SOLIS Health Plans is an HMO with a Medicare contract and a contract with the Florida Medicaid Program. Enrollment in SOLIS Health Plans, Inc. (HMO) depends on contract renewal.

Atención: Si usted habla español, servicios de asistencia en español, de forma gratuita, están disponible para usted. Llame al 1 (844) 447-6547 (TTY 711).

Name/Nombre: Phone/Teléfono:

Lorem ipsumMember ID/No de Membresía:

Address/Dirección: Order Month/Mes de Orden:                  

OTC $45SPF 001 (HMO) Miami-Dade County

Plan:

DISCLAIMER:

H0982_100OTC452019_MH0982_100OTC452019_M

BRAND NAME SIZE COSTNombre de Marca Dosis Tamaño Precio

101102103104105106107108

109110111112113114115116117

118119120121

STRENGTHQTY. GENERIC NAMECantidad Nombre Genérico

PROBIOTIC WITH VEGGIE CAP Probiotic 40 $13.00Pepto-Bismol 8oz $5.00

LOPERAMIDE SOLUTION Imodium Solution 1mg/7.5ml 4oz $7.00

ANTI-DIARRHEALS • Antidiarréicos

LOPERAMIDE TABLETS Imodium AD 2mg 12 $7.00

GAS RELIEF Gas-X 80mg 36 $8.00RANITIDINE Zantac 75mg 30 $10.00OMEPRAZOLE Prilosec OTC 20mg 14 $12.00MINERAL OIL Mineral Oil 16oz $7.00EFFERVESCENT PAIN RELIEF Alka Seltzer 36 $6.00CIMETIDINE TABLETS Tagamet HB 200 200mg 30 $10.00CALCIUM ANTACID TABLETS Tums EX Assorted 750mg 96 $6.00ANTACID LIQUID/ANTIGAS Mylanta / Maalox 12oz $6.00

ANTACIDS • Antiácido

ACID GONE CHEWABLE Gaviscon Chewable 160-105mg 100 $10.00

ACETAMINOPHEN ARTHRITIS Tylenol Arthritis 650mg 100 $10.00MINERAL ICE Mineral Ice 4oz $8.00HEADACHE RELIEF Excedrin Migraine 250-250-65mg 100 $10.00IBUPROFEN Advil / Motrin 200mg 50 $5.00ICY HOT MEDICATED PATCHES Icy Hot 5 $8.00BABY ASPIRIN CHEWABLE Bayer Baby Aspirin 81mg 36 $4.00ASPIRIN TABLETS (COATED) Ecotrin 325mg 100 $4.00

PAIN RELIEVERS • AnalgésicosACETAMINOPHEN Tylenol Extra 500mg 100 $8.00

GNP BISMUTH SUBSALICYLATE

200 $4.00201 $5.00202 $7.00203 $2.00204 $4.00205 $6.00206 $10.00207 $11.00208 $4.00209 $5.00210 $6.00211 $35.00212 $10.00213 $11.00

214 $11.00215 $12.00

216 $10.00217 $8.00

218 $3.00219 $6.00

220 $13.00221 $7.00222 $3.00223 $11.00224 $6.00225 $6.00226 $14.00227 $5.00

228 $40.00229 $40.00230 $40.00231 $40.00232 $40.00233 $40.00234 $40.00

STEP 1: NICOTINE 4MG LOZENGE #72 Step 1: Nicotine 4MG Lozenge #72

4mg 72STEP 2: NICOTINE 2MG LOZENGE #72 Step 2: Nicotine 2MG Lozenge

#722mg 72

STEP 3: NICOTINE 7MG/24 HR PATCH #7 Step 3: Nicotine 7MG/24 HR Patch #7

7mg/24hr 7STEP 1: NICOTINE 4MG MINT GUMGUM #110

Step 1: Nicotine 4MG Mint Gum Gum #110

4mg 110STEP 2: NICOTINE 2MG MINT GUMGUM #110

Step 2: Nicotine 2MG Mint Gum Gum #110

2mg 110

SMOKING CESSATION PRODUCTS • Productos para dejar de fumarSTEP 1: NICOTINE 21MG/24 HR PATCH #7 Step 1: Nicotine 21MG/24 HR

Patch #721mg/24hr 7

STEP 2: NICOTINE 14MG/24 HR PATCH #7 Step 2: Nicotine 14MG/24 HR Patch #7

14mg/24hr 7

COTTON SWABS Q-Tips 300DIMENHYDRINATE Dramamine 50mg 12

MISCELLANEOUS • Misceláneo

TOOTHBRUSH Toothbrush 1FIXODENT ADHESIVE CREAM Fixodent Adhesive Cream 2.4oz

MOISTURIZER LOTION Skin Moisturizer 10ozPETROLEUM JELLY LIP BALM Vaseline Lip Balm .35oz

CAVITY PROTECTION TOOTHPASTE PLAIN Cavity Protection Toothpaste 6.4ozTOTAL WHITENING TOOTHPASTE Total Whitening Toothpaste 6oz

URINARY PAIN RELEIF Azo Standard 95mg 30SALICYLIC ACID Compound W liquid 17% .31oz

SUNSCREEN LOTION SPF 30 Sunscreen Lotion SPF 30 7.3ozVitamin E Oil 2.5oz

DENTURE CLEANSER Denture Cleanser 40FULLY AUTOMATIC BP MONITOR Blood Pressure Monitor 1

VITAMIN E OIL

2ozHEMORRHOIDAL SUPPOSITORIES Preparation H Suppository 12

CLOTRIMAZOLE CREAM Lotrimin Cream 1% 1ozTOLNAFTATE Tinactin 1% .5oz

16ozSF NATURAL FIBER POWDER Metamucil SF Powder 10oz

Diabetes Trio 60GUAIFENESIN SF Diabetic Tussin SF 100mg/5ml 4oz

GLUCOSE TABLETS Glucose Tablets 4GRM 10

TUSSIN DM SF Robitussin DM Sugar Free 4ozCALCIUM ANTACID EXTRA STRENGTH Tums Extra Strength SF 80

CHROMIUM PICOLINATE

DIABETES TRIO

IROFOL Iron Supplement

ISOPROPYL ALCOHOL Isopropyl Alcohol

ALCOHOL SWABS Alcohol Swabs 100Chromium Picolinate (Blood Sugar Aid)

100

HEMORRHOIDAL OINTMENT Preparation H Ointment

100mg/EI 4oz

ANTI-FUNGAL CREAMS • Cremas para Hongos

ANTI-HEMORRHOIDALS • Antihemorroidal

DIABETIC SECTION • Sección de Diabéticos

161 $12.00162 $13.00163 $14.00164 $17.00

165 $6.00166 $12.00167 $4.00168 $12.00169 $11.00

170 $7.00171 $6.00172 $6.00173 $21.00174 $5.00175 $9.00176 $17.00177 $4.00178 $13.00179 $8.00180 $8.00181 $4.00182 $7.00183 $3.00184 $6.00185 $6.00186 $9.00187 $6.00188 $4.00189 $8.00190 $7.00191 $15.00192 New Pharma $17.00193 $5.00194 New Pharma $15.00

195 $6.00196 $15.00197 $7.00198 $7.00199 $16.00

ALMEBEX PLUS B12 New PharmaVENIPHLEX

EPAMAX

MERITENE POWDER New Pharma Meritene Powder 16oz

LECITHIN 1200MG Mason Lecithin 1200mg 1200mg 100EMERGEN-C Emergen-C 3.3oz 10

ZINC SULFATE Zinc Sulfate 50mg 100SERENITAS (SLEEP AID) New Pharma Serenitas (Sleep Aid) 3mg 30

GINKGO BILOBA Mason Ginkgo Biloba 500mg 60Epamax (Vegetarian EPA & DHA Omega)

60

Almebex plus B12 8ozVeniphlex (Leg Vein Health) 60

B 12 SUBLINGUAL Mason B 12 Sublingual 1000mcg 100Mason Acidophilus with Pectin 100

Vit D - 1000 IU Mason Vit D 1000 IU 1000IU 60FOLIC ACID Mason Folic Acid 800mcg 100

MELATONIN AND B6 Mason Melatonin and B6 5mg/1mg 60Vit D - 2000 IU Mason Vit D 2000 IU 2000IU 60

VITAMIN C 500 MG Mason Vitamin C (Ascorbic Acid) 500mg 100VITAMIN E 400 IU Mason Vitamin E 400IU 100

VITAMIN A 10,000 IU Mason Vitamin A 10,000IU 100VITAMIN B COMPLEX Mason Mega B Complex 100

SAW-PALMETTO Mason Saw-Palmetto 500mg 60VITA TRUM Mason Centrum Silver 100

IRON Mason Feosol 100PROSTATE THERAPY Mason Urinozinc 60

FISH OIL (OMEGA 3) Mason Fish Oil (Omega 3) 1000mg 120 Mason Glucosamine 1500/1200 100

CO-ENZYME Q-10 Mason CoQ10 200mg 30DAILY MULTI VITAMINS Mason One A Day Essentials 100

Mason Caltrate + D3 60CALCIUM CITRATE + D3 Mason Citracal+D3 60

SENNA TABS (Natural Laxative) Senokot 8.6mg 100VITAMINS/MINERALS/HERBS • Vitaminas/Minerales/Hierbas

Mason Oscal 500mg 100

GLYCERIN SUPPOSITORIES (Adult) Fleet Suppositories 25NATURAL FIBER POWDER Metamucil 13oz

LAXATIVES • Laxantes

BISACODYL TABLETS Dulcolax 5mg 25DOCUSATE SODIUM 250mg 100

MICONAZOLE VAGINAL CREAM Monistat Vaginal Cream 100mg 1.5ozTIOCONAZOLE 1 Tioconazole 7% .16oz

CLOTRIMAZOLE VAGINAL Gyne-Lotrimin 1% 1.5ozMICONAZOLE 7 VAGINAL SUPPOSITORIES Monistat Vaginal 100mg 7

FEMININE HYGIENE • Higiene Femenina

H0982_100OTC452019_M H0982_100OTC452019_M

CALCIUM 500 (OYSTER SHELL) CALCIUM CARBONATE + D3

GLUCOSAMINE / CHONDROITIN

ACIDOPHILUS WITH PECTIN

122 Mucinex $13.00123 Benadryl Capsules $5.00124 Robitussin $6.00125 Robitussin DM $7.00126 Claritin / Alavert $15.00127 Vicks Vaporub $7.00128 Afrin $7.00129 Tylenol Cold $8.00130 Ocean $5.00131 Chloraseptic $6.00132 Oral Thermometer $7.00133 Allegra $14.00134 Claritin Syrup $10.00

$25.00135136 Zyrtec $16.00137 $1.00

138 $7.00139 $6.00140 $14.00141 $14.00142 $13.00

143 $18.00144 $18.00145 $18.00146 $18.00

147 $6.00148 $4.00149 $6.00150 $13.00151 $7.00152 $14.00153 $6.00154 $6.00155 $7.00156 $7.00157 $7.00158 $2.00159 $5.00160 $2.00

Hydrogen PeroxideHYDROGEN PEROXIDE

4ozGUAIFENESIN

FLONASE 120 MD 50mcg

COTTON BALLS Cotton Balls 100

16ozIODINE Iodine 1oz

MUSCLE RUB Ben-Gay 3ozTRIPLE ANTIBIOTIC OINTMENT Neosporin 1oz

HYDROCORTISONE OINTMENT Cortaid Ointment 1.0% 1ozMEDICATED CALLUS REMOVER Dr Scholl’s Callus Rem. 6

HOT & COLD THERAPY COMPRESS Hot & Cold Therapy Compress

1HYDROCORTISONE CREAM Cortaid Cream 0.50% 1oz

CAPSAICIN CREAM (ARTHRITIS PAIN RELIEF RUB) Zostrix 2ozELASTIC BANDAGE (2 OR 3 INCHES) Ace Bandage 1

BANDAGE STRIPS Band-Aids 60CALAMINE LOTION Caladryl 6oz

INCONTINENCE UNDERWEAR UNISEX (XLARGE) Depend Underwear Unisex XLARGE 20

FIRST AID • Primeros Auxilios

ANTI ITCH CREAM Benadryl Cream 1oz

INCONTINENCE UNDERWEAR UNISEX (MEDIUM) Depend Underwear Unisex MEDIUM 20INCONTINENCE UNDERWEAR UNISEX (LARGE) Depend Underwear Unisex LARGE 20

SYSTANE ULTRA Systane Ultra .3oz

INCONTINENCE • Incontinencia

INCONTINENCE UNDERWEAR UNISEX (SMALL) Depend Underwear Unisex SMALL 20

Lutein Plus Tablets

60GENTEAL TEARS TWIN PACK Genteal Tears .5oz

EYE / EAR CARE • Cuidado de la Vista / Oído

EAR WAX DROPS Debrox .5ozEYE DROPS Visine Redness Relief .5ozLUTEIN PLUS WITH ZEAXANTHIN Mason

CERTIZINE HCLFlonase 120 MD

10mg 30TRAVEL THROAT SIZE LOZENGE HALLS Stick Honey Lemon 9

LORATADINE SYRUP 5mg 4oz

ORAL THERMOMETER 1FEXOFENADINE HCL 180mg 15

SEA SOFT NASAL MIST 1.5ozSORE THROAT SPRAY 6oz

NASAL SPRAY 1ozACETAMINOPHEN COLD 24

LORATADINE 10mg 30MEDICATED CHEST RUB 3.5oz

GUAIFENESIN/DEXTROMETHORPHAN 4oz

MUCUS RELIEF 400mg 60DIPHENHYDRAMINE CAPSULES 25mg 24

COUGH / COLD / ALLERGY • Tos / Resfriado / Alergia

Extra Strength Stool Softner