Stomach and Laxatives

Category Limit: 6 Units per Quarter

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922-90120

Anti-diarrheal caplets 2mg 24 ct.

$5.25

922-10504

Anti-diarrheal/anti-gas 2mg tablets 12 ct.

$6.00

922-11824

Emetrol chewable rapid nausea relief 42/ct

$13.00

922-90918

OUT OF STOCK
Enema laxative adult 4.5 fl. oz.

$2.50

922-91053

Miralax OTC seven-dose 4.1 oz.

$11.75

922-99035

Senna laxative tablets 100 ct.

$4.75

922-10429

Stomach relief tablets 30 ct.

922-10429 - Stomach relief tablets 30 ct.

$4.25

This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 27 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.

View Highmark Wholecare’s Nondiscrimination notice here.

Fieldtex is a separate company that administers the OTC, Home Safety, and Air Quality Equipment benefits for Highmark Wholecare.

Stomach and Laxatives

Anti-diarrheal caplets 2mg 24 ct.

Anti-diarrheal/anti-gas 2mg tablets 12 ct.

Beano tablets 30 ct.

Clearlax 17.9 fl. oz.

Clearlax 8.3 fl. oz.

Emetrol chewable rapid nausea relief 42/ct

OUT OF STOCK
Enema laxative adult 4.5 fl. oz.

Ex-lax chocolate 24 ct.

Gentle stool softener 25 ct.

Imodium AD caplets 24 ct.

Imodium liquid 4 fl. oz.

Laxative bisacodyl 25 ct.

Miralax OTC seven-dose 4.1 oz.

Phillips stool softner 30 ct.

Senna laxative tablets 100 ct.

Stomach relief tablets 30 ct.