Tufts Health RITogether pharmacy

What if I need OTC drugs?

Tufts Health Plan pharmacy benefits cover the over-the-counter (OTC) drugs and products listed below for Tufts Health RITogether members with a prescription and when dispensed as a prescription at a pharmacy. We generally only pay for generic version of these OTC drugs. The generic name is what your doctor should be prescribing.

 

Acne products

Generic name
Example of brand name
Benzoyl peroxide 5% and 10%Benzac W 5

 

Allergy/antihistamines

Generic name
Example of brand name
CetirizineZyrtec OTC
Cetirizine/pseudoephedrineZyrtec-D OTC
ChlorpheniramineChlor-trimeton
DiphenhydramineBenadryl
FluticasoneFlonase
LoratadineAlavert, Claritin
Loratadine/pseudoephedrineAlavert-D, Claritin-D
Triamcinolone nasal sprayNasacort Allergy

 

Analgesic/pain drugs

Generic name
Example of brand name
AcetaminophenTylenol
AspirinBayer
Benzocaine gelBaby Teething Gel
IbuprofenAdvil 
NaproxenAleve

 

Antacids, antigas, and antinausea

Generic name
Example of brand name
Aluminum hydroxideAlternagel 
Aluminum hydroxide/magnesium hydroxideMaalox
Aluminum hydroxide/magnesium hydroxide
/simethicone		Mylanta 
Magaldrate, Magaldrate/simethiconeRiopan 
MeclizineDramamine 
Simethicone Mylicon

 

Anti-dandruff

Generic name

Example of brand name

Selenium sulfide topicalSelsun Blue

 

Antidiarrheals

Generic name
Example of brand name
Acidophilus, Lactobacillus
(age 18 and under) 		Culturelle, Probiotic, Acidophilus 
Bismuth subsalicylate, AttapulgitePepto-Bismol, Kaopectate
LoperamideImodium AD

 

Antifungal drugs

Generic name
Example of brand name
Clotrimazole 1% topical Lotrimin
Clotrimazole 1% vaginalGyne-Lotrimin
Miconazole topical Monistat-Derm
Miconazole vaginalMonistat
TolnaftateTinactin

 

Antiulcer drugs/Heartburn

Generic name
Example of brand name
Cimetidine Tagamet 
Esomeprazole
(requires prior authorization)		Nexium OTC
Famotidine Pepcid AC
RantidineZantac

 

Contraceptive agents

Generic name
Example of brand name
LevonorgestrelPlan B
Nonoxynol-9Conceptrol, Emko

 

Cough/cold products

Generic name
Example of brand name
Brompheniramine/phenylephrineDimetapp
Guaifenesin Robitussin
Guaifenesin DMRobitussin DM
PseudoephedrineSudafed

 

Counterirritants

Generic name
Example of brand name
CapsaicinZostrix

 

Diabetes drugs

Generic name
Example of brand name
Glucose tablets and gelGlucose

 

Dry skin preparations

Generic name
Example of brand name
Ammonium lactate topicalAmlactin
White petrolatumHydrolatum

 

Ear drops

Generic name
Example of brand name
Carbamide peroxideDebrox

 

Electrolyte solution

Generic name
Example of brand name
Electrolyte solutionPedialyte

 

First aid/antiseptics/disinfectants

Generic name
Example of brand name
Bacitracin topicalBacitracin topical
Bacitracin/Polymyxin BDouble antibiotic
Chlorhexidine gluconateHibiclens
Hydrogen peroxideHydrogen peroxide
IodineIodine
Isopropyl alcoholIsopropyl alcohol 
PovidoneBetadine 
Triple antibiotic ointment, Neomycin/Bacitracin
/Polymyxin B		Neosporin

 

Laxative/stool softeners

Generic name
Example of brand name
BisacodylDulcolax
CascaraNature’s Remedy
Docusate sodium, Docusate calcium Colace, Surfak
Docusate sodium
with casanthranol		Docusate sodium with casanthranol
Glycerin suppositoriesGlycerin suppositories
Magnesium citrateCitrate of Magnesia
Magnesium hydroxideMilk of Magnesia
MethylcelluloseCitrucel
Mineral oilMineral oil
PsylliumMetamucil 
SennaSenokot 
Sennosides/Docusate sodiumDoc-Q-Lax
Sodium phosphateFleet Enema

 

Lice treatments

Generic name
Example of brand name
PermethrinNIX 
Piperonyl butoxide/PyrethinRID
Piperonyl butoxide/
Pyrethin/Permethrin		RID Kit

 

Nasal sprays

Generic name
Example of brand name
CromolynNasalcrom 
Oxymetazoline nasal sprayAfrin
Sodium chloride nasal sprayOcean

 

Overactive bladder

Generic name
Example of brand name
Oxybutynin transdermal patchOxytrol

 

Ophthalmic/eye drugs

Generic name
Example of brand name
Ocular lubricantArtificial Tears
Ketotifen fumarateAlaway, Zaditor
Naphazoline Naphcon
Naphazoline/pheniramineNaphcon-A, Opcon-A, Visine-A
Sodium chloride 5% dropsMuro-128 drops
TetrahydrozolineVisine

 

Poison ivy/rash treatments

Generic name
Example of brand name
Calamine lotionCalamine lotion
Colloidal oatmealAveeno Oatmeal Bath
Hydrocortisone topicalAnusol-HC
Zinc oxide topicalBalmex

 

Sleep aids

Generic name
Example of brand name
Melatonin 1 mg, 3 mg, 5 mgMelatonin

 

Smoking deterrents

Generic name
Example of brand name
Nicotine gumNicorette, Nicorette DS
Nicotine lozengesCommit
Nicotine patchNicoderm

 

Vitamins/minerals/supplements

Generic name
Example of brand name
Calcium carbonateOscal 
Calcium carbonate
with vitamin D		Oscal + D
Calcium citrateCitracal 
Calcium citrate with vitamin DCitracal + D
Calcium
with vitamin D		Calcium with vitamin D
Coenzyme Q10
(age 18 and under)		Coenzyme Q10
Ferrous fumarateFemiron 
Ferrous gluconateFergon
Ferrous sulfateFeosol
Fish oilFish oil
Folic acidFolvite 
Magnesium gluconateMagonate 
Magnesium oxideUro-Mag
MultivitaminsMultivitamins
Multivitamins
with minerals		Multivitamins
with minerals
NiacinNiacin
Niacinamide Niacinamide 
Nicotinic acidNiaspan ER
Omega-3 fish oilOmega-3 fish oil
Potassium phosphateNeutra-Phos, Neutra-Phos K
Prenatal vitamins
(without DHA) 		Prenatal vitamins
(without DHA) 
Vitamin AVitamin A
Vitamin BVitamin B
Vitamin B-12Vitamin B-12
Vitamin B Complex
with Vitamin C		Vitamin B Complex
with Vitamin C
Vitamin CVitamin C
Vitamin DVitamin D
Vitamin EVitamin E

 

Asthma supplies

  • Peak flow meters
  • Spacers for asthma inhalers (up to four per year)
  • Sodium chloride for inhalation

Diabetes testing supplies

  • Blood glucose meters (up to two per year; Abbott exclusive)
  • Blood glucose test strips (up to 300 per 30 days; Abbott exclusive)