2024 OTC Products Mail-Order Form Instructions
This document provides detailed instructions for ordering Over-the-Counter (OTC) products through the CarePlus plan. It includes information on allowances, ordering processes, and support contacts. Essential for CarePlus members wishing to utilize their OTC benefits.
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How do I fill this out?
To fill out the form, begin by carefully reviewing your available OTC allowance based on your CarePlus plan. Next, select the desired products from the catalog and note the corresponding item numbers. Finally, complete the order form with your personal information and preferred payment method.

How to fill out the 2024 OTC Products Mail-Order Form Instructions?
1
Review your OTC allowance according to your plan.
2
Choose products from the catalog and note their item numbers.
3
Fill out your personal details on the order form.
4
Indicate your payment method for any amounts exceeding your allowance.
5
Submit the completed order form by mail, fax, or phone.
Who needs the 2024 OTC Products Mail-Order Form Instructions?
1
CarePlus members who want to order OTC products for personal use.
2
Individuals with a CareEssentials Allowance benefit to access extra purchasing power.
3
Members needing to stay within their monthly allowance for budget management.
4
Patients relying on OTC medications as part of their healthcare plan.
5
Customers looking for convenient online ordering options.
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What are the instructions for submitting this form?
To submit your OTC order form, please use one of the following methods: Mail the completed form to CenterWell Pharmacy, Attn: OTC Department, 3401 SW 160th Ave., Miramar, FL 33027. Alternatively, you can fax the form to 1-888-778-8384. For phone orders, call CenterWell Pharmacy at 1-800-526-1490. Ensure your form is complete to avoid any processing issues.
What are the important dates for this form in 2024 and 2025?
The key dates for submitting the OTC order form in 2024 include the 20th of each month to ensure timely processing. Be aware that allowances do not roll over to the next month, highlighting the importance of timely submissions. The OTC catalog should be kept accessible for easy ordering.

What is the purpose of this form?
The purpose of the 2024 OTC Products Mail-Order Form is to allow members of the CarePlus plan to utilize their benefits effectively. This form simplifies the process for ordering essential OTC products, ensuring members have easy access to necessary health items. Furthermore, it helps manage the monthly allowance and supports budget-conscious purchasing.

Tell me about this form and its components and fields line-by-line.

- 1. Name: Field for the member's name.
- 2. Address: Field for the member's mailing address.
- 3. Phone Number: Field for the member's contact number.
- 4. Item Selection: Fields for selecting OTC products with item numbers.
- 5. Payment Method: Field for indicating payment details for excess amounts.
What happens if I fail to submit this form?
If the form is not submitted correctly, the order may be canceled, resulting in a loss of items needed. It is crucial to ensure that all payment information and personal details are complete prior to submission.
- Processing Delays: Incomplete forms may result in significant delays in processing your order.
- Order Cancellations: Failure to comply with submission guidelines can result in canceled orders, and items may not be available later.
- Loss of Allowance: Not utilizing your monthly allowance in time may lead to loss of benefits.
How do I know when to use this form?

- 1. Monthly Orders: Use this form to submit your OTC orders by the 20th of each month.
- 2. Accessing Benefits: When you wish to utilize your CarePlus OTC allowance effectively.
- 3. Budget Management: To keep track of your purchases and stay within monthly limits.
Frequently Asked Questions
How do I access the OTC order form?
You can access the OTC order form through the provided link or download it directly from the webpage.
What should I do if my order exceeds my allowance?
If your order exceeds your allowance, please include payment details for the remaining balance.
How can I check my OTC allowance?
You can check your OTC allowance by contacting Member Services or visiting the HealthyBenefitsPlus website.
Can I order items for someone else?
No, it is prohibited to use your OTC allowance to purchase products for anyone other than yourself.
What if I forget to submit my form by the deadline?
Failure to submit your order by the 20th of each month may result in canceled items.
How do I request a new order form?
You can request a new order form by contacting Member Services at the specified phone number.
Is sales tax applied to all items?
Sales tax may apply based on your total order amount exceeding your allowance.
When can I expect my order to arrive?
Typically, orders placed through the OTC form will arrive within a specific timeframe, detailed during the ordering process.
What happens if I submit an incomplete order form?
An incomplete form may lead to processing delays or cancellation of your order; please ensure all parts are filled out.
Can I edit my order after submission?
Once submitted, changes to your order may not be possible; it's essential to review before sending.
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