2021 Over-the-Counter Catalog

A whole lot of common health products you can get with your Gateway Health benefit. Use this Catalog Jan. 1, 2021- Dec. 31, 2021 Welcome! Start using your Over-the-Counter (OTC) benefit.

Your Gateway Health coverage just keeps getting better. Starting January 1, 2021 you have access to hundreds of retail wellness products when you use your quarterly over-the-counter allowance. And even better, any unused portion of your quarterly allowance can be rolled over to the next quarter.

It’s a service powered by our partners at Fieldtex Products, and it’s unbelievably simple to use.

How Much You Get:

Gateway Health Gateway Health Medicare Assured Medicare Assured DiamondSM (HMO SNP) RubySM (HMO SNP) $365 per quarter $120 per quarter

Use this catalog to choose and order your health products from January 1, 2021 to December 31, 2021. All orders must be placed within this time period.

See next page for easy instructions on how to order.

2 2021 Over-the-Counter Ordering Catalog Gateway Health Ordering Process 3 Easy Ways to Order

Order Online www.Fieldtex-Gateway.com

Order by Mail Fill out the attached mail order form and send it in the postage paid envelope. Fieldtex Products 2921 Brighton Henrietta TL Road Rochester, NY 14623

Order by Phone 1-855-350-0074 (TTY 711) Monday - Saturday 8 a.m. to 5 p.m. Sunday 10 a.m. to 5 p.m.

• You will need to provide your Gateway Health Member ID number (found on the front of your ID card) and your birth date to access your account.

• Choose the items you would like and write the number on your order form. Have the form available when you call or go online for fast and easy ordering.

• Total all the items, be sure to stay within your available quarterly allowance.

Call us Toll-Free at 1-855-350-0074 (TTY 711) 3 Important Things to Remember Please keep this catalog for your entire 2021 benefit year.

• Your OTC benefit covers only the items • Fieldtex Products is the supplier of all the included in this catalog. products in this catalog and can only answer • If an item is deemed to be medically questions pertaining to your order. Medical necessary, it might be covered by the health information regarding the use of these products plan rather than using your OTC benefit for is not available. Please consult your physician. the item. Please check with your physician • The health information provided in this catalog before ordering. is general in nature and is not medical advice • The website is available 24/7, unless down for or a substitute for professional health care. It is maintenance. The call center is available to provided for your information and convenience take orders Monday – Saturday from 8 a.m. to only. Fieldtex Products does not guarantee the 5 p.m. and Sunday 10 a.m. to 5 p.m. If you accuracy or completeness of the information, want to place your order by mail, please allow and does not recommend or endorse the at least seven days for the mail order form to products that are referenced in the catalog. reach us. • The OTC benefit only guarantees members • Please allow seven to 10 days for delivery of a credit to use while ordering items listed in this in-stock items. You will be notified if an item is catalog. Please note, however, that the items out of stock and may take longer for delivery. themselves are not offered or guaranteed by If mailing your order, please allow one week Gateway Health. for mail delivery to Fieldtext Products. Mail • Products in this catalog should only be ordered orders will be processed the month in which for the enrolled member. they are received. • Products with two asterisks (**) next to their • If you receive a damaged item, call Fieldtex name are Dual Purpose items. In order to Products immediately at 1-800-353-7763 purchase these items under your plan, your (TTY Hearing Impaired: 711) Monday - Friday personal physician must recommend them to 8 a.m. to 5 p.m. The item will be exchanged you for a specific diagnosed condition. Please for an identical item at no cost to you. Please speak to your physician before ordering note that only damaged products can be these items. exchanged within 30 days of purchase, • Limitations and restrictions may apply. Up no other returns are allowed. We will not to six items may be ordered from each substitute brand name products with category per quarter. Diagnostic equipment, generic products. including kitchen scales, are limited to one item • Gateway Health and Fieldtex Products per year. PPE items limits are subject to change. are not responsible for lost or stolen packages. For delivery issues, please contact your carrier.

4 2021 Over-the-Counter Ordering Catalog Table of Contents Allergy...... 6 Cold and Flu...... 7-9 Cough Drops...... 9-10 Dental Care (Denture, Dry Mouth, Toothbrush, Toothpaste)...... 10-13 Diabetic Supplies...... 14 Diabetic Supplies (Socks)...... 14 Diagnostic Equipment...... 15 Diagnostic Equipment (Thermometers)...... 15 Ear Care...... 16 Eye Care...... 16 Feminine and UTI...... 17 Fiber Supplements...... 17 First Aid (Bandages, Dressings and Gauze, Tape, Kits)...... 18-20 Foot Care...... 20-21 Hemorrhoid...... 21-22 Home Testing...... 22 Hot and Cold Therapy...... 22-23 Incontinence...... 23-24 Incontinence Reusable...... 24 Lactose...... 24 Lice...... 24 Lip Care...... 25 Menopause Relief...... 25 Motion Sickness Medication...... 25 Ointments and Topicals (Analgesics, Cleaners)...... 26-28 Pain Relief...... 28-31 Personal Protection Equipment...... 31 Personal Protection Equipment (First Aid Gloves)...... 32 Respiratory Relief...... 32 Skin Care...... 32-33 Skin Care (Sunscreen)...... 33 Sleep Aid...... 33-34 Smoking Cessation...... 34-35 Stomach (Antacids and Acid Reducers)...... 35-36 Stomach and Laxatives...... 37-38 Supports (Ankle, Back, Elbow, Knee, Stockings, Wrist)...... 38-42 Wholecare For You...... 42-43 Dual Purpose Items: Diagnostic Equipment (Blood Pressure Monitors, Scales)...... 43-44 Vitamins, Minerals and Special Supplements...... 44-45 Weight Loss (Kitchen Scales)...... 45 Active Ingredients List...... 46-59

Call us Toll-Free at 1-855-350-0074 (TTY 711) 5 Eligible Items

Allergy Limit: 6 units per this category per Quarter Alka Seltzer Plus Severe Sinus All Day Allergy Tablets 30/Ct Allegra 12 Hour 60mg Tablets Congestion LiquiGels 20/Ct Cetirizene 12/Ct 99038 90584 91071 $9.75 $8.00 $18.00

Allegra 24 Hour 180mg Tablets Allergy / Sinus Headache Allergy 10mg Tablets 30/Ct 30/Ct Caplets 20/Ct Loratidine 90980 90580 90582 $30.00 $4.50 $4.50

Benadryl Allergy Tablets 24/Ct Claritin Reditabs 10/Ct Complete Allergy Medicine 10874 11580 Tablets 100/Ct 25mg $6.75 $16.50 Diphenhydramine 11569N $3.00

Fexofenadine Tablets 30/Ct - Flonase Nasal Spray For Flonase Nasal Spray For Generic Allegra Allergies 120/Spray Allergies 60/Spray 00301 10400 99046 $15.50 $34.00 $22.00

Nasacort Allergy 24 Hour Zyrtec 10mg Tablets 30/Ct Zyrtec 90/Ct 60/Spray 00203 10629 10222 $29.50 $66.00 $27.00

6 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Cold and Flu Limit: 6 units per this category per Quarter Afrin No Drip Airborne Original Orange Alka Seltzer Plus Cold and Allergy/Sinus .5 oz. Tablets 10/Ct Cough LiquiGels 20/Ct 10624 90553 99912 $14.00 $9.25 $9.25

Breathe Right Nasal Strips Breathe Right Nasal Strips Small Careall Medicated Chest Rub Large 30/Ct / Medium 30/Ct 3.53 oz. 10875 90895 99093 $16.50 $16.50 $2.50

Cold-Eeze Cherry Flavor 18/Ct Coricidin HPB Liqui-Gels 20/Ct Cough / Cold High Blood 10650 11575 Pressure Tablets 16/Ct $9.00 $9.50 90090 $3.00

Effervescent Cold Relief Tablets Greaseless Mentholatum Mentholatum No-Mess Roll On 20/Ct 1.76 oz. 1.76 oz. 90579 10641 10639 $5.25 $8.50 $8.75

Mentholatum Ointment 1 oz. Jar Mucinex DM Tablets 20/Ct Mucinex Fast-Max Cold, Flu and 90444 11561 Sore Throat 6 fl. oz. $4.25 $19.50 10691 $21.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 7 Eligible Items

Cold and Flu Limit: 6 units per this category per Quarter Mucus Relief DM Tablets 30/Ct Nasal Decongestant Spray Night Time Cold-Flu Relief 90576 -Afrin- 1 oz. SoftGels 16/Ct $10.00 90897 90639 $3.75 $5.00

No Drip Original Afrin Robitussin Cough and Chest Saline Nasal Spray .5 oz. Sugar Free 4 fl. oz. 1.5 oz. 10631 90516 90640 $16.00 $10.00 $2.75

Sambucol Cold & Flu Quick Silver Immune Theraflu Night Time Severe Dissolve Tablets Support 16 oz. Cough & Cold 6/Ct 30/Ct 10637 10401 10626 $33.75 $10.50 $16.25

Tussin DM 4 fl. oz. Tussin DM Sugar Tylenol Cold / Flu Severe 90446 Free 4 fl. oz. Caplets 24/Ct $3.25 90578 99065 $4.25 $9.50

Vicks DayQuil Cold and Flu Vicks Nyquil Cold and Flu Vicks VapoInhaler Menthol LiquiCaps 24/Ct LiquiCaps 24/Ct Scent 11952 00302 10463 $13.50 $14.00 $7.75

8 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Cold and Flu Limit: 6 units per this category per Quarter Vicks VapoRub Zicam Citrus Rapid Zicam Cold Remedy 3.53 oz. Melts 25/Ct Nasal Swabs 20/Ct 11625 10668 10663 $12.00 $16.00 $16.00

Cough Drops Limit: 6 units per this category per Quarter Black Cherry Sugar Chloraseptic Lozenges Halls Defense Assorted Free Cough Citrus 18/Ct Citrus 30/Ct Drops 25/Ct 11562 90913 90643 $5.25 $3.50 $2.50

Halls Defense Assorted Sugar Halls Honey Lemon Cough Halls Menthol-Lyptus Cough Free Citrus 25/Ct Drops 30/Ct Drops 30/Ct 90912 11601 11703 $3.50 $3.50 $3.50

Honey Lemon Luden's Sugar Free Wild Cherry Luden's Wild Cherry Throat Cough Drops Cough Drops Drops 30/Ct 30/Ct 25/Ct 11584 99054 99083 $2.75 $2.25 $2.75

Ricola Cherry Honey Throat Ricola Cough Drops 21/Ct Ricola Sugar Free Lemon Mint Drops 24/Ct 11571 Throat Drops 19/Ct 99114 $3.50 90447 $3.50 $3.50

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 9 Eligible Items

Cough Drops Limit: 6 units per this category per Quarter Sucrets Sore Throat Cherry Vitamin C Drops 30/Ct Lozenges 18/Ct 90914 11591 $2.75 $4.75

Dental Care Limit: 6 units per this category per Quarter Anbesol Maximum Strength Dentek Instant Oral Pain Relief Floss Waxed Unflavored .33 oz. 50/Applications 100 Yds 10221 00303 90652 $10.75 $8.00 $2.25

Freshmint Wax Mint Dental Floss Gum Soft Picks J and J Waxed Mint Reach Floss 100 Yds 50/Ct 55 Yds 90612N 10666 90077 $2.00 $4.00 $2.75

Mint Flosser with Pick 90/Ct Red Cross Canker Sore Pain Steripod Manual Tongue 10673 Relief Medicine Cleaner 2/Pk $2.50 .25 oz 10522 10638 $3.50 $6.75

10 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Dental Care - Denture Limit: 6 units per this category per Quarter Denture Bath with Basket Denture Brush Fixodent Adhesive Neutral 10657 90909 Zinc Free 2.4 oz. $1.50 $0.50 99107 $8.50

Fixodent Free Cream 2.4 oz. Fixodent Original 1.4 oz. Fixodent Plus Scope Adhesive 99109 90128 2 oz. $8.50 $5.00 99110 $8.50

Freshmint Denture Adhesive Freshmint Denture Cleanser Freshmint Denture Cleanser 2.4 oz. Tablets 40/Ct Tablets 90/Ct 90908 90906 90655N $3.50 $2.75 $5.50

Oral B Denture Brush Polident 3-Minute Tablets 40/Ct Polident Overnight Tablets Twin Head 99049 40/Ct 90126 $6.00 91079 $3.25 $6.00

Polident Overnight Tablets Polident Tablets for Smokers Poligrip Super Extra Care 2.2 oz. 84/Ct 40/Ct 90490 90486 99050 $8.25 $9.50 $5.75

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 11 Eligible Items

Dental Care - Denture Limit: 6 units per this category per Quarter Poligrip Super Original 2.4 oz. Poligrip Super SPG Free 2.4 oz. 90491 99047 $8.25 $8.25

Dental Care - Dry Mouth Limit: 6 units per this category per Quarter ACT Dry Mouth Lozenges 18/Ct ACT Total Care Dry Biotene Dry Mouth Balance Gel 10226 Mouth Rinse Mint 18 oz. 1.5 oz. $6.75 00438 00340 $10.50 $9.75

Biotene Dry Mouth Biotene Lozenges 27/Ct Biotene Moisturizing Mouth Oral Rinse 10644 Spray 1.5 fl. oz. 16 fl. oz. $10.50 10224 00304 $9.75 $9.50

Dental Care - Toothbrush Limit: 6 units per this category per Quarter Colgate Medium Toothbrush 99181 $3.00 Colgate Plus Soft Toothbrush 90156A $3.00 Complete Clean Medium Toothbrush 10481 $2.00 Complete Clean Soft Toothbrush 10476 $2.00 Freshmint Nylon Toothbrush 90910 $0.50 Oral B 3D White Soft Toothbrush 90988 $5.00

Dental Care - Toothbrush Electric Limits Below

Interplak Rechargable Cordless Toothbrush Limit: 1 per year 00352 $45.00 Interplak Toothbrush Replacement Heads 2/Ct Limit: 2 per year 00370 $22.25 Sonicare Rechargeable Toothbrush Limit: 1 per year 10645 $45.50 Sonicare Replacement Heads 3/Ct Limit: 2 per year 10646 $53.50

12 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Dental Care - Toothpaste Limit: 6 units per this category per Quarter Aim Toothpaste 5.5 oz. Aquafresh Cavity Protection Biotene Fresh Mint Toothpaste 10466 Toothpaste 5.6 oz. 4.3 oz. $2.50 99044 99045 $4.00 $10.00

Close-Up Cinnamon Flavored Colgate Total Clean Mint Crest Gum Detoxify Deep Clean Toothpaste 4 oz. Toothpaste 4.8 oz. Toothpaste 4.1 oz. 10512 90157 10508 $2.50 $6.50 $9.75

Crest Regular Cavity Protection Freshmint Sensitive Toothpaste Freshmint Anticavity Toothpaste 4.2 oz. 4.3 oz. Toothpaste 4.6 oz. 10509 10616 90911 $3.75 $1.50 $1.50

Listerine Essential Care Original Parodontax Extra Fresh Pepsodent Complete Care Gel Toothpaste 4.2 oz. Toothpaste 3.4 oz. Toothpaste 5.5 oz. 99147 00305 90617 $6.75 $9.25 $2.25

Sensodyne Deep Clean Toothpaste 4.0 oz. 90485 $9.25

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 13 Eligible Items

Diabetic Supplies Limit: 6 units per this category per Quarter Glucose 4 Gram Tablets Glucose SOS Instant Dissolve Gold Bond Diabetic Orange Flavor Powder 6/Ct Fruit Medley Foot Cream 3.4 oz. 50/Ct 10446 10223 00296 $11.00 $11.25 $8.00

Diabetic Supplies - Socks Limit: 6 units per this category per Quarter

Cotton Diabetic Socks - Black Cotton Diabetic Socks - White $11.50 $11.50

10609 - Small/Medium 1 pair 00158 - Small/Medium 1 pair

10610 - Large/XL 1 pair 00159 - Large/XL 1 pair

10621 - King Size XXL 1 pair 10617 - King Size XXL 1 pair

Polyester Diabetic Socks - Black Polyester Diabetic Socks - White $11.00 $11.00

10632 - Small/Medium 1 pair 00174 - Large/XL 1 pair

10672 - Large/XL 1 pair 00173 - Small/Medium 1 pair

14 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Diagnostic Equipment Limit: 1 unit per this category per Year Pulse Oximeter 10447 $26.00

Diagnostic Equipment - Thermometers Limit: 1 unit per this category per Year Advocate Non-Contact Digital Ear Thermometer Digital Thermometer Infrared Thermometer 10611 10511 Speaks English/Spanish $32.50 $7.25 99159 $48.00

Digital Thermometer Ear and Forehead Hand Held Digital 9-Second Read Infrared Temple Touch 10460 Thermometer Infrared Probe $7.00 One Second Read Thermometer 10486 99169 $46.25 $16.50

Infrared Forehead Thermometer Non-Contact Infrared Touch Free Infrared One Second Read Thermometer Thermometer 99170 10694 10635 $47.00 $68.00 $73.50

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 15 Eligible Items

Ear Care Limit: 6 units per this category per Quarter Ear Wax Removal Kit 0.5 fl. oz. Lipo-Flavonoid Ear Ringing Swim-Ear Drops 90641 Relief Caplets 72/Ct 1 fl. oz. $5.00 00319 11655 $31.00 $5.00

Eye Care Limit: 6 units per this category per Quarter Blink Contacts Lubricating Eye Clear Eyes Itchy Eye Clear Eyes Triple Action Drop 10mL Relief .5 fl. oz. Relief .5 fl. oz. 90917 91080 91045 $8.75 $5.75 $5.50

Eye Drops Original .5 fl. oz. PreserVision AREDS2 Multi- PreserVision Chewables 60/Ct 90453N -Vitamin 100/Ct 10661 $2.25 10656 $30.00 $45.00

Sterile Irritation Eye Drops Stye Eye Ointment 0.125 oz. Visine A.C. Seasonal .5 fl. oz. 11668 Itching .5 fl. oz. 90588 $10.50 91047 $2.75 $6.25

Visine Advanced Redness Visine Eye Allergy Plus Irritation Relief Eye Drops Relief .5 fl. oz. .5 fl. oz. 10514 99064 $6.00 $8.00

16 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Feminine and UTI Limit: 6 units per this category per Quarter Dmanna UTI Prevention Packets Monistat 7 Day Monistat Chafing Relief Powder 35/Ct 91092 Gel 1.5 oz. 10627 $16.50 91101 $25.00 $10.00

Urinary Pain Relief Max Uristat Ultra with Cranberry UTI Strength Tablets Pain Relief Tablets 24/Ct 30/Ct 10528 00226 $5.25 $11.00

Fiber Supplements Limit: 6 units per this category per Quarter Benefiber 38 Servings Benefiber Assorted Sugar-Free Best Fiber Powder Sugar Free 00830 Chewables 100/Ct 62 Servings $15.00 99021 90575 $18.00 $11.75

Metamucil Capsules 0.52 gram 100/Ct 00359 $22.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 17 Eligible Items

First Aid - Bandages Limit: 6 units per this category per Quarter All-In-One Finger Dressing Antibacterial Sheer Bandages Armor Gel Wound Dressing - 3 Sterile Dressings Assorted 20/Ct 1.5 oz. 91060 90876 10605 $4.00 $3.00 $12.00

Curad Bandage Variety Pack Curad Flexible Assorted Curad Sensitive Comfort Fabric 200/Ct Bandages 100/Ct Bandages 3/4 in. x 3 in. 30/Ct 10488 10487 10494 $8.50 $4.50 $2.00

Curad Soothe and Cool Curad Truly Ouchless XL Elastic Bandage 2 in. x 5 Yds Assorted Burn Bandages 8/Ct 00011 Bandages 8/Ct 00377 $1.50 00375 $5.00 $5.00

Elastic Bandage 3 in. x 5 Yds Elastic Bandage 4 in. x 5 Yds J and J Flexible 3/4 in. x 3 in. 00006 00013 Bandages 30/Ct $1.75 $2.00 10319 $5.00

J and J Flexible Fabric Assorted J and J Flexible Fabric Bandages J and J Hydro Seal All Purpose Bandages 30/Ct XL 1 3/4 in. x 4 in. 10/Ct Large Bandages 6/Ct 10317 10320 10420 $5.00 $5.00 $6.50

18 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

First Aid - Bandages Limit: 6 units per this category per Quarter J and J Large Waterproof Pad J and J Plastic Bandages J and J Flexible Bandages Bandage 6/Ct 3/4 in. x 3 in. 60/Ct 1 in. x 3 in. 100/Ct 10410 10866 10490 $5.50 $4.00 $8.25

J and J Flexible Fabric Assorted New Skin Liquid Bandage Sheer Spot 7/8 in. Bandage Bandages 100/Ct 50 Applications 100/Ct 10489 10322 10135BX100 $7.25 $5.50 $3.00

First Aid - Dressings and Gauze Limit: 6 units per this category per Quarter Cohesive Elastic Bandage Cotton Balls 100% Cotton Swabs 3 in. x 5 Yds Cotton 300/Ct 300/Ct 00010 90773 90891 $2.75 $2.00 $2.50

J and J Gauze Pads 4 in. x 4 in. Gauze Pads 4 in. x 4 in. 100/Ct Krimptex Bandage Roll 10/Ct 10676 4.5 in x 4.1 Yds 10907 $19.50 07104 $4.25 $2.25

First Aid - Tape Limit: 6 units per this category per Quarter

Covered Tape 1/2 in. x 5 yds. 00035 $2.00 Waterproof Tape 1 in. x 10 yds. 00101 $3.00 Waterproof Tri-cut Tape 2 in. x 5 yds. 10039 $2.75

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 19 Eligible Items

First Aid Kits Limit: 6 units per this category per Quarter Burn Care Kit Curad 175 Piece First Aid Kit J and J 140 Piece First Aid Kit 911-90050 99079 90564 $9.00 $14.50 $19.50

Contains: Contains: Contains: 2 Gauze Pads 175 pieces and 140 essential 4 Burn Gel Packets includes all first items to treat cuts 1 Roll of Tape aid essentials and scrapes Mini First Aid Kit Personal Soft Sided First Aid Kit 90457 911-93901-10999 $2.50 $9.75

Contains: Contains: 6 Alcohol Swabs 10 Bandages 2 Gauze Pads 3 Gauze Pads 1 Bandage Roll 4 Alcohol Wipes and more and more

Foot Care Limit: 6 units per this category per Quarter Arm and Hammer Odor Clotrimazole Cream Usp 1% 1 oz. Compound W Plantar Control Foot Powder 90610 Pads 20/Ct 7 oz. $2.50 99078 99158 $11.50 $9.00

Corn and Callus Remover Corn Cushions 9/Ct Foot Care Kit .3 fl. oz. 90609 911-90061 90608 $2.00 $12.25 $4.25

J and J Hydro Seal Blister Toe J and J Hydro Seal Extreme Liquid Wart Remover .31 fl. oz. Bandages 8/Ct Blister Cushions 90605 10431 5/Ct $5.00 $6.00 10425 $6.00

20 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Foot Care Limit: 6 units per this category per Quarter Lotrimin Spray 4.6 oz. Medicated Corn Micatin Antifungal Cream .5 oz. 90943 Remover Pads 9/Ct 10655 $11.00 11950 $8.75 $2.25

Moleskin Plus Toe Separators: Tolnaftate Antifungal Cream 4/Sheets • 2 Small .5 oz. 90604 • 2 Medium 90905 $3.25 • 2 Large $2.00 90636 $5.00

Zeasorb Athletes Foot Powder 2.5 oz. 00324 $9.50

Hemorrhoid Limit: 6 units per this category per Quarter Hemorrhoid Relief Ointment Hemorrhoidal Suppositories Medicated Pads 100/Ct 2 oz. 12/Ct 90651 90139 90154 $5.50 $5.00 $4.00

Preparation H Cooling Gel Preparation H Suppositories Preparation H Totable Wipes 0.9 oz. 24/Ct 10/Ct 99157 99145 99152 $11.50 $22.00 $5.25

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 21 Eligible Items

Hemorrhoid Home Testing Limit: 6 units per this category per Quarter Tucks Medicated Early Result One Step Pregnancy Test 1/Ct Pads 40/Ct Pregnancy Test 1/Ct 00245 90940 00246 $4.75 $7.50 $4.75

Hot and Cold Therapy Limit: 6 units per this category per Quarter Air Activated Heat Wrap Back/ Air Activated Heat Wrap Neck/ Cold and Hot Reusable Eye Hip 2/Ct Shoulder 3/Ct Compress 2.5 in. x 5 in. 10634 10640 10103 $6.25 $6.25 $1.50

Migraine Cooling Mask Reusable Gel Cold Pack Reusable Gel Neck Cold Pack 10658 10.5 in x 14.5 in. 23 in. $6.50 10654 10660 $15.75 $16.75

Advocate Heating Pad Classic Select Heat Heating Biofreeze Roll On 12 in. x 15 in. Pad King Size 2.5 oz. 90890 12 in. x 24 in. 10671 $20.00 10404 $16.00 $40.00

Icy Hot Cream 1.25 oz. Maximum Strength Cold and Salonpas Deep Relieving Gel 10053 Hot Pain Relief Liquid Roll On 2.75 oz. $6.00 2.5 fl. oz. 91030 90122 $10.25 $6.00

22 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Hot and Cold Therapy Limit: 6 units per this category per Quarter Salonpas Pain Relieving Hot-Gel Extra Strength Cold and Hot Thermacare Muscle and Joint Patch 6/Ct Therapy Patch 5/Ct Heatwrap 1/Ct 90889 90459 91031 $10.25 $5.25 $4.00

Thermacare Lower Back and Thermacare Neck To Arm Combination Hot Hip Heatwraps 2/Ct Heatwraps 3/Ct Water Bottle 90885 90887 w/Enema system $10.00 $10.00 10403 $11.00

Instant Heat Pack 5 in. x 9 in. Reusable Ice Bag Medium 9 in. Soft Touch Reusable Hot/Cold 00067 10089 Gel Packs 2/Ct $1.00 $7.00 10458 $5.00

Therma-Kool Reusable Cold / Hot Pack 6 in. x 10 in. boxed 10693 $2.50

Incontinence Unlimited

A & D Ointment 15 oz. - Generic 10485 $3.75 A & D Original Ointment 1.5 oz. 11640 $5.25 Vitamin A & D Ointment 4 oz. - Generic 99094 $2.00 Balmex Adult Cream 3 oz. 91043 $6.75 Balmex Zinc Oxide Cream 2 oz. 91088 $5.50 Flushable Adult Wipes 48/Ct 10012 $4.25 Prevail 30 in. x 30 in. Absorbent Bed Pads - Disposable 10/Ct 90057 $9.00 Prevail Adult Washcloths 48/Ct 11089 $5.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 23 Eligible Items

Incontinence Unlimited

Prevail Bariatric "A" Brief with Tabs 12/Ct Waist Size: 62 in. - 73 in. 10449 $18.00 Prevail Bariatric "B" with Tabs 10/Ct Waist Size: Up to 100 in. 10454 $24.00 Prevail Bladder Control Pads Maximum 48/Ct 99161 $16.00 Prevail Bladder Control Pads Moderate 20/Ct 99162 $7.00 Prevail Bladder Control Pads Ultra Thin 30/Ct 99163 $7.75 Prevail Breezers360 Large Waist with Tabs 18/Ct Waist Size: 45 in. - 62 in. 10496 $17.00 Prevail Breezers360 Medium Waist with Tabs 16/Ct Waist Size: 26 in. - 48 in. 10495 $11.00 Prevail Breezers360 X-Large Waist with Tabs 15/Ct Waist Size: 58 in. - 70 in. 10497 $16.00 Prevail Daily Pant Liners Light-Moderate Size Small 52/Ct 10498 $16.00 Prevail Male Guard Pads 14/Ct 99164 $6.00 Prevail Per-Fit Protective Underwear Women XLarge 14/Ct 99160 $14.50 Prevail Per-Fit Protective Underwear Women/Medium 20/Ct 99167 $14.50 Prevail Per-Fit Underwear Women/Large 18/Ct 99168 $14.50

Prevail Super Plus Underwear 2XL 12/Ct Waist Size: 68 in. - 80 in. 10455 $17.00

Procare Protective Underwear Large 18/Ct Waist Size: 45 in. – 58 in. 10500 $16.00 Procare Protective Underwear Size Medium 20/Ct Waist Size: 34 in. – 46 in. 10499 $16.25 Protective Underwear Size XL 14/Ct Waist Size: 58 in. – 68 in. 10501 $16.00

Incontinence - Reusable Limit: 3 units per this category per Quarter

Reusable Bed Pad 34 in. x 36 in. 91068 $17.50 Stay Dry Reusable Bed Pad 36 in. x 72 in. 10413 $41.00 Stay Dry Reusable Chair Pad 17 in. x 24 in. 10433 $12.00

Lactose Limit: 6 units per this category per Quarter Dairy Digestive Fast Acting Caplets 60/Ct 99052 $13.50

Lice Limit: 6 units per this category per Quarter Complete Lice Treatment Kit Rid Lice Control Rid Lice Killing Includes: Spray 5 oz. Shampoo 8 oz. • Lice Killing 10421 10434 Shampoo, $10.25 $28.00 • Nit Combing Gel • Bedding Spray 00247 $20.00

24 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Lip Care Limit: 6 units per this category per Quarter Abreva Care Pump 2.0 Gram Blistex Medicated Lip Balm Blistex Medicated Lip Ointment 99043 00325 00326 $28.50 $3.00 $3.50

Campho-Phenique Cold Sore Medicated Lip Balm Neosporin Lip Overnight Treatment Gel .23 oz. Generic Carmex Renewal .27 oz. 11633 00327 10406 $7.00 $1.75 $6.50

Menopause Relief Limit: 6 units per this category per Quarter Estroven Extra Strength Caplets Estroven PM Caplets 30/Ct 28/Ct 10667 10662 $22.25 $30.00

Motion Sickness Medication Limit: 6 units per this category per Quarter Bonine Motion Sickness 16/Ct Dramamine Tablets 12/Ct Motion Sickness All Day Less 10653 90201 Drowsy 8/Ct $9.25 $6.50 10643 $2.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 25 Eligible Items

Ointments and Topicals Limit: 6 units per this category per Quarter Antifungal Cream 1 oz. Aveeno Anti-Itch Bacitracin Ointment 1 oz. 10752 Lotion 4 oz. 00065 $4.50 99056 $2.50 $9.75

Benadryl Extra Itch Calamine Lotion Hydrocortisone 1% Cream Cooling Spray 2 oz. 6 fl. oz. with Aloe Anti-Itch Maximum 99058 90933 Strength $8.75 $3.25 90935 $3.00

Hydrocortisone Cream 1% 1 oz. Itch Relief Cream Extra Neosporin Burn Relief Ointment 10057 Soothing 1 oz. .5 oz. $2.25 90095 10419 $3.50 $8.50

Neosporin Ointment .5 oz. Safetec First Aid Burn Triple Antibiotic Ointment 00835 Gel 4 oz. Generic Neosporin- Plus 1 oz. $7.75 90471 90932 $4.25 $8.25

Triple Antibiotic Ointment Tube Wound Seal + Applicator 4/Ct Wound Seal Topical Powder 1 oz. 10482 4/Ct 00049 $14.25 10475 $3.00 $10.50

26 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Ointments and Topicals - Analgesics Limit: 6 units per this category per Quarter Aspercreme 1.25 oz. Aspercreme Lidocaine Bengay Greaseless 10050 No Mess Liquid Topical Analgesic $5.50 Roll On 2.5 oz. Cream 2 oz. 00328 10323 $12.50 $6.50

Bengay Vanishing Cortizone-10 Cream 2 oz. Flex All Ultra Plus 2oz. Scent Topical 99100 91082 Gel 2 oz. $11.25 $8.75 10424 $6.00

Lido Aid Pain Relieving Muscle and Joint Vanishing Muscle Rub Ultra Strength Pain Gel .17 oz Scent Gel 3 oz. Relieving Cream 3 oz. 10445 90901 90900 $8.50 $3.00 $3.25

Pain Relief Lidocaine Patches Salonpas Lidocaine Plus Cream Salonpas Lidocaine Plus liquid 5/Ct 3 oz. Roll On 3 fl.oz 10457 10448 10453 $6.25 $14.50 $14.50

Tiger Balm Arthritis Tiger Balm Pain Relieving Tiger Balm Pain Relieving Patch Rub 4 oz. Hydrogel Patch Large 4/Ct 5/Ct 10636 10464 10465 $16.75 $9.00 $7.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 27 Eligible Items

Ointments and Topicals - Analgesics Limit: 6 units per this category per Quarter Tiger Balm Rub Ultra .63 oz Voltaren Topical Gel 1% 100 10462 Grams $9.00 10664 $28.50

Ointments and Topicals - Cleaners Limit: 6 units per this category per Quarter Alcohol Wipes 1 in. x 2 in. Arm & Hammer Saline Bactine Maximum 200/Ct Wound Wash 7 oz. Pain Relieving 00050F 10674 Cleansing Spray 5 oz. $4.00 $8.75 00329 $9.00

Decolorized Iodine DynaWound Wound J and J Hurt Free 2 oz. Cleanser 8 fl. oz. Antiseptic Wash 6 oz. 91091 10484 10321 $4.50 $5.00 $4.75

Pain Relief Limit: 6 units per this category per Quarter Advil Coated Caplets 200mg Advil Coated Tablets 200mg Advil Liqui-Gels 200mg 80/Ct 50/Ct 100/Ct 99097 91077 90658 $22.00 $11.00 $17.00

Advil Migraine Liqui-Gels Advil PM Coated Caplets Aleve Back and Muscle Pain 200mg 20/Ct 200mg 40/Ct 220mg Tablets 100/Ct 99098 91065 10625 $7.00 $12.50 $25.50

28 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Pain Relief Limit: 6 units per this category per Quarter Aleve Easy Open Cap Aleve Easy Open Cap Aleve Liquid Gels 220mg 220mg Gelcaps 220mg Caplets 80/Ct 40/Ct 100/Ct 99117 11704 99116 $21.75 $11.00 $17.25

Aleve PM Caplets 220mg 20/Ct Arthritis Pain Relief Tablets Aspirin 81mg Chewable Tablets 99023 APAP 650mg 24/Ct Orange 36/Ct $8.50 90601 90598 $5.25 $2.50

Bayer Aspirin Tablets Bayer Aspirin Low Dose Tablets Bayer Aspirin Tablets 325mg 325mg 200/CT 81mg 120/Ct 100/Ct 10619 99026 99027 $24.00 $11.50 $10.75

Bayer Chewable Aspirin Tablets Bayer Extra Strength 500mg Chewable Aspirin 81mg 81mg Cherry 36/Ct Caplets 100/Ct Tablets Orange 36/Ct 90662 10620 90902 $4.50 $19.00 $1.75

Ecotrin Tablets 325mg 125/Ct Excedrin Extra Strength 500mg Excedrin Migraine 500mg 00372 Caplets 100/Ct Caplets 24/Ct $10.00 99101 99102 $17.25 $6.75

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 29 Eligible Items

Pain Relief Limit: 6 units per this category per Quarter Extra Strength Tylenol 500mg Headache Relief Extra Strength Ibuprofen IB Caplets 200mg 50 Packets of 2 100/Ct Acetaminophen 500mg Tablets 100/Ct 00098F 50/Ct 90600N $19.00 99106 $3.25 $3.75

Low Dose Aspirin Tablets 81mg Motrin IB 200mg Tablets 100/Ct Motrin IB 200mg Tablets 50/Ct 120/Ct 90659 91074 11876N $14.25 $9.50 $2.75

Motrin IB Liquid Gels 200mg Naproxen -Generic Aleve Non Aspirin Acetaminophen PM 20/Ct Caplets 220mg 100/Ct Caplets 500mg 50/Ct 99103 90602N 90904 $6.00 $7.75 $2.25

Non-Aspirin Acetaminophen Non-Aspirin Acetaminophen St. Joseph Low Dose Aspirin Extra Strength Caplets Regular Strength Tablets Micro Tablets 81mg 120/Ct 500mg APAP 100/Ct 325mg 100/Ct 91058 90599N 90903 $7.75 $3.00 $2.50

St. Joseph Low Dose Chewable Tens OTC Accu Dual Channel Tylenol 8 Hour Arthritis Aspirin 81mg 36/Ct 3000 Unit 650mg 100/Ct 91057 99115 10416 $2.50 $61.00 $18.00

30 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Pain Relief Limit: 6 units per this category per Quarter Tylenol Arthritis 8 Hour 650mg Tylenol Extra Strength Caplets Tylenol PM 500mg 225/Ct 500mg 100/Ct Caplets 24/Ct 10622 99059 99061 $32.25 $16.25 $6.75

Tylenol Regular Strength Tablets 325mg 100/Ct 99062 $11.75

Limit: 6 units per this category per Quarter Personal Protection Equipment Prices and Purchase Limits are Subject to Change Adult Cotton Mask w/Ear Loop Adult Cotton Mask w/Earloop & Personal Protection Kit 25000 Neck Lanyard 911-11410 $8.00 20000 $7.50 $8.50 Includes Personal Supply of: • Face Masks • Hand Sanitizer • Gloves

Disposable Face Masks 50/Ct Hand Sanitizer 2 oz. Hand Sanitizer 4 oz. 10695 12022 12001 $18.00 $2.00 $4.00

Hand Sanitizer 8 oz. Hand Sanitizer 8 oz. Germ X Hand Sanitizer 12002 00142 with Pump 8 oz. $6.50 $6.00 10692 $6.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 31 Eligible Items

Personal Protection Limit: 6 units per this category per Quarter Equipment - Gloves Prices and Purchase Limits are Subject to Change Curad Nitrile Exam Gloves 10/Ct - One size fits most 10492 Call or check online for pricing Vinyl Gloves - Size Small - 100/Ct 10008 Call or check online for pricing Vinyl Gloves - Size Medium - 100/Ct 10009 Call or check online for pricing Vinyl Gloves - Size Large - 100/Ct 10010 Call or check online for pricing Vinyl Gloves - Size Extra Large - 100/Ct 10011 Call or check online for pricing

Respiratory Relief Limit: 1 unit per this category per Year Cool Mist Humidifier Steam Inhaler 10633 10459 $53.00 $46.00

Skin Care Limit: 6 units per this category per Quarter Aloe Vera 16 oz. Aloe With Lidocaine Dermarest Medicated Psoriasis 90950 Gel 8 oz. Gel 4 fl. oz. $8.50 90951 00330 $4.50 $10.25

Epsom Salt Pouch Gold Bond Eczema Relief Johnsons Baby Powder with 1 lb Cream 5.5 oz Aloe and Vitamin E 10669 10220 15 oz. $3.00 $14.50 10478 $7.25

Petroleum Jelly 13 oz. Scar Away Gel Scar Relief Gel 1.76 oz. 10615 .35 oz. 10523 $2.50 10628 $9.50 $21.75

32 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Skin Care Limit: 6 units per this category per Quarter Vaseline Healing Jelly 13 oz. 10472 $7.50

Skin Care - Sunscreen Limit: 6 units per this category per Quarter Banana Boat Sport SPF 30 Banana Boat Sport SPF 50 Coppertone Sport Sunscreen 3 oz. 8 oz. SPF 30 - 7 oz. 10516 10517 10411 $6.00 $15.75 $15.00

Coppertone Sport Sunscreen Coppertone Sunscreen Sunscreen SPF 50 - 8 oz. SPF 50 - 7 oz. SPF 30 8 oz. 90063 10428 90058 $8.50 $15.75 $15.00

Sleep Aid Limit: 6 units per this category per Quarter Melatonin 3mg Tablets 100/Ct Melatonin 3mg Tablets 120/Ct Melatonin 500mcg Quick 00316 00331 Dissolve 60/Ct $7.75 $9.75 10648 $6.75

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 33 Eligible Items

Sleep Aid Limit: 6 units per this category per Quarter Melatonin Soothers Rest Simply Night Time Sleep Aid -Generic Sominex- 30/Ct Sleep-Aid 24/Caplets Tablets 32/Ct 10430 10505 90925 $3.00 $5.25 $3.25

Sleep Aid -Generic Unisom- Unisom Sleep Gels 32/Ct ZZZQuil Sleepaid 24/Ct 16/Ct 10225 10524 90927 $15.25 $13.75 $5.00

Smoking Cessation Limit: 6 units per this category per Quarter Nicotine Gum 2mg Nicotine Gum 4mg Nicotine Lozenges 2mg 40/Ct 40/Ct 72/Ct 99913 99914 99915 $26.00 $26.00 $40.00

Nicotine Lozenges 4mg Nicotine Patch Step 1 - 21mg Nicotine Patch Step 2 - 14mg 72/Ct 7/Ct 7/Ct 99916 99918 99917 $40.00 $20.00 $20.00

Nicotine Patch Step 3 - 7mg Nicotine Patches Step 1 - 21mg Nicotine Patches Step 2 - 14mg 7/Ct 14/Ct 14/Ct 99919 10407 10423 $20.00 $32.00 $35.00

34 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Smoking Cessation Limit: 6 units per this category per Quarter Nicotine Patches Step 3 - 7mg Nicotine Patches Step 1 - 21mg 14/Ct 28/Ct 10437 10414 $35.00 $52.00

Stomach - Antacids & Acid Reducers Limit: 6 units per this category per Quarter Alka-Seltzer Heartburn Relief Alka-Seltzer Original Foil Tablets Antacid and Pain Reliever 36/Ct Chews Assorted 36/Ct 36/Ct 90649 99025 91048 $5.00 $8.00 $8.00

Chewy Delights Cherry Famotidine Acid Reducer Gelusil Antacid 100/Ct Generic Tums Tablets 10mg -Generic Pepcid 10651 32/Ct 30/Ct $11.75 00335 90648 $5.50 $7.75

Generic Tums 96/Ct Lansoprazole -Generic Omeprazole 20mg Tablets 90919 Prevacid- 15mg Tablets 14/Ct Generic Prilosec 14/Ct $4.50 90984 91070 $16.00 $17.00

Omeprazole 20mg Tablets Omeprazole Dissolving Tablets Pepcid Complete Cool Mint Generic Prilosec- 28/Ct 42/Ct Strawberry Flavor Chewable Tablets 25/Ct 90982 10439 00206 $26.50 $27.00 $16.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 35 Eligible Items

Stomach - Antacids & Acid Reducers Limit: 6 units per this category per Quarter Pepcid Complete On The Go Pepto Bismol 4 fl. oz. Prelief Dietary Supplement Chewable Tablets 90923 Caplets 120/Ct 8/Ct $5.50 00334 10630 $14.25 $8.25

Prilosec 20mg OTC Tablets Prilosec 20mg OTC Tablets Rolaids Advanced Antacid Plus 28/Ct Wildberry Flavor 14/Ct Anti-Gas Chewable Tablets 99105 91075 60/Ct $30.00 $19.00 99154 $8.50

Rolaids Softchews Antacid Rolaids Ultra Antacid Chewable Tums 96/Ct 12/Ct Tablets Fruit 72/Ct Flavors Vary Flavors Vary 99156 90466 99155 $8.50 $7.50 $4.25

Tums Chewy Bites 32/Ct Tums Chewy Delights Cherry Ultra Strength Antacid Assorted Berry 32/Ct Calcium Chewable Tablets 10623 00336 Flavors Vary- 72/Ct $7.00 $8.50 99144 $4.50

36 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Stomach and Laxatives Limit: 6 units per this category per Quarter Anti-Diarrheal Caplets 2mg Anti-Diarrheal/Anti-Gas 2mg Anti-Nausea Liquid 24/Ct Tablets 12/Ct Cherry 4 fl. oz. 90120 10504 90596 $5.00 $5.50 $3.75

Beano Tablets Clearlax 17.9 fl. oz. Clearlax 4.1 fl. oz. 30/Ct 10483 10477 11824 $22.00 $7.00 $8.25

Clearlax 8.3 fl. oz. Enema Laxative 4.5 oz. Equalactin Chews 48/Ct 10480 90918 For Nervous Stomach $13.50 $2.25 00333 $11.00

Ex-Lax Chocolate 24/Ct Gas Relief And Prevention Gas-X Extra Strength 91053 Caplets 20/Ct Softgels 10/Ct $8.25 91054 91052 $6.25 $5.00

Gentle Stool Softener 25/Ct Imodium AD Caplets 24/Ct Imodium Liquid 90590 00836 4 fl. oz. $3.50 $16.25 90657 $8.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 37 Eligible Items

Stomach and Laxatives Limit: 6 units per this category per Quarter Laxative Bisacodyl 25/Ct Miralax OTC 7 Dose Phillips Stool Softner 30/Ct 90589 4.1 oz. 99035 $2.50 90883 $6.75 $10.50

Senna Laxative Tablets 100/Ct Stomach Relief Tablets 30/Ct 90644 10429 $4.75 $4.25

Supports - Ankle Limit: 6 units per this category per Quarter Adjustable Ankle Support Procare Elastic Ankle Support Procare Elastic Ankle Support 10007 Large - This product contains Medium - This product contains $14.00 latex latex 90618 90619 $6.75 $6.75

Procare Elastic Ankle Support Procare Elastic Ankle Support Procare Elastic Ankle Support Small - This product contains XL - This product contains latex XXL - This product contains latex 90621 latex 90620 $6.75 90629 $6.75 $7.00

38 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Supports - Back Limit: 6 units per this category per Quarter Back Stabilizer Large Back Support Mueller Back Brace 39 in. - 50 in. Small / Medium Adjustable 90208 29 in. - 39 in. 28 in. - 50 in. $45.00 90449 90209 $45.00 $26.00

Mueller Back Brace Lumbar Universal Fits 28 in. - 50 in. Waist 90210 Be sure to confirm your measurements $35.25 before ordering any wearable item.

Wearable items are Non-Returnable!

Supports - Elbow Limit: 6 units per this category per Quarter Adjustable Arm Sling Neoprene Elbow Support Procare Elastic Elbow Support 10659 One Size Fits All Small 8 in. - 9 in. $11.50 10790 This product contains latex $18.50 90627 $7.00

Procare Elastic Elbow Support Procare Elastic Elbow Support Tera-Prene Tennis Elbow Sleeve Large 10 in. - 11.5 in. XL 11.5 in. - 13 in. XL 12 in. - 14 in. This product contains latex This product contains latex 99089 90626 90628 $22.25 $7.00 $7.00

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 39 Eligible Items

Supports - Knee Limit: 6 units per this category per Quarter DJ Orthopedics Reddie Brace DJ Orthopedics Reddie Brace DJ Orthopedics Reddie Brace Small 13 in. - 14 in. Medium 14 in. - 15 in. Large 15 in. -17 in. 99920 99921 99922 $53.00 $53.00 $53.00

DJ Orthopedics Reddie Brace DJ Orthopedics Reddie Brace Extra Large Scott Specialties XL 17 in. - 19 in. 2XL 19 in. Tera-Prene Knee Support 99923 99084 21.75 in. $53.00 $53.00 99088 $33.50

Procare Knee Support Procare Knee Support Procare Knee Support Small 15.5 in. - 18 in. Medium 18 in. - 20.5 in. Large 20.5 in. - 23 in. This product contains latex This product contains latex This product contains latex 90624 90623 90622 $6.25 $6.25 $6.25

Procare Knee Support X-Large 23 in. - 25.5 in. This product contains latex 90625 $6.25 Be sure to confirm your measurements before ordering any wearable item.

Wearable items are Non-Returnable!

40 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Supports - Stockings Limit: 6 units per this category per Quarter Anti Embolism Stocking 10435 - Small Inspection Toe $14.00 10436 - Small Long 10442 - Medium 10450 - Medium Long 10443 - Large 10451 - Large Long 10444 - XL 10452 - XL long

Mens Black Light Support $22.00 00366 - Small 15-20 mmHg 00367 - Medium 15-20 mmHg 00368 - Large 15-20 mmHg 00369 - Extra Large 15-20 mmHg

Unisex Beige Firm Support $31.00 00386 - Small 30-40 mmHg 00387 - Medium 30-40 mmHg 00388 - Large 30-40 mmHg 00389 - Extra Large 30-40 mmHg

Unisex Beige Medium Support $30.00 00382 - Small 20-30 mmHg 00383 - Medium 20-30 mmHg 00384 - Large 20-30 mmHg 00385 - Extra Large 20-30 mmHg

Womens Beige Light Support $20.00 00362 - Small 15-20 mmHg 00363 - Medium 15-20 mmHg 00364 - Large 15-20 mmHg 00365 - Extra Large 15-20 mmHg

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 41 Eligible Items

Supports - Wrist Limit: 6 units per this category per Quarter Adjustable Wrist Support Unisize Quick-Fit Wrist Support Left Quick-Fit Wrist Support Right 91095 Unisize Unisize $10.50 91096 99119 $22.50 $22.50

Wristlet 91097 $4.00

Wholecare For You Limits Below Pill Bottle Opener Key Turner Auto Drop Eye Drop Guide 10677 10678 10679 $14.75 $14.00 $5.50

Limit: 1 per Year Limit: 2 per year Limit: 1 per year 31 Day Pill Organizer Mobility Light Bath Sponge with Rigid Handles 10680 10681 10682 $10.00 $11.00 $6.50

Limit: 1 per year Limit: 3 per year Limit: 1 per quarter Sock Horse Sock Aid Bariatric Sock Aid Wide Formed Combination Dressing 10683 with Foam Handgrips Stick and Shoe Horn $12.50 10686 10684 $17.50 $18.00

Limit: 1 per year Limit: 1 per year Limit: 1 per year

42 To Order Online Visit us at www.Fieldtex-Gateway.com Eligible Items

Wholecare For You Limits below Zipper and Button Puller Jar opener Bottle opener 10685 10700 10688 $8.50 $15.75 $12.50

Limit: 1 per year Limit: 1 per year Limit: 1 per year Universal Built-Up Handle Diabetic Patient Necklace Heart Patient Necklace 4 Pack 10698 10699 10689 $12.75 $12.75 $7.00

Limit: 2 per year Limit: 1 per year Limit: 1 per year

Dual-Purpose Items

Dual Purpose Item - Members must discuss the use of these items with their physician. Members can purchase these items once their physician recommends using them to treat a specific condition.

Blood Pressure Monitors Limit: 1 unit per this category per Year **Advocate Blood Pressure Monitor XL 00112 Automatic Arm Blood Pressure $36.50 Cuff Circumference: 12.6 in. - 20.5 in. Monitoring System provides accurate and precise measurements giving you the reassurance you need while testing. **Healthmate Cuff Digital Blood Pressure Monitor 90327 Enjoy comfortable self-adjusting cuff $43.50 Cuff Circumference: 9 in. - 13 in. inflation. Measurement algorithm clinically validated. Easy to read display window. **Omron Upper Arm Blood Pressure Monitor 00358 Quick and easy home blood $69.00 Cuff Circumference: 9 in. - 17 in. pressure monitor helps ensure consistent, precise readings and utilizes a simple one touch mode.

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 43 Dual-Purpose Items

Scales Limit: 1 unit per this category per Year **Thinner Analog Dr. Scale by 10405 This analog scale features an extra-large dial and $48.00 ConAir 330 lb. weight capacity with a comfort grip Maximum Weight: 330 lbs. platform and an easy-to-read rotating dial.

**Platform Scale 01070 This digital scale features a large readout that $34.00 Maximum Weight: 440 lbs. immediately calculates your weight when you step onto the scale, an extra-wide platform covered in a non-slip rubber for your safety, and includes 1 lithium battery. **Stainless Steel Digital Scale 01072 This Stainless Steel Scale features a large $49.00 Maximum Weight: 500 lbs. 15.3 in. x 12.8 in. stainless steel platform for extra foot space and an easy to read LED display.

Vitamins, Minerals and Special Supplements Limit: 6 units per this category per Quarter **B-12 1000mcg Melts 100/Ct 00294 $9.75 **B-Complex Softgels 100/Ct 90298 $8.75 **Biotin 10,000mcg 100/Ct 10642 $12.50 **Biotin 2,000mcg Quick Dissolve 90/Ct 10647 $6.25 **Calcium 500mg + D Tablets 130/Ct 00339 $13.25 **Calcium 600mg + D 200 IU Tablets 60/Ct 90230 $3.00 **Calcium Citrate Plus D3 Tablets 60/Ct 10520 $7.75 **Calcium Citrate Tablets 100/Ct 10506 $7.50 **Chocolate Calcium Chews 60/Ct 90966 $7.75 **Co Q10 100mg Softgels 40/Ct 00360 $31.25 **Daily Men/Women Maximum Vitamin Pak 30/Ct 00361 $24.00 **Daily One Multivitamin For Women 100/Ct 90961 $11.00 **Ferosul 5 Iron Tablets 100/Ct 90245 $3.00 **Fish Oil Cholesterol Free 1000mg Softgels 120/Ct 90964 $8.00 **Folic Acid 400mcg Tablets 250/Ct 00343 $7.50 **Generic Centrum Silver 125/Ct 00345 $8.00 **Geritol Multivitamin 100/Ct 10652 $14.00 **Glucoflex Glucosamine and Chondroitin Caplets 60/Ct 11869 $17.00 **Iron 65mg Tablets 180/Ct 00346 $11.25 **K 100mcg Tablets 100/Ct 99069 $4.75 **Magnesium 500mg Tabs 100/Ct 90240 $5.50 **Magnesium Citrate 250mg Softgels 60/Ct 00347 $15.00 **Mega Red Omega 3 Krill Oil 500mg 40/Ct 10471 $46.00 **Multi-Vitamin with Iron 100/Ct 90257 $4.00

44 To Order Online Visit us at www.Fieldtex-Gateway.com Dual-Purpose Items Vitamins, Minerals and Special Supplements Limit: 6 units per this category per Quarter

**One A Day Proactive 65plus For Men And Women 150/Ct 99033 $14.75 **One A Day Womens 50plus Advantage 65/Ct 90663 $14.25 **Oyster Shell 500mg Plus D Tablets 150/Ct 90237 $6.50 **Potassium Gluconate 595mg Tablets 100/Ct 99076 $6.75 **Sustain Release B-Complex Tablets 60/Ct 11863 $9.00 **Vitamin B-12 1000mcg Quick Dissolve 200/Ct 10649 $18.00 **Vitamin B-12 250mcg Tablets 100/Ct 11864 $7.00 **Vitamin B-12 500mcg Tablets 100/Ct 91083 $10.50 **Vitamin B-6 50mg Tablets 100/Ct 90577 $4.25 **Vitamin C 1000mg Tablets 100/Ct 00349 $17.50 **Vitamin C Chewables Wafers 500mg 60/Ct 00350 $11.75 **Vitamin C-500 Tablets 100/Ct 11861 $5.50 **Vitamin D 10mcg Tablets 100/Ct - Equivalent to 400 IU 90309 $3.50 **Vitamin D 5000 IU Softgels 100/Ct 99073 $22.00 **Vitamin E 100 IU Dl-Alpha Softgels 100/Ct 90316 $4.00 **Vitamin E-400 IU Dl-Alpha Softgels 90/Ct 11862 $7.75

Weight Loss - Kitchen Scales Limit: 2 units per this category per Year **Digital Kitchen Food Scale - Stainless 10507 $24.00 **Premium Stainless Steel Food Scale 10521 $29.75

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 45 Active Ingredients Active Ingredients - The following list contains the active ingredients included in each product listed in the catalog. If the item you are looking for is not on the below list it means it has no active ingredients. Please note that products are listed in order by part number.

Acronym Quick Reference Guide The following acronyms have been Identified with an asterisk (*) in the Active Ingredients Section ALU - Aluminium Hydroxide PVM/MA - Abstract Polyvinylmethylether/maleic acid FCC - Food Chemical Codex TAED - Tetraacetylethylenediamine GALU - Galacsosidase Units USP - United States Pharmacopeia HBr - Hydrobromide Syrup VP/VA - Polyvinylpyrrolidone/Vinyl Acetate HCL - Hydrochloride W/V - Weight by volume IU - International Units W/W - Percent weight/weight NSAID - Nonsteroidal Anti-inflammatory Drug

Units of measurement mg - milligrams mcg - micrograms g - grams

00049 Triple Antibiotic Ointment Tube 1 oz. Bacitracin Zinc USP* 400 Units, Neomycin Sulfate USP* 3.5 mg, Polymyxin B Sulfate USP* 5,000 Units 00050F Alcohol Wipes 200/Ct Isopropyl Alcohol -2-Propanol- 70% 00065 Bacitracin 1 oz. Bacitracin Zinc 500 Units 00098F Extra Strength Tylenol 500mg 50 Acetaminophen 500mg packets of 2 100/Ct 00142 Safetec Hand Sanitizer 8 Oz. Ethyl Alchhol 66.5% 00203 Zyrtec 10mg Tablets 30/Ct Cetirizine HCL* 10mg 00206 Pepcid Complete Cool Mint Famotidine 10mg Chewable Tablets 25/Ct 00226 Uristat Ultra with Cranberry UTI Phenazopyridine HCL* 99.5mg Pain Relief Tablets 30/Ct 00247 Complete Lice Treatment Kit Piperonyl Butoxide 4%, Pyrethrum Extract equivalent to 0.33% Includes: Lice Killing Shampoo, Nit Pyrethrins Combing Gel and Bedding Spray 00294 B-12 1000mcg Melts 100/Ct Vitamin B12 as Cyanocobalamin 1000mcg 00296 Glucose 4 gram tablets - Orange Vitamin C 10% Flavor - 50/Ct Fexofenadine Tablets 30/Ct - 00301 Fexofenadine HCL* USP*, 180mg Generic Allegra Acetaminophen 325mg, Dextromethorphan HBr 15mg, 00302 Vicks Nyquil Liqui-Caps 24/Ct Doxylamine Succinate 6.25mg Dentek Instant Oral Pain Relief 00303 Benzocaine 20% 50/Applications 00304 Purified Water, Glycerine, Xylitol, Sorbitol, Propylene, Glycol, Biotene Dry Mouth Oral Mouth Poloxamer 407, Sodium Benzoate, Hydroxyethyl Cellulose, Rinse 16 fl. oz. Methylparaben, Propylparaben, Flavor, Sodium Phosphate, Disodium Phosphate 00305 Parodontax Extra Fresh Toothpaste Stannous Flouride 0.454% 3.4 oz. 00316 Melatonin 3 mg, Dicalcium Phosphate, Microcrystalline Melatonin 3mg Tablets 100/Ct Cellulose, Stearic Acid, Croscarmellose Sodium, Magnesium Stearate, Silica

46 To Order Online Visit us at www.Fieldtex-Gateway.com Active Ingredients

00319 Lipo-Flavonoid Ear Ringing Relief Choline Bitartrate, Inositol, High Potency Lemon Bioflavonoid Caplets 72/Ct Complex 00324 Zeasorb Athletes Foot Powder Miconazole Nitrate 2.5 oz. 00325 Blistex Medicated Lip Balm Dimethicone 2%, Octinoxate 6.6%, Octisalate 4.4% 00326 Blistex Medicated Lip Ointment Camphor .5%, Dimethicone 1.1%, Menthol .625%, Phenol .5% 00327 Medicated Lip Balm Camphor 1.7%, Menthol .7% -Generic Carmex- 00328 Aspercreme Lidocaine No Mess Lidocaine HCL* 4 % Liquid Roll On 2.5 oz. Bactine Maximum Pain Relieving Benzalkonium Chloride 0.13% W/W*, Lidocaine HCL* 2.5% 00329 Cleansing Spray 5 oz. W/W* Dermarest Medicated Psoriasis Gel 00330 Salicylic Acid 3% 4 fl. oz. 00331 Melatonin 3mg Tablets 120/Ct Melatonin 3mg 00333 Equalactin Chews 48/Ct Calcium Polycarbophil 625mg 00334 Prelief Dietary Supplement Caplets Calcium Glycerophosphate 120/Ct 00335 Chewy Delights Cherry -Generic Calcium Carbonate Tums- 32/Ct 00336 Tums Chewy Delights Cherry 32/Ct Calcium Carbonate USP* 1177mg 00339 Calcium 500mg + D Tablets 130/Ct Vitamin D as Calcium 500mg 00340 Biotene Dry Mouth Balance Gel Glycerin, Sorbitol, Xylitol, Carbomer, Hydroxyethyl Cellulose, 1.5 oz. Sodium Hydroxide 00343 Folic Acid 400mcg Tablets 250/Ct Folic Acid 400mcg, Calcium 74mg Vitamin A 2500 IU*, Vitamin C 60mg, Vitamin D 1000 IU*, Vitamin E 50 IU*, Vitamin K 30mcg, Thiamin 1.5mg, Riboflavin 1.7mg, Niacin 20mg, Vitamin B6, Folic Acid 400mcg, Vitamin B12 25mcg, Biotin 30mcg, Pantothenic Acid 10mg, Calcium Generic Centrum Silver 125/Ct 00345 220mg, Phosphorus 20mg, Iodine 150mcg, Magnesium 50mg, Zinc 11mg, Selenium 19mcg, Copper .5mg, Manganese 2.3mg, Chromium 50mcg, Molybdenum 45mcg, Chloride 72mg, Potassium 80mg 00346 Iron 65mg Tablets 180/Ct Calcium 18mg, Iron 65mg 00347 Magnesium Citrate 250mg Softgels Magnesium 250mg 60/Ct 00349 Vitamin C 1000mg Tablets 100/Ct Vitamin C 1000mg Vitamin C Chewables Wafers 00350 Vitamin C 500mg, Sodium 50mg 500mg 60/Ct 00359 Metamucil Capsules 0.52 gram Dietary Fiber 2g, Soluble Fiber 2g, Protein less than 1g, Iron 100/Ct .4mg, Potassium 25mg 00360 Co Q10 100mg Softgels 40/Ct Coenzyme Q-10 100mg

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 47 Active Ingredients

Ascorbic Acid, Calcium Carbonate, dl-Alpha Tocopheryl Acetate, Cellulose Gel, Gelatin -from one or more of the following: Cod, Cusk, Flounder, Haddock, Hake, Pollock, Redfish, and Sole- Dibasic Calcium Phosphate, Glycerin, Hydroxypropyl Methylcellulose, d-Calcium Pantothenate, Magnesium Oxide, Thiamin Mononitrate, Pyridoxine HCL*, Potassium Chloride, Riboflavin, Niacinamide, Malto-

dextrin, Niacinamide Ascorbate, Stearic Acid, Rose Hips, 00361 Daily Men/Women Maximum Croscarmellose Sodium, Crospovidone, Water, Soybean Oil, Vitamin Pak 30/Ct Magnesium Stearate, Silicon Dioxide, Acacia, Zinc Oxide, Polyethylene Glycol, Manganese Sulfate, Yellow Beeswax, Sunflower Oil, Copper Oxide, Starch -Corn and Tapioca-, Vitamin A Acetate, Beta Carotene, Folic Acid, Sodium Borate, Chromium Chloride, Lutein, Potassium Iodide, Cyanocobal- amin, Biotin, Corn Oil, Sodium Selenate, Sodium Molybdate, Sodium Metavanadate, Stannous Chloride, Phylloquinone, Vitamin D, Nickelous Sulfate, Sodium Metasilicate. 00372 Ecotrin Tablets 325mg 125/Ct Aspirin NSAID* 325mg 00438 ACT Total Care Dry Mouth Rinse Sodium Flouride .02% Mint 18 oz. 00830 Benefiber 38 Servings Wheat Dextrin 00835 Neosporin Ointment .5 oz. Neomycin Sulfate, Bacitracin Zinc and Polymixin B 00836 Imodium AD Caplets 24/Ct Loperamide HCL* 2mg 10050 Aspercreme 1.25 oz. Trolamine Salicylate 10% 10053 Icy Hot Cream 1.25 oz. Methyl Salicylate 30% 10057 Hydrocortisone Cream 1% 1 oz. Hydrocortisone USP* 1% 10220 Gold Bond Eczema Relief Cream Colloidal Oatmeal 2% 5.5 oz 10221 Anbesol Maximum Strength .33 oz. Benzocaine 20% 10222 Nasacort Allergy 24 Hour 60/Spray Triamcinolone Acetonide -Glucocorticoid- 55mcg 10223 Gold Bond Diabetic Foot Cream 3% Dimethicone, 30% White Petrolatum 3.4 oz. Purified Water, Glyercin, Xylitol, PEG-60, Hydrogenated Biotene Moisturizing Mouth Spray Castor Oil, VP/VA* Copolymer, Flavor, Sodium Benzoate, 10224 1.5 fl. oz. Xanthan Gum, Methylparaben, Propylparaben, Sodium Saccharin, Cetylpyridinium Chloride 10225 Unisom Sleep Gels 32/Ct Diphenhydramine HCL* 50mg 10226 ACT Dry Mouth Lozenges 18/Ct Isomalt, Xylitol, Glycerin J and J Hurt Free Antiseptic Wash 10321 Benzalkonium Chloride 0.13%, Lidocaine HCL* 2% 6 oz. New Skin Liquid Bandage 50 10322 Benzethonium Chloride 0.2% Applications Bengay Greaseless Topical 10323 Menthol 10%, Methyl Salicylate 15% Analgesic Cream 2 oz. Flonase Nasal Spray For Allergies 10400 Fluticasone Propionate -glucocorticoid- 50mcg 120/Spray 10401 Theraflu Nighttime Severe Cough & Acetaminophen 650mg, Diphenhydramine 25mg, Cold 6/Ct Phenylephrine HCL* 10 Neosporin Lip Overnight Renewal 10406 White Petrolatum 77.4% .27 oz.

48 To Order Online Visit us at www.Fieldtex-Gateway.com Active Ingredients

Nicotine Patches Step 1 - 21mg 10407 Nicotine 21mg delivered over 24 hours 14/Ct 10411 Coppertone Sport Sunscreen SPF Avobenzone 3.0%, Homosalate 8.0%, Octisalate 4.5% 30 - 7 oz. Octocrylene 6.0% 10414 Nicotine Patches Step 1 - 21mg Nicotine 21mg delivered over 24 hours 28/Ct 10416 Tylenol 8 hr Arthritis 650mg 100/Ct Acetaminophen 650mg Neosporin Burn Relief Ointment Bacitracin Zinc 500 units, Neomycin Sulfate 3.5mg, 10419 Polymyxin B Sulfate, 10,000 units, Pramoxine HCL* 10mg, .5 oz. Purpose First Aid Antibiotic External Analgesic 10421 Rid Lice Control Spray 5 oz. Permethrin 0.50% 10423 Nicotine Patches Step 2 - 14mg Nicotine 14mg delivered over 24 hours 14/Ct 10424 Bengay Vanishing Scent Topical Menthol 2.5% Gel 2 oz. 10428 Coppertone Sport sunscreen SPF Avobenzone 3%, Homosalate 10%, Octisalate 4.5%, 50 - 7 oz. Octocrylene 8% 10429 Stomach Relief Tablets 30/Ct Bismuth Subsalicylate 262mg 10430 Melatonin Soothers 30/Ct Melatonin 1mg 10434 Rid Lice Killing Shampoo 8 oz. Piperonyl Butoxide 4%, Pyrethrum Extract 10437 Nicotine Patches Step 3 - 7mg Nicotine 7mg delivered over 24 hours 14/Ct 10439 Omeprazole Dissolving Tablets Omeprazole 20mg 42/Ct Strawberry Flavor 10445 Lido Aid Pain Relieving gel .17 oz Lidocaine HCL* 4% 10446 Glucose SOS Instant Dissolve Dextrose, Malic Acid, Citric Acid, Tricalcium Phosphate, Powder 6/Ct Fruit Medley Natural Fruit Punch Flavor 10448 Salonpas Lidocaine Plus Cream Benzyl Alcohol 10%, Lidocaine HCL* 4% 3 oz. 10453 Salonpas Lidocaine Plus liquid Roll Benzyl Alcohol 10%, Lidocaine HCL* 4% On 3 fl.oz 10457 Pain Relief Lidocaine Patches 5/Ct Lidocaine 4% 10462 Tiger Balm Rub Ultra .63 oz Camphor, Menthol 10463 Vicks VapoInhaler Menthol Scent Camphor, Menthol, Methyl Salicylate, Siberian Fir Oil 10464 Tiger Balm Pain Relieving Hydrogel Camphor, Menthol, Capsicum Extract Patch Large 4/Ct Tiger Balm Pain Relieving Patch Camphor 80mg/Patch, Menthol 24mg/Patch, Capsicum 10465 5/Ct Extract 16mg/Patch 10466 Aim Toothpaste 5.5 oz. Sodium Fluoride 0.24% Mega Red Omega 3 Krill Oil 500 10471 Krill Oil mg 40/Ct 10472 Vaseline Healing Jelly 13 oz. White Petrolatum, USP* 100% 10475 Wound Seal Topical Powder 4/Ct Hydrophilic Polymer and Potassium Ferrate 10477 Clearlax 4.1 oz. Polyethylene Glycol 3350 10478 Johnsons Baby Powder with Aloe Zea Mays -Corn- Starch, Tricalcium Phosphate, Fragrance, and Vitamin E 15 oz. Aloe Barbadensis Leaf, Tocopheryl, Vitamin E 10480 Clearlax 8.3 oz. Polyethylene Glycol 3350

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 49 Active Ingredients

10482 Wound Seal + Applicator 4/Ct Hydrophilic Polymer, Potassium Ferrate 10483 Clearlax 17.9 oz. Polyethylene Glycol 3350 10484 DynaWound Wound Cleanser Benzethonium Chloride 0.13% 8 fl. oz. 10485 A & D Ointment 15 oz. White Petrolatum USP* 76% W/W* 10504 Anti-Diarrheal/Anti-Gas 2mg Loperamide HCL* 2mg, Simethicone 125mg Tablets 12/Ct 10505 Rest Simply Nighttime Sleep-Aid Diphenhydramine HCL* 24/Caplets 10506 Calcium Citrate Tablets 100/Ct Calcium 400mg 10508 Crest Gum Detoxify Deep Clean Stannous Fluoride -0.454%- -0.14% w/v Fluoride Ion Toothpaste 4.1 oz 10509 Crest Regular Cavity Protection Sodium Fluoride .243% Toothpaste 4.2 oz 10512 Close-Up Cinnamon Flavored Sodium Fluoride 0.24% Toothpaste 4 oz Visine Advanced Redness Plus 10514 Alivio Avanzado Visine ½ Fl. Oz. Irritation Relief 1/2 Fl Oz. 10516 Banana Boat Sport 30 SPF 3 oz Avobenzone 2.7%, Homosalate 9%, Octisalate 4.5%, Octocrylene 6.5% 10517 Banana Boat Sport 50 SPF 8 oz Avobenzone 2.7%, Homosalate 9%, Octisalate 4.5%, Octocrylene 6.5% 10520 Calcium Citrate Plus D3 Tablets Vitamin D 12.5mcg, Calcium 630mg 60/Ct 10523 Scar Relief Gel 1.76 oz. Aloe, Chamomile and Allantoin 10524 ZZZQuil Sleepaid 24/Ct Diphenhydramine HCl 25 mg 10528 Urinary Pain Relief Max Strength Phenazopyridine HCL* 99.5mg 24/Ct 10605 Armor Gel Wound Dressing 1.5 oz. Patented Nano Silver Technology 10615 Petroleum Jelly 13 oz White Petrolatum USP 100% Fresh Mint Sensitive Toothpaste 10616 Potassium Nitrate 5%, Sodium Flouride .24% 4.3 oz. 10619 Bayer 200/CT Aspirin 325mg NSAID 10620 ES Bayer 100/Ct Aspirin 500mg NSAID 10622 Tylenol Arthritis 8 hr. 225/Ct Acetaminophen 650 mg 10623 Tums Chewy Bites 32/Ct Calcium Carbonate 750mg 10624 Afrin No Drip Allergy/Sinus .5 oz. Oxymetazoline HCL* .05% 10625 Aleve Back and Muscle Pain 100/Ct Naproxen sodium 220mg 10626 Bryonia 6x, Gelsemium Sempervirens 6x, 12x, 30x, Sambucus Sambucol Cold & Flu Tablets Nigra 3x, 6x, Sulphur 12x, Zincum Gluconicum 2x, 6x 10627 Dmanna UTI Prevention D-mannose 10628 Scar Away Gel .35 oz. Polysiloxanes, Silicon dioxide 10629 Zyrtec 90/Ct Cetirizine HCL* 10mg

10630 Pepcid Complete On The Go 8/Ct Famotidine 10mg, Calcium Carbonate 800mg, Magnesium Hydroxide 165mg 10631 No Drip Original Afrin .5 oz. Oxymetazoline HCL* .05%

50 To Order Online Visit us at www.Fieldtex-Gateway.com Active Ingredients

10636 Tiger Balm Arthritis Rub 4 oz. Camphor 11%, Menthol 11% 10637 Silver Immune Support 16 oz. Purified Silver 50 mcg Red Cross Canker Sore Pain Relief 10638 Benzocaine 20% Medicine .25 oz 10639 Mentholatum No-Mess Roll On Camphor 5.3%, Eucalyptus Oil 1.3%, Menthol 2.8% 1.76 oz. 10641 Greaseless Mentholatum 1.76 oz. Camphor 5.3%, Eucalyptus Oil 1.3%, Menthol 2.8% 10642 Biotin 10,000mcg 100/Ct Biotin 10,000mcg 10643 Motion Sickness All Day Less Meclizine HCL* 25mg Drowsy 8/Ct Isomalt, Xylitol, Water, Glycerin, Sodium Citrate, Natural and Biotene Lozenges 27/Ct 10644 Artificial Flavor, Pectin, Sucralose, FD&C blue 1 10647 Biotin 2000mcg Quick Dissolve Biotin 2,000mcg 90/Ct 10648 Melatonin 500mcg Fast Melt 60/Ct Melatonin 500mcg 10649 Vitamin B-12 1000mcg Quick B-12 1,000mcg Dissolve 200/Ct 10650 Cold-Eeeze Cherry Flavor 18/Ct Zincum Gluconicum 2x -13.3 mg Zinc

10651 Aluminum Hydroxide Dried Gel 200mg, Magnesium Hydroxide Gelusil Antacid 100/Ct 200mg, Simethicone 25mg Vitamin A 6000 IU, Vitamin C 60mg, Vitamin D-3 400 IU, Vitamin E 30 IU, Vitamin K 24 mcg, Vitamin B-1, 1.5mg, Vitamin B-2 1.7mg, Niacin 20mg, Vitamin B-6 2mg, Folic Acid 400mcg, Vitamin B-12 6.6 mcg, Biotin 44mcg, Pantothenic 10652 Geritol Multivitamin 100/Ct Acid 13mg, Calcium 148mg, Iron 16.2mg, Phosphorus 115mg, Iodine 120mcg, Magnesium 80mg, Zinc 13.5mg, Selenium 1mcg, Copper 1.8mg, Maganese 2.4mg, Chromium 12mcg, Molybdenum 1 mcg, Chloride 33mg, Potassium 36mg, Nickel 23mcg, Tin 19mcg, Vanadium 24mcg. 10653 Bonine Motion Sickness 16/Ct Meclizine HCL 25mg 10655 Micatin Antifungal Cream .5 oz. Miconazole Nitrate 2% 10656 Vitamin C 250mg, Vitamin D 300 IU, Vitamin E 200 IU, Vitamin K 15ug, Thiamin .75mg, Riboflavin .85mg, Niacin 10mg, PreserVision AREDS 2 Multi 100/Ct Vitamin B6 1mg, Folic Acid 200ug, Vitamin B-12 12.5ug, Biotin 15ug, Pantothenic Acid 5mg, Iodine 75ug, Magnesium 50mg, Zinc 40mg, Selenium 9.5ug, Copper 1mg, Maganese 25ug, Molybdenum 22.5ug, Lutein 5mg, Zeaxanthin 1mg

10661 PreserVision Chewable 60/Ct Vitamin C 250mg, Vitamin E 200 IU, Zinc 40mg, Copper 1mg, Lutein 5mg, Zeaxanthin 1mg Estroven Caplet Extra Strength Dicalcium phosphate 90mg, Black Cohosh Root Extract 10662 80mg, Soy Isoflavones 60mg, Green Tea Lea Extract 100mg, 28/Ct Yerba Mate Leaf Extract 30mg, Magnolia Bark Extract 15mg Zicam Cold Remedy Nasal Swabs 10663 Galphimia Glauca 4x, Luffa Operculta 4x, Sabadilla 4x 20/Ct 10664 Voltaren Topical Gel 1% 100 grams Diclofenac Sodium -NSAID- 1% Dicalcium Phosphate 112mg, Black Cohosh Root Extract Estroven PM Caplet 30/Ct 10667 40mg, Soy Isoflavones 56mg, Melatonin 2mg 10668 Zicam Citrus Rapid Melts 25/Ct Zincum Aceticum 2x, Zincum Gluconium 1x 10669 Epsom Salt Pouch 1 lb Magnesium Sulfate USP 100 10671 Biofreeze Roll On 2.5 oz. Menthol 4%

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 51 Active Ingredients

10674 Arm & Hammer Saline Wound Wash Sterile 0.9% Sodium Chloride Solution. 7 oz. 10691 Mucinex Fast-Max Cold, Flu and Acetaminophen-650mg, Dextromethorphan HBr-20mg, Sore Throat 6 oz Guaifenesin-400mg, Phenylephrine HCl-10 mg. 10752 Antifungal Cream 1 oz. Miconazole Nitrate USP* 2% 10874 Benadryl Allergy Tablets 24/Ct Diphenhydramine HCL* 25mg 11561 Mucinex DM Tablets 20/Ct Dextromethorphan HBr* 30mg, Guaifenesin 600mg Chloraseptic Lozenges - Citrus 11562 Benzocaine 6mg, Menthol 10mg 18/Ct 11569N Complete Allergy Medicine Tablets Diphenhydramine HCL* 25mg 100/Ct Diphenhydramine 25mg 11571 Ricola Cough Drops 21/Ct Menthol 4.8mg

11575 Coricidin HPB Liqui-Gels 20/Ct Chlorpheniramine Maleate 4mg, Destromethorphan Hydrobromide 30mg 11580 Claritin Reditabs 10/Ct Loratadine 10mg Ludens Wild Cherry Throat Drops 11584 Pectin 2.8 mg/Oral Demulcent 30/Ct 11591 Sucrets Sore Throat Cherry Dyclonine HCL* 2mg Lozenges 18/Ct 11601 Halls Honey Lemon Cough Drops Menthol 9.1mg 30/Ct 11625 Vicks VapoRub 3.53 oz. Camphor-Synthetic- 4.8%, Eucalyptus Oil 1.2%, Menthol 2.6% Campho-Phenique Cold Sore 11633 Camphorated Phenol Camphor 10.8% And Phenol 4.7% Treatment Gel .23 oz. 11640 A & D Original Ointment 1.5 oz. Lanolin 15.5%, Petrlatum 53.4% 11655 Swim-Ear Ear Drops 1 fl. oz. Isopropyl Alcohol 95 % 11668 Stye Eye Ointment 0.125 oz. Mineral Oil 31.9% Emollient, White Petrolatum 57.7% Emollient 11703 Halls Menthol-Lyptus Cough Drops Menthol 6.5mg 30/Ct 11704 Aleve Easy Open Cap 220mg Naproxen Sodium 220mg NSAID* Gelcaps 40/Ct 11824 Beano Tablets 30/Ct Alpha-Galactosidase Enzyme 11861 Vitamin C-500 Tablets 100/Ct Vitamin C 500mg 11862 Vitamin E-400 IU Dl-Alpha Softgels Vitamin E 400 IU* 90/Ct Sustain Release B-Complex Tablets Vitamin B1 50mg, Vitamin B2 50mg, Niacin 50mg, Vitamin B6 11863 60/Ct 50mg, Folate 100mcg, Vitamin B12 50mcg Vitamin B-12 250mcg Tablets 11864 Vitamin B 12 -as cyanocobalamin- 250mcg 100/Ct 11869 Glucoflex Glucosamine and Glucosamine HCL* 1500mg, Chondroitin Sulfate 1200mg Chondroitin Caplets 60/Ct Low Dose Aspirin Tablets 81mg 11876N Aspirin 81mg 120/Ct 11950 Medicated Corn Remover Pads Salicylic Acid 9/Ct 11952 Vicks DayQuil Cold and Flu Acetaminophen 325mg, Dextromethorphan HBr 10mg, LiquiCaps 24/Ct Phenylephrine HCL* 5mg 12001 Hand Sanitizer 4 oz. Ethyl Alcohol 70%

52 To Order Online Visit us at www.Fieldtex-Gateway.com Active Ingredients

12002 Coretex Hand Sanitizer 8 oz. SD Alcohol 40-B 62.5% 12022 Hand Sanitizer 2 oz. Ethyl Alcohol 70% Coppertone Sunscreen SPF 30 90058 Avobenzone, Homosalate, Octisalate, Oxybenzone 8 oz. 90063 Sunscreen SPF 50 - 8 oz. Avobenzone 3%, Homosalate 13%, Octisalate 5%, 90080 Orajel Medicated Mouth Sore Benzocaine 20% Swabs 12/Ct 90090 Cough / Cold High Blood Pressure Chlorpheniramine Maleate 2mg, Dextromethorphan HBr* Tablets 16/Ct 30mg 90095 Itch Relief Cream Extra Soothing Diphenhydramine HCL* 2%, Topical Analgesic; Zinc Acetate 1 oz. 0.1%, Skin Protectant 90120 Anti-Diarrheal Tablets 2mg 24/Ct Loperamide HCL* 2mg 90122 Maximum Strength Cold and Hot Menthol 16% Pain Relief Liquid Roll On 2.5 fl. oz.

90128 Fixodent Original 1.4 oz. Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, Silica, Petrolatum Petrolatum 71.9%, Mineral Oil 14.0%, Phenylephrine HCL* Hemorrhoid Relief Ointment 2 oz. 90139 0.25%. 90154 Suppositories 12/Ct Cocoa Butter 85.39%, Phenylephrine HCL* 0.25%. 90157 Colgate Total Clean Mint Stannous Fluoride .454% Toothpaste 4.8 oz. 90201 Dramamine Tablets 12/Ct Dimenhydrinate 50mg 90230 Calcium 600mg + D 200 IU Tablets Calcium Carbonate 600mg, Cholecalciferol 200 Unit 60/Ct Oyster Shell 500mg Plus D Tablets 90237 Cholecalciferol 200 Unit, Oyster Shell 500mg 150/Ct 90240 Magnesium 500mg Tabs 100/Ct Magnesium -as Magnesium Oxide-500mg 90245 Ferosul 5 Iron Tablets 100/Ct Iron 65mg Ascorbic Acid 60mg, Cyanocobalamin 6mcg, Ergocalciferol 400 Unit, Folic Acid, Iron 18 mg, Niacinamide 20 mg, Multi-Vitamin with Iron 100/Ct 90257 Pyridoxine, HCL* 2mg, Riboflavin 2mg, Thiamine HCL* 2mg, Vitamin A Acetate 5000 Unit, Viatmin E 15 Unit 90298 B-Complex Softgels 100/Ct Thiamine 3mg Vitamin D 10 mcg Tablets 100/Ct - 90309 Vitamin D 400 IU* Equivalent to 400 IU Vitamin E 100 IU Dl-Alpha Softgels 90316 Vitamin E 100 IU* 100/Ct 90444 Mentholatum Ointment 1 oz. Jar Camphor 9%, Menthol, Natural 1.3% 90446 Tussin DM 4 fl. oz. Dextromethorphan HBr, USP* 10mg, Guaifenesin, USP*100mg 90447 Ricola Sugar Free Lemon Mint Menthol 4.8mg Throat Drops 19/Ct 90453N Eye Drops Original .5 oz. Tetrahydrozoline HCL* 0.05% 90459 Extra Strength Cold and Hot Menthol 5% Therapy Patch 5/Ct 90466 Tums 96/Ct Flavors Vary Calcium Carbonate USP* 90471 Safetec First Aid Burn Gel 4 oz. Purified Water, Aloe Sensodyne Deep Clean Toothpaste Potassium Nitrate -5%-, Sodium Fluoride -0.15% W/V* 90485 4.0 oz. Fluoride Ion

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 53 Active Ingredients

Polyethylene Glycol, Potassium Monopersulfate, Sodium Benzoate, Sodium Bicarbonate, Sodium Carbonate, Sodium Polident Overnight Tablets 84/Ct 90486 Lauryl Sulfoacetate, Sodium Percarbonate, TAED*, VP/VA* Copolymer PVM/MA* Sodium-Calcium Mixed Partial Salt, Petrolatum, 90490 Poligrip Super Extra Care 2.2 oz. Cellulose Gum, Mineral Oil, Dl-Alpha-Tocopheryl Acetate, Methylparaben, Ethylparaben. Does not contain zinc 90491 Poligrip Super Original 2.4 oz. PVM/MA* Sodium-Calcium Mixed Partial Salt; Petrolatum 90516 Robitussin Cough and Chest Sugar Dextromethorphan HBr* Free 4 fl. oz. 90553 Airborne Original Orange Tablets Vitamins A, C and E, Zinc, Selenium, Manganese, Proprietary 10/Ct Herbal Blend 350mg Proprietary Ammino Acid Blend 50mg Best Fiber Powder Sugar Free 62 90575 Fiber 6g Servings 90576 Mucus Relief DM Tablets 30/Ct Dextromethorphan HBr* 20mg, Guaifenesin 400mg 90577 Vitamin B-6 50mg Tablets 100/Ct Vitamin B-6 50mg, Calcium 40mg 90578 Tussin DM Sugar Free 4 fl. oz. Dextromethorphan HBr*, USP* 10mg, Guaifenesin USP* 100 90579 Effervescent Cold Relief Tablets Acetaminophen 250 mg, Chlorpheniramine Maleate 2mg, 20/Ct Phenylephrine HCL* 5mg Allergy / Sinus Headache Caplets Acetaminophen 325mg, Diphenhydramine HCL* 25mg, 90580 20/Ct Phenylephrine 5mg Allergy 10mg Tablets 30/Ct 90582 Loratadine 10mg Loratidine All Day Allergy Tablets 30/Ct 90584 Cetirizine HCL* 10mg Cetirizene 90588 Sterile Irritation Eye Drops .5 oz. Tetrahydrozoline HCL* .05%, Zinc Sulfate 0.25% 90589 Laxative Bisacodyl 25/Ct Bisacodyl USP* 5mg 90590 Gentle Stool Softener 25/Ct Docusate Sodium 100mg 90596 Anti-Nausea Liquid Cherry 4 oz. Dextrose 1.87g, Levulose 1.87g, Phosperic Acid 21.5mg 90598 Aspirin 81mg Chewable Tablets Aspirin 81mg NSAID* Orange 36/Ct 90599N Non-Aspirin Acetaminophen Extra Acetaminophen 500mg Strength Caplets 500mg APAP 100/Ct 90600N Ibuprofen IB Caplets 200mg 100/Ct Ibuprofen 200mg Arthritis Pain Relief Tablets APAP 90601 Acetaminophen 650mg 650mg 24/Ct 90602N Naproxen -Generic Aleve- Caplets Naproxen Sodium 220mg NSAID* 220mg 100/Ct 90605 Liquid Wart Remover .31 fl. oz. Salicylic Acid 17.5% 90608 Corn and Callus Remover .3 fl. oz. Salicylic Acid 17.5% 90610 Clotrimazole Cream Usp 1% - 1 oz. Clotrimazole 1% 90617 Pepsodent Complete Care Sodium Fluoride 0.24% Toothpaste 5.5 oz. 90639 Night Time Cold-Flu Relief SoftGels Acetaminophen 325mg, Dextromethorphan HBr* 15mg, 16/Ct Doxylamine Succinate 6.25mg 90640 Saline Nasal Spray 1.5 oz. Sodium Chloride 0.65% 90641 Ear Wax Removal Kit 0.5 fl. oz. Carbamide Peroxide 6.5% Non USP*

54 To Order Online Visit us at www.Fieldtex-Gateway.com Active Ingredients

90643 Black Cherry Sugar Free Cough Menthol 6.8mg Drops 25/Ct 90644 Senna Laxative Tablets 100/Ct Sennosides 8.6mg 90648 Famotidine Acid Reducer Tablets Famotidine 10mg 10mg -Generic Pepcid- 30/Ct Aspirin 325mg NSAID, Citric Acid 1000 mg, Sodium bicarbon- 90649 Antacid and Pain Reliever 36/Ct ate -heat-treated- 1916 mg 90651 Medicated Pads 100/Ct Witch Hazel 50% 90657 Imodium Liquid 4 oz. Loperamide HCL* 1mg 90658 Advil Coated Tablets 200mg 100/Ct 200mg Ibuprofen NSAID* 90659 Motrin IB Caplets 100/Ct Ibuprofen 200mg NSAID* Bayer Chewable Aspirin Tablets 90662 Aspirin 81mg NSAID* 81mg Cherry 36/Ct Vitamin A 3500 IU*, Vitamin C 120mg, Vitamin D 1000 IU*, Vitamin E 30 IU*, Vitamin K 20mcg, Thiamin 4.5mg, Riboflavin 3.4mg, Niacin 20mg, Vitamin B6 6mg, Folic Acid 400mcg, One A Day Womens 50plus 90663 Vitamin B12 25mcg, Biotin 30mcg, Pantothenic Acid 15mg, Advantage 65/Ct Calcium 500mg, Iodine 150mcg, Magnesium 50mg, Zinc 24mg, Selenium 27mcg, Copper 2.2mg, Manganese 4.2mg, Chromium 180mcg, Molybdenum 90mcg 90883 Miralax OTC 7 Dose 4.1 oz. Polyethylene Glycol 3350 17g 90889 Salonpas Pain Relieving Hot-Gel Capsicum Extract 0.025% as Capsaicin, Menthol 1.25% Patch 6/Ct Nasal Decongestant Spray -Afrin- 90897 Osymetazoline HCL* 0.05% 1 oz. Muscle Rub Ultra Strength Pain 90900 Menthol 10%, Methyl Salicylate 15% Relieving Cream 3 oz. 90901 Muscle and Joint Vanishing Scent Menthol 2.5% Gel 3 oz. Chewable Aspirin 81mg Tablets 90902 Aspirin 81mg Orange 36/Ct Non-Aspirin Acetaminophen Regu- 90903 Acetaminophen 325mg lar Strength Tablets 325mg 100/Ct 90904 Non Aspirin Acetaminophen PM Acetaminophen 500mg, Diphenhydramine HCL* 25mg Caplets 500mg 50/Ct 90905 Tolnaftate Antifungal Cream .5 oz. Tolnaftate 1%

90908 Cellulose Gum, Mineral Oil, Petrolatum, Beeswax, Polythylene

Freshmint Denture Adhesive 2.4 oz. Oxide, PVM/MA* Calcium-Sodium Salt, D and C Red 27 Aluminum Lake, Tocopheryl Acetate. 90911 Freshmint Anticavity Toothpaste Sodium Fluoride 0.243% - 0.15% W/V Fluoride Ion 4.6 oz. Halls Defense Assorted Sugar Free 90912 Vitamin C 60mg Sugar Alcohols 3g Citrus 25/Ct 90913 Halls Defense Assorted Citrus Vitamin C 60mg 30/Ct 90914 Vitamin C Drops 30/Ct Vitamin C 106mg 90917 Purified Water, Sodium Hyaluronate, Sodium Chloride, Blink Contacts Lubricating Eye Potassium Chloride, Calcium Chloride, Magnesium Drop 10mL Chloride, Boric Acid

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 55 Active Ingredients

90918 Enema Adult 4.5 oz. Monobasic Sodium Phosphate 19g, Dibasic Sodium Phosphate 7g 90919 Generic Tums 96/Ct Calcium Carbonate USP* 500mg 90923 Pepto Bismol 4 fl. oz. Bismuth Subsalicylate 262mg 90925 Sleep Aid -Generic Sominex- 32/Ct Diphenhydramine HCL* 25mg 90927 Sleep Aid -Generic Unisom- 16/Ct Doxylamine Succinate 25mg 90932 Triple Antibiotic Ointment -Generic Bacitracin Zinc 500 Units, Neomycin 3.5mg, Polymyxin B Neosporin - Plus 1 oz. Sulfate 10,000 Units, Pramoxine HCL* 90933 Calamine Lotion 6 fl. oz. Calamine 8%, Zinc Oxide 8% Hydrocortisone 1% with Aloe 90935 Hydrocortisone 1%. Anti-Itch Maximum Strength 90940 Tucks Medicated Pads 40/Ct Witch Hazel 50% 90943 Lotrimin Spray 4.6 oz. Miconazole Nitrate 2% Water, Alcohol Denat., Glycerin, Polysorbate 20, Carbomer, Triethanolamine, PEG-4 Dilaurate, PEG-4 Laurate, Aloe 90950 Aloe Vera 16 oz. Barbadensis Leaf Extract, PEG-4, Benzophenone-4, Imidazolidinyl Urea, Iodopropynyl Butylcarbamate, Fragrance, Yellow 5, Blue1 90951 Aloe With Lidocaine Gel 8 oz. Lidocaine HCL* 0.5% Vitamin A 100mg, Vitamin C 100mg, Vitamin D 800 IU, Vitamin E 35 IU, Vitamin K 50mcg, Thiamin 1.1mg, Riboflavin 1.1mg, Niacin 14mg, Vitamin B6 5mg, Folic Acid 400mcg, Vitamin B12 50mcg, Biotin 30mcg, Pantothenic Acid 5mg, Calcium Daily One Multivitamin For Women 90961 500mg, Iron 8mg, Phospharus 20mg, Iodine 150 mcg, 100/Ct Magnesium 50mg, Zinc 15mg, Selenium 55mcg, Copper 0.5mg, Mangnese 2.3mg, Chromium 50mcg, Molybdenum 50mcg, Chloride 72mg, Potassium 80mg, Boron 150mcg, Nickel 5mcg, Silicon 2mg, Vanadium 10mcg, Lutein 300mcg 90964 Fish Oil Cholesterol Free 1000mg Fish Oil 1000mg, Total Omega-3 Fatty Acids 300mg Softgels 120/Ct 90966 Chocolate Calcium Chews 60/Ct Calcium 500mg Allegra 24 Hour 180mg Tablets 90980 Fexofenadine HCL* 180mg 30/Ct Omeprazole 20mg Tablets 90982 Omeprazole 20mg Generic Prilosec- 28/Ct Lansoprazole -Generic Prevacid- 90984 Lansoprazole 15mg 15mg Tablets 14/Ct 91030 Salonpas Deep Relieving Gel Camphor 3.1%, Menthol 10%, Methyl Salicylate 15% NSAID* 2.75 oz. 91043 Balmex Adult Cream 3 oz. Zinc Oxide 11.3% 91045 Polyvinyl Alcohol 0.5%, Povidone 0.6% ,Tetrahydrozoline HCL* Clear Eyes Triple Action Relief .5 oz. 0.05% 91047 Visine A.C. Seasonal Itching .5 oz. Tetrahydrozoline HCL* 0.05%, Zinc Sulfate 0.25% Alka-Seltzer Original Foil Tablets Anhydrous Citric Acid 1000mg, Aspirin 325mg NSAID*, Sodi- 91048 36/Ct um Bicarbonate -heat-treated- 1916mg 91052 Gas-X Extra Strength Softgels Simethicone 180mg 10/Ct 91053 Ex-Lax Chocolate 24/Ct Sennosides USP* 15mg

56 To Order Online Visit us at www.Fieldtex-Gateway.com Active Ingredients

Gas Relief And Prevention Caplets 91054 Alpha-Galactosidase Enzyme 600 GALU* 20/Ct St. Joseph Low Dose Chewable 91057 Aspirin 81mg NSAID* Aspirin 81mg 36/Ct St. Joseph Low Dose Aspirin Micro 91058 Aspirin 81mg NSAID* Tablets 81mg 120/Ct 91065 Advil PM Coated Caplets 200mg 200mg Ibuprofen NSAID*, 38mg Diphenhydramine Citrate 40/Ct 91070 Omeprazole 20mg Tablets -Generic Omeprazole 20mg Prilosec- 14/Ct 91071 Allegra 12 Hour 60mg Tablets 12/Ct Fexofenadine HCL* 180mg, Pseudoephedrine HCL* 240mg 91074 Motrin IB Caplets 200mg 50/Ct Ibuprofen 200mg NSAID* 91075 Prilosec 20mg OTC Tablets Omeprazole Magnesium 20.6mg Wildberry Flavor 14/Ct 91077 Advil Coated Caplets 200mg 50/Ct 200mg Ibuprofen NSAID* Polyethylene Glycol, Potassium Monopersulfate, Sodium

Benzoate, Sodium Bicarbonate, Sodium Carbonate, Sodium 91079 Polident Overnight Tablets 40/Ct Lauryl Sulfoacetate, Sodium Percarbonate,TAED*, VP/VA* Copolymer 91080 Clear Eyes Itchy Eye Relief .5 oz. Glycerin 0.25%, Naphazoline HCL 0.012%, Zinc Sulfate 0.25% 91082 Flex-All Ultra Plus 2 oz. Menthol 16% 91083 Vitamin B-12 500mcg Tablets Vitamin B-12 -Cyancobalamin- 500mcg and Calcium 100/Ct 91088 Balmex Zinc Oxide Cream 2 oz. Zinc Oxide 11.3% 91091 Decolorized Iodine 2 oz. Alcohol 45% 91092 Monistat 7 Day Miconazole Nitrate 2% 91101 Monistat Chafing Relief Powder Gel Dimethicone 1.2% 1.5 oz. 99021 Benefiber Assorted Sugar-Free Wheat Dextrin Chewables 100/Ct 99023 Aleve PM Caplets 220mg 20/Ct Diphenhydramine HCL 25mg, Naproxen Sodium 220mg Naproxen 200mg NSAID* 99025 Alka-Seltzer Heartburn Relief Calcium Carbonate 750mg Chews Assorted 36/Ct Bayer Aspirin Low Dose Tablets 99026 Aspirin 81mg 81mg 120/Ct 99027 Bayer Aspirin Tablets 325mg 100/Ct Aspirin 325mg NSAID* Vitamin A 2500 IU*, Vitamin C 90mg, Vitamin D 1200 IU*, Thiamin 1.5mg, Riboflavin 1.7mg, Niacin 20mg, Vitamin B6 99033 One A Day Proactive 65plus For 2mg, Folic Acid 400mcg, Vitamin B12 50mcg, Biotin 30mcg, Men And Women 150/Ct Pant thenic Acid 10mg, Calcium 500mg, Iodine 150mcg, Magnesium 100mg, Zinc 15mg, Selenium 55mcg, Copper 1mg, Manganese 2mg, Chromium 24mcg 99035 Phillips Stool Softner 30/Ct Docusate Sodium 100mg 99038 Alka Seltzer Plus Severe Sinus Acetaminophen 325mg, Dextromethorphan HBr* 10mg, Congestion LiquiGels 20/Ct Doxylamine Succinate 6.25mg, Phenylephrine HCL* 5mg 99043 Abreva Oral Care Pump 2.0 Gram Docosanol 10%

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 57 Active Ingredients

99044 Aquafresh Cavity Protection Sodium Fluoride 0.15% w/ Fluoride Ion Toothpaste 5.6 oz. 99045 Biotene Fresh Mint Toothpaste Sodium Fluoride 4.3 oz. 99046 Flonase Nasal Spray For Allergies Flucticasome Propinate -glucocorticoid-50mcg 60/Spray 99047 Poligrip Super SPG Free 2.4 oz. PVM/MA* Sodium-Calcium Mixed Partial Salt; Petrolatum Sodium Bicarbonate, Potassium Monopersulfate, Sodium

Carbonate, Sodium Percarbonate, TAED*, Sodium Benzoate, 99049 Polident 3-Minute Tablets 40/Ct PEG-180, Sodium Lauryl Sulfoacetate, VP/VA* Copolymer, Aroma Sodium Bicarbonate, Citric Acid, Potassium Monopersulfate, Sodium Percarbonate, Sodium Carbonate, TAED*, Sodium 99050 Polident Tablets for Smokers 40/Ct Benzoate, PEG-180, Sodium Lauryl Sulfoacetate, Aroma, VP/VA* Copolymer, Red 33, Red 30 Aluminum Lake Dairy Digestive Fast Acting Caplets 99052 Lactase Enzyme 9000 FCC* Lactase Units 60/Ct 99054 Honey Lemon Cough Drops 30/Ct Menthol 9.1mg 99056 Aveeno Anti-Itch Lotion 4 oz. Calamine 3%, Pramoxine HCL* 1% 99058 Benadryl Extra Itch Cooling Spray Diphenhydramine HCL* 2%, Zinc Acetate 0.1% 2 oz. 99059 Tylenol Extra Strength Caplets Acetaminophen 500mg 500mg 100/Ct 99061 Tylenol PM Caplets 24/Ct Acetaminophen 500mg, Diphenhydramine HCL* 25mg 99062 Tylenol Regular Strength Tablets Acetaminophen 325mg 325mg 100/Ct 99064 Visine Eye Allergy Relief Eye Drops Naphazoline HCL* 0.025%, Pheniramine Maleate 0.3% .5 oz. Tylenol Cold / Flu Severe Caplets Acetaminophen 325mg, Dextromethorphan HBr* 10mg, 99065 24/Ct Guaifenesin 200mg, Phenylephrine HCL* 5mg 99069 K 100mcg Tablets 100/Ct Vitamin K 100mcg 99073 Vitamin D 5000 IU Softgels 100/Ct Vitamin D 5000 IU* Potassium Gluconate 595mg 99076 Potassium -elemental- as Gluconate 99mg Tablets 100/Ct 99078 Compound W Plantar Pads 20/Ct Salicylic Acid 40% Ludens Sugar Free Wild Cherry 99083 Pectin 2.8mg Cough Drop 25/Ct Careall Medicated Chest Rub 99093 Camphor 4.8%, Menthol 2.6%, Eucalyptus Oil 1.2% 3.53 oz. 99094 Vitamin A & D Ointment 4 oz. White Petrolatum 76% W/W* 99097 Advil Liqui-Gels 200mg 80/Ct Ibuprofen 200mg 99098 Advil Migraine Liqui-Gels 200mg Solubilized Ibuprofen equal to 200mg Ibuprofen NSAID* 20/Ct 99100 Cortizone-10 Cream 2 oz. Hydrocortisone 1%. 99101 Excedrin Extra Strength Caplets Acetaminophen 250mg, Aspirin 250mg NSAID* Caffeine 65mg 100/Ct 99102 Excedrin Migraine Caplets 24/Ct Acetaminophen 250mg, Aspirin 250mg, Caffeine 65mg 99103 Motrin IB Liquid Gels 200mg 20/Ct Ibuprofen 200mg NSAID*

58 To Order Online Visit us at www.Fieldtex-Gateway.com Active Ingredients

Omeprazole delayed-release tablet 20mg - equivalent to 99105 Prilosec 20mg OTC Tablets 28/Ct 20.6mg Omeprazole Magnesium Headache Relief Extra Strength Acetaminophen 250mg, Aspirin 250mg NSAID* Caffeine 65mg 99106 Tablets 50/Ct Fixodent Adhesive Neutral Zinc Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, 99107 Free 2.4 oz. Petrolatum, Silica Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, Fixodent Free Cream 2.4 oz. 99109 Petrolatum, Silica Calcium/Sodium PVM/MA*, Mineral Oil, Cellulose Gum, Fixodent Plus Scope Adhesive 2 oz. 99110 Petrolatum, Silica Ricola Cherry Honey Throat Drops 99114 Menthol 2mg 24/Ct 99116 Aleve Easy Open Cap Caplets Naproxen Sodium 220mg NSAID* 100/Ct 99117 Aleve Liquid Gels 220mg 80/Ct Naproxen Sodium 220mg NSAID* Ultra Strength Antacid Calcium Calcium Carbonate USP* 1000mg 99144 Chewable Tablets -Flavors Vary- 72/Ct 99145 Preparation H Suppositories 24/Ct Cocoa Butter 88.44%, Phenylephrine HCL* 0.25% 99147 Listerine Essential Care Original Sodium Monofluorophosphate 0.76% -0.13% W/V* Gel Toothpaste 4.2 oz. Fluoride Ion 99152 Preparation H Totable Wipes 10/Ct Witch Hazel 50% 99154 Rolaids Advanced Antacid Plus Calcium Carbonate USP* 1000mg, Magnesium Hydroxide Anti-Gas Chewable Tablets 60/Ct USP* 200mg, Simethicone USP* 40mg Rolaids Softchews Antacid -Flavors Calcium Carbonate USP* 1330mg, Magnesium Hydroxide 99155 Vary- 12/Ct USP* 235mg 99156 Rolaids Ultra Antacid Chewable Calcium Carbonate USP* 1000mg, Magnesium Hydroxide Tablets Fruit 72/Ct USP* 200mg 99157 Preparation H Cooling Gel 0.9 oz. Phenylephrine HCL* 0.25%, Witch Hazel 50% Arm and Hammer Odor Control Zea Mays -Corn- Starch, Sodium Bicarbonate, Benzethonium 99158 Foot Powder 7 oz. Chloride, Tricalcium Phosphate, Fragrance Alka Seltzer Plus Cold and Cough Acetaminophen 325mg, Chlorpheniramine Maleate 2mg, 99912 LiquiGels 20/Ct Dextromethorphan HBr* 10mg, Phenylephrine HCL* 5mg 99913 Nicotine Gum 2mg - 40/Ct Nicotine Polacrilex 2mg -nicotine- 99914 Nicotine Gum 4mg - 40/Ct Nicotine Polacrilex 4mg -nicotine- 99915 Nicotine Lozenges 2mg - 72/Ct Nicotine Polacrilex 2mg -nicotine- 99916 Nicotine Lozenges 4mg - 72/Ct Nicotine Polacrilex 4mg -nicotine- 99917 Nicotine Patch Step 2 - 14mg - 7/Ct Nicotine 14mg delivered over 24 hours 99918 Nicotine Patch Step 1 - 21mg - 7/Ct Nicotine 21mg delivered over 24 hours 99919 Nicotine Patch Step 3 - 7mg - 7/Ct Nicotine 7mg delivered over 24 hours

To Order by Phone Call us Toll-Free at 1-855-350-0074 (TTY 711) • Mon. - Sat. 8 a.m. to 5 p.m. / Sun. 10 a.m. to 5 p.m. 59 Gateway HealthSM complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Gateway Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Gateway Health:

 Provides free aids and services to people with disabilities to communicate effectively with us, such as:

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 English, such as:

o Qualified interpreters o Information written in other languages

If you need these services, contact Member Services at 1-800-685-5209, 8 a.m - 8 p.m., 7 days a week from October 1 through March 31. From April 1 through September 30 our business hours are 8 a.m. - 8p.m., Monday through Friday. TTY users should call 711.

If you believe that Gateway Health 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:

Gateway Health Appeals and Grievances PO Box 22278 Pittsburgh, PA 15222 Phone: 1-844-207-0336 Fax: 1-412-255-4503

You can file a grievance by mail, or by fax. If you need help filing a grievance, Gateway Health Appeals and Grievances is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for 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 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.

ENGLISH ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-685-5209, (TTY: 711).

SPANISH ATENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. Llame al 1-800-685-5209, (TTY: 711). CHINESE 小贴士：如果您说普通话，欢迎使用免费语言协助服务。请拨 1-800-685-5209, (TTY: 711)。

VIETNAMESE CHÚ Ý: Nếu quý vị nói tiếng Việt, thì có sẵn các dịch vụ trợ giúp ngôn ngữ miễn phí dành cho quý vị. Hãy gọi số 1-800-685-5209, (TTY: 711).

KOREAN 알림: 한국어를 하시는 경우 무료 통역 서비스가 준비되어 있습니다. 1-800-685-5209, (TTY: 711)로 연락주 시기 바랍니다.

TAGALOG Pansinin: Kung nagsasalita ka ng Tagalog, mga serbisyo ng tulong sa wika, nang walang bayad, ay magagamit sa iyo. Tawagan ang 1-800-685-5209, (TTY: 711).

RUSSIAN ВНИМАНИЕ: Если вы говорите на русском языке, вам будут бесплатно предоставлены услуги переводчика. Звоните по телефону: 1-800-685-5209, (телетайп: 711).

ARABIC ﻼﻣﺣﻈﺔ: ذاإ ﻛﻨﺖ ﺗﺘﺤﺪث اﻟﺮﺑﻴﻌﺔ، ﺗﻮﺘﺮﻓ ﺪﻣﺧﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﻳﺔ ﻣﺠﺎﻧﺎﺎ ﻣﻦ أﺟﻠﻚ. اﺗﺼﻞ ﺑﺎﻟﺮﻗﻢ ,1-800-685-5209 (اﻟﻬﺎﺗﻒ اﻟﻨﺼﻲ: 711).

FRENCH CREOLE ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-685-5209, (TTY: 711).

FRENCH ATTENTION : Si vous parlez français, des services gratuits d’interprétation sont à votre disposition. Veuillez appeler le 1-800-685-5209, (TTY: 711).

POLISH UWAGA: Dla osób mówiących po polsku dostępna jest bezpłatna pomoc językowa. Zadzwoń pod numer 1-800-685-5209, (TTY: 711).

PORTUGUESE ATENÇÃO: Se fala português, estão disponíveis serviços gratuitos de assistência linguística na sua língua. Telefone para 1-800-685-5209, (TTY: 711).

ITALIAN ATTENZIONE: Se lei parla italiano, sono disponibili servizi gratuiti di assistenza linguistica nella sua lingua. Chiami 1-800-685-5209, (TTY: 711). JAPANESE お知らせ: 日本語での対応を望まれる方には、無料で通訳サービスをご利用になれま す。電話番号 1-800-685-5209, (TTY: 711)までお問い合わせ下さい。

GERMAN BITTE BEACHTEN: Wenn Sie Deutsch sprechen, stehen Ihnen unsere Dolmetscher unter der Nummer 1- 800-685-5209, (TTY: 711) kostenlos zur Verfügung.

FARSI توجه : چنانچه به زبان فارسی صحبت می کنید، خدمات کمک زبانی، به صورت رایگان، در اختیار شما قرار خواهد گرفت . . تماس بگیرید. با شماره (TTY: 711) ,1-800-685-5209

SERBO-CROATIAN OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-800-685-5209, (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711).

PENNSYLVANIA DUTCH Wann du Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-800-685-5209, (TTY: 711).

NEPALI ध् य् न ि्् दनह् स: तप इल नेप ल् ब् ल् नहनछ भन् ्े तप इक ि््ि् नमत भ् ष् स ह् य त् स््ेव ह ि्् न् शल् क पम् उपल ब धछ । फ न गन ह् स 1-800-685-5209, (�ट�टव इ: 711) ।

OROMO XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-685-5209, (TTY: 711).

BANTU ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona 1-800-685-5209, (TTY: 711).

CAMBODIAN ្ របយត៖ េ្្ េ្េបើស្ នអកនយ ែ្្ ខរ, េ្្ សជំនយែ្្ ផក េ្្យមនគតឈល គឺចនសេបប រអក។ ច្្ ទរស្ព 1-800-685-5209, (TTY: 711)។

HMONG LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800- 685-5209, (TTY: 711). HINDI ,दी बोलते हℂ तो आपके ललए मु त मᴂ भाषा सहायता सेवाएं उपल녍 ध हℂ। 1-800-685-5209 ﴂ 鵍 यान दᴂ: यदद आप ह (TTY: 711) पर कॉल करᴂ।

LAO ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽ ຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-685-5209, (TTY: 711).

GUJARATI સુચના: જો તમ ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટ ઉપલબ્ધ છે. ફોન કરો 1-800-685-5209, (TTY: 711).

DUTCH AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel 1-800-685-5209, (TTY: 711).

UKRAINIAN УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефон уйте за номером 1-800-685-5209, (телетайп: 711).

ROMANIAN ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-800-685-5209, (TTY: 711). 444 Liberty Avenue, Suite 2100 Pittsburgh, PA 15222

2021 Over-the-Counter Ordering Catalog Toll-free: 1-855-350-0074 TTY Hearing impaired: 711

Hours Monday - Saturday 8 a.m. to 5 p.m. Sunday 10 a.m. to 5 p.m.

Online: www.Fieldtex-Gateway.com

Gateway Health offers HMO plans with a Medicare contract. Enrollment in these plans depends on contract renewal.

00250987 Y0097_1672_M