Over-the-Counter Medications and Products

AmeriHealth Caritas North Carolina covers certain over-the-counter (OTC) medications and products with a prescription from a health care provider. The manufacturer of the medication must have a valid CMS rebate agreement. This includes, but is not limited to:
  • Smoking deterrent agents (nicotine)
  • Proton pump inhibitors 
  • Second-generation antihistamines 
  • Second-generation antihistamines decongestant combination products (quantity limits apply)
  • Insulin
  • Syringes 
  • Test strips 
  • Control solution 
  • Lancets 
  • Lancing device 
  • Pen needles 
  • Contraceptives, oral (levonorgestrel)
  • Cathartics and laxatives — limited to polyethylene glycol 3350

This is not a comprehensive list. Exclusions may apply.

If you have questions about a member's pharmacy benefits or other AmeriHealth Caritas North Carolina pharmacy-related questions, call PerformRx North Carolina Provider Services at 1-866-885-1406.

See information about prior authorizations on our Pharmacy Prior Authorization webpage.

Visit NCDHHS to review the Pharmacy Clinical Coverage Policies.