Sleep Aid

Category Item Limit: 6 Per Quarter

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922-10753

Extended relief melatonin 4mg tablets 90 ct.

922-10753 Extended relief melatonin 4mg tablets 90 ct..

$19.00

922-00316

Melatonin 3mg tablets 100 ct.

922-00316 Melatonin 3mg tablets 100 ct..

$8.75

922-00331

Melatonin 3mg tablets 120 ct.

922-00331 Melatonin 3mg tablets 120 ct..

$10.75

922-10505

Rest simply nighttime sleep-aid caplets 24 ct.

922-10505 Rest simply nighttime sleep-aid caplets 24 ct..

$5.00

922-90925

Sleep aid tablets -generic sominex- 32 ct.

922-90925 Sleep aid tablets -generic sominex- 32 ct..

$3.50

922-90927

Sleep aid tablets -generic unisom- 16 ct.

922-90927 Sleep aid tablets -generic unisom- 16 ct..

$5.50

922-10225

Unisom sleep gels 32 ct.

922-10225 Unisom sleep gels 32 ct..

$17.25

922-10524

Zzzquil sleepaid liquicaps 24 ct.

922-10524 Zzzquil sleepaid liquicaps 24 ct..

$14.00

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.

Highmark Wholecare and Fieldtex Products are not responsible for lost or stolen packages. For delivery issues, please contact your carrier.