Over-the-counter Drug Coverage

Tufts Health Plan pharmacy benefits cover the over-the-counter (OTC) drugs and products listed below for members with a prescription, and when dispensed as a prescription at a pharmacy.

Generic vs. brand names

Generic drugs have the same active ingredients and work the same as brand-name drugs. We cover brand-name drugs only when a generic drug is not available.

Copayments for generic drugs

Copayments for generic drugs are $0 for up to a 30-day supply. For additional information, see pharmacy copayments.  

OTC drugs

Acne products

Generic name
(What your doctor should prescribe)

Example of brand name

Benzoyl peroxide 5% and 10%

Benzac W 5

Allergy/antihistamines

Generic name
(What your doctor should prescribe)

Example of brand name

Cetirizine

Zyrtec OTC 

Cetirizine/pseudoephedrine 

Zyrtec-D OTC

Chlorpheniramine 

Chlor-trimeton 

Diphenhydramine

Benadryl

Fluticasone

Flonase

Loratadine

Alavert, Claritin

Loratadine/pseudoephedrine 

Alavert-D, Claritin-D

Triamcinolone nasal spray

Nasacort Allergy

Analgesic/pain drugs

Generic name
(What your doctor should prescribe)

Example of brand name

Acetaminophen (quantity limit 4 gm/day)

Tylenol 

Aspirin

Bayer 

Ibuprofen

Advil 

Naproxen

Aleve

Antacids, antigas and antinausea

Generic name
(What your doctor should prescribe)

Example of brand name

Aluminum hydroxide

Alternagel 

Aluminum hydroxide/magnesium hydroxide

Maalox

Aluminum hydroxide/magnesium hydroxide/simethicone 

Mylanta 

Magaldrate, magaldrate/simethicone

Riopan 

Meclizine

Dramamine 

Simethicone 

Mylicon

Antidandruff

Generic name
(What your doctor should prescribe)

Example of brand name

Selenium sulfide topical

Selsun Blue

Antidiarrheals

Generic name
(What your doctor should prescribe)

Example of brand name

Acidophilus, lactobacillus (age 18 and under) 

Culturelle, Probiotic, Acidophilus 

Bismuth subsalicylate, attapulgite

Pepto-Bismol, Kaopectate

Loperamide

Imodium AD

Antifungal drugs

Generic name
(What your doctor should prescribe)

Example of brand name

Clotrimazole 1% topical 

Lotrimin

Clotrimazole 1% vaginal 

Gyne-Lotrimin 

Miconazole topical 

Monistat-Derm 

Miconazole vaginal 

Monistat

Tolnaftate

Tinactin

Antiulcer drugs/heartburn

Generic name
(What your doctor should prescribe)

Example of brand name

Cimetidine 

Tagamet 

Esomeprazole (requires prior authorization)

Nexium OTC

Famotidine 

Pepcid AC

Rantidine

Zantac

Contraceptive agents ($0 copayment)

Generic name
(What your doctor should prescribe)

Example of brand name

Levonorgestrel

Plan B

Nonoxynol-9

Conceptrol, Emko

Cough/cold products

Generic name
(What your doctor should prescribe)

Example of brand name

Brompheniramine/phenylephrine

Dimetapp

Guaifenesin 

Robitussin

Guaifenesin DM 

Robitussin DM

Pseudoephedrine

Sudafed

Counterirritants

Generic name
(What your doctor should prescribe)

Example of brand name

Capsaicin

Zostrix

Diabetes drugs

Generic name
(What your doctor should prescribe)

Example of brand name

Glucose tablets and gel

Glucose

Dry-skin preparations

Generic name
(What your doctor should prescribe)

Example of brand name

Ammonium lactate topical

Amlactin

White petrolatum

Hydrolatum

Ear drops

Generic name
(What your doctor should prescribe)

Example of brand name

Carbamide peroxide

Debrox

Electrolyte solution

Generic name
(What your doctor should prescribe)

Example of brand name

Electrolyte solution

Pedialyte

First aid/antiseptics/disinfectants

Generic name
(What your doctor should prescribe)

Example of brand name

Bacitracin topical

Bacitracin topical 

Bacitracin/polymyxin B 

Double antibiotic 

Chlorhexidine gluconate

Hibiclens

Hydrogen peroxide 

Hydrogen peroxide

Iodine

Iodine

Isopropyl alcohol

Isopropyl alcohol 

Povidone

Betadine 

Triple antibiotic ointment, neomycin/bacitracin/polymyxin B

Neosporin

Laxative/stool softeners

Generic name
(What your doctor should prescribe)

Example of brand name

Bisacodyl

Dulcolax

Cascara

Nature’s Remedy

Docusate sodium, docusate calcium 

Colace, Surfak

Docusate sodium with casanthranol 

Docusate sodium with casanthranol

Glycerin suppositories

Glycerin suppositories

Magnesium citrate 

Citrate of Magnesia

Magnesium hydroxide 

Milk of Magnesia 

Methylcellulose 

Citrucel

Mineral oil

Mineral oil 

Psyllium

Metamucil 

Senna

Senokot 

Sennosides/docusate sodium

Doc-Q-Lax

Sodium phosphate

Fleet Enema

Lice treatments

Generic name
(What your doctor should prescribe)

Example of brand name

Permethrin

NIX 

Piperonyl butoxide/pyrethin

RID

Piperonyl butoxide/pyrethin/permethrin

RID Kit

Nasal sprays

Generic name
(What your doctor should prescribe)

Example of brand name

Cromolyn

Nasalcrom 

Oxymetazoline nasal spray

Afrin

Sodium chloride nasal spray

Ocean

Overactive bladder

Generic name
(What your doctor should prescribe)

Example of brand name

Oxybutynin transdermal patch

Oxytrol

Ophthalmic/eye drugs

Generic name
(What your doctor should prescribe)

Example of brand name

Ocular lubricant

Artificial Tears

Ketotifen fumarate 

Alaway, Zaditor 

Naphazoline 

Naphcon

Naphazoline/pheniramine 

Naphcon-A, Opcon-A, Visine-A 

Sodium chloride 5% drops

Muro-128 drops 

Tetrahydrozoline

Visine

Poison ivy/rash treatments

Generic name
(What your doctor should prescribe)

Example of brand name

Calamine lotion

Calamine lotion 

Colloidal oatmeal 

Aveeno Oatmeal Bath 

Hydrocortisone topical 

Anusol-HC

Zinc oxide topical

Balmex

Sleep aids

Generic name
(What your doctor should prescribe)

Example of brand name

Melatonin 1 mg, 3 mg, 5 mg

Melatonin

Smoking deterrents

Generic name
(What your doctor should prescribe)

Example of brand name

Nicotine gum 

Nicorette, Nicorette DS 

Nicotine lozenges

Commit

Nicotine patch

Nicoderm

Vitamins/minerals/supplements

Generic name
(What your doctor should prescribe)

Example of brand name

Calcium carbonate

Oscal 

Calcium carbonate with vitamin D 

Oscal + D 

Calcium citrate

Citracal 

Calcium citrate with vitamin D 

Citracal + D

Calcium with vitamin D

Calcium with vitamin D 

Co-enzyme Q10 (age 18 and under)

Co-enzyme Q10

Ferrous fumarate

Femiron 

Ferrous gluconate

Fergon

Ferrous sulfate 

Feosol 

Fish oil

Fish oil

Folic acid

Folvite 

Magnesium gluconate 

Magonate 

Magnesium oxide

Uro-Mag

Multivitamins

Multivitamins

Multivitamins with minerals

Multivitamins with minerals

Niacin 

Niacin

Niacinamide 

Niacinamide 

Nicotinic acid 

Niaspan ER 

Omega-3 fish oil

Omega-3 fish oil

Potassium phosphate

Neutra-Phos, Neutra-Phos K 

Prenatal vitamins (without DHA) 

Prenatal vitamins (without DHA) 

Vitamin A

Vitamin A

Vitamin B 

Vitamin B

Vitamin B-12

Vitamin B-12

Vitamin C 

Vitamin C 

Vitamin D 

Vitamin D 

Vitamin E

Vitamin E

Pharmacy supplies (durable medical equipment)

$0 copayment

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 150 per 30 days; Abbott exclusive)

Humidifiers/vaporizers

  • Humidifiers/vaporizers (one per year)

Copayments and covered drugs are subject to change.

Questions about our OTC drug coverage?

We're here to help. Please call our member services team at 888.257.1985.