Over the Counter Drug Program

If you are a member in a CHRISTUS Health Plan Medicare Complete (HMO), Medicare Plus (HMO), or Medicare Guardian (HMO) plan, you have access to an over-the-counter (OTC) pharmacy benefit:

Order Over-the-Counter (OTC) products to be healthy at home


Your OTC Benefit allows you to order from hundreds of useful items that can be mailed directly to your home. There is a wide range of products available and ordering is quick and easy. You can order online by going to our website at ChristusHealthPlanOTC.com, through the OTC-Anywhere mobile app, by mailing in the order form provided in your catalog, or by calling us at the OTC Fulfillment Center at 1-877-906-0738 (TTY: 711), Monday - Friday, 8 a.m. - 11 p.m. EST.

OTC For Medicare Complete/Medicare Plus/Medicare Guardian

This benefit allows for reimbursement of up to $110 every 3 months for over-the-counter drugs included in the Over-the-Counter Formulary, without a prescription.

Medicare Complete Plan
Time Period Limit
(2024) Quarter 1 January- March 2024 $110
(2024) Quarter 2 April - June 2024 $110
(2024) Quarter 3
July - September 2024
$110
(2024) Quarter 4
October - December 2024
$110

This benefit allows for reimbursement of up to $150 every 3 months for over-the-counter drugs included in the Over-the-Counter Formulary, without a prescription.

Medicare Plus Plan  Time Period Limit
(2024) Quarter 1 January- March 2024 $150
(2024) Quarter 2 April - June 2024 $150
(2024) Quarter 3
July - September 2024
$150
(2024) Quarter 4
October - December 2024
$150

This benefit allows for reimbursement of up to $100 every 3 months in 2024 for over-the-counter drugs included in the Over-the-Counter Formulary, without a prescription.

Guardian Plan  Time Period Limit
(2024) Quarter 1 January- March 2024 $100
(2024) Quarter 2 April - June 2024 $100
(2024) Quarter 3
July - September 2024
$100
(2024) Quarter 4
October - December 2024
$100

Disclaimer CHRISTUS Health Plan Medicare Complete, CHRISTUS Health Medicare Plus, and CHRISTUS Health Medicare Guardian is an HMO plan with a Medicare contract. Enrollment in CHRISTUS Health Plan Medicare Complete, CHRISTUS Health Medicare Plus, and CHRISTUS Health Medicare Guardian depends on contract renewal. You must continue to pay your Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Other pharmacies/physicians/providers are available in our network. Medicare beneficiaries may also enroll in CHRISTUS Health Plan Medicare Complete, CHRISTUS Health Medicare Plus, and CHRISTUS Health Medicare Guardian through the CMS Medicare Online Enrollment Center located at medicare.gov. A salesperson will be present with information and applications. This information is available for free in other languages. For accommodations of persons with special needs at sales meetings, call 1-855-897-8982, TTY call 711. Open seven days a week, 8:00 a.m. to 8:00 p.m., local time, from October 1 – March 31, and Monday – Friday, 8:00 a.m. to 8:00 p.m., local time, from April 1 – September 30. A voice response system is available after hours as well as Thanksgiving and Christmas Day. Messages left will be responded to within one (1) business day. CHRISTUS Health Plan Generations Contract #H1189.



Notice CHRISTUS Health Plan does NOT require authorization for in-network behavioral health services. If you have any questions, please call Member Services at: 1-855-897-8982 (TTY, 711)



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Last Updated: 10/27/2022