Medicaid covers certain over the counter drugs (1 page) that are medically necessary. Only generic versions of certain over the counter drugs are covered. All cough and cold preparations are non-covered.
Medicaid does not pay for:
- OTC items to maintain comfort or treat discomfort
- Any items, both prescription and OTC, to treat coughs and colds
- Over the counter vitamins (Medicaid will cover prescription prenatal vitamins)
QUESTIONS & ANSWERS
1. Why isn't there a specific list of non-covered or excluded medications?
There are over 98,000 over the counter drug packages. The number of drugs is too large to list individually, thus Medicaid has provided a listing by therapeutic class of covered OTC drugs.
2. Who can I contact for more information?
- Prescribers who have questions about this information may call FHSC at:
(603) 224-2083.
- Recipients who have questions about this information may call Medicaid Client Services at: (800) 852-3345, ext. 4344.
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