip: 1-
866-620-2520).
Y0082_4036_17_012_E CMS Accepted
Y0082_3032_17_CI_034_E
NOTICE INFORMING INDIVIDUALS ABOUT NONDISCRIMINATION AND
ACCESSIBILITY REQUIREMENTS AND NONDISCRIMINATION STATEMENT:
DISCRIMINATION IS AGAINST THE LAW
Triple-S Advantage, Inc. complies with applicable federal civil rights laws and does not
discriminate on the basis of race, color, national origin, age, disability or sex. Triple-S Advantage,
Inc. does not exclude people or treat them differently because of race, color national origin, age,
disability, or sex.
Triple-S Advantage, Inc.:
• Provides free aids and services to people with disabilities to communicate effectively with
us, such as:
o Qualified sign language interpreters
o Written information in other formats (large print, audio, accessible electronic
formats, other formats)
• Provides free language services to people whose primary language is not Spanish, such
as:
o Qualified interpreters
o Information written in other languages.
If you need these services, contact a Service Representative.
If you believe that Triple-S Advantage, Inc. has failed to provide these services or discriminated
in another way on the basis of race, color national origin, age, disability, or sex, you can file a
grievance with:
Service Representative
P.O Box 11320, San Juan, PR
00922-1320
Telephone: 1-888-620-1919, TTY: 1-866-620-2520
Fax. 787-993.3261, e-mail: [email protected]
You can file a grievance in person or by mail, fax, or e-mail. If you need help filing a grievance,
a Service Representative is available to help you.
You can also file a civil rights complaint with the US Department of Health and Human Services,
Office of Civil Rights electronically through the Office of Civil Rights Complaint Portal, available
at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health
Y0082_3032_17_CI_034_E
and Human Services, 200 Independence 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.html.
ATTENTION: If you speak English, language assistance services, free of charge, are available
to you. Call 1-888-620-1919 (TTY: 1-866-620-2520).
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-888-620-1919
(TTY: 1-866-620-2520) 。
ATENCIÓN: si usted habla español, servicios de asistencia lingüística están disponibles libre de
cargo para usted. Llame al: 1-888-620-1919 (TTY: 1-866-620-2520).