Keystone First VIP Choice (HMO-SNP) 2021 Over-the-Counter Benefits

Preventative Health Products at No Cost to You

Satisfied OTC Benefits Recipients Welcome to your 2021 Over-the-Counter Benefit, administered by Fieldtex. We hope that you enjoy the selection of products and the convenience of the service. The OTC Benefit is designed to give you access through your health plan to preventative health products that you are already using at no additional cost to you. For ordering assistance, please call 1-844-981-1614 (TTY: 711) Monday - Friday 8 am - 5 pm, Saturday from 9 am - 5 pm and Sunday from 10 am - to 5 pm.

For any other questions, please contact Keystone First VIP Choice Member Services at: 1-800-450-1166 (TTY: 711) 8 am - 8 pm, 7 days a week.

Due to increased demand during the COVID-19 outbreak, we have placed quantity limits on certain items.  Once the national emergency has passed and inventory levels return to normal, these restrictions will be lifted.

If you exceed your available benefit allowance when placing an order, that order will not be processed. Be sure to stay within your available balance when ordering.

Keystone First VIP Choice is an HMO-SNP plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. Enrollment in Keystone First VIP Choice depends on contract renewal.

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922-10695

Disposable Face Masks 50/Ct

922-10695 - Disposable Face Masks 50/Ct
$12.00
922-12001

Hand Sanitizer 4 oz.

922-12001 - Hand Sanitizer 4 oz.
$4.00
922-12002

Hand Sanitizer 8 oz.

922-12002 - Hand Sanitizer 8 oz.
$6.00
922-90643

Black Cherry Sugar Free Cough Drops 25/Ct

922-90643 - Black Cherry Sugar Free Cough Drops 25/Ct
$2.00
922-10481

Complete Clean Medium Toothbrush

922-10481 - Complete Clean Medium Toothbrush
$2.00
922-99044

Aquafresh Cavity Protection Toothpaste 5.6 oz.

922-99044 - Aquafresh Cavity Protection Toothpaste 5.6 oz.
$4.00
922-11633

Campho-Phenique Cold Sore Treatment Gel .23 oz.

922-11633 - Campho-Phenique Cold Sore Treatment Gel .23 oz.
$6.25
922-10451

Anti Embolism Stocking Inspection Toe Large Long

922-10451 - Anti Embolism Stocking Inspection Toe Large Long
$12.50