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Over-the-Counter Drug Coverage

The Over-the-Counter (OTC) drugs listed below have been recommended by the South Dakota Medicaid Pharmacy and Therapeutics (P&T) Committee for coverage. The coverage of these OTC drugs is contingent on the adoption of rules allowing OTC drug coverage

As with all drugs covered under the South Dakota Medicaid Drug Program only drugs whose labeler has a signed rebate agreement with the Centers for Medicare and Medicaid Services (CMS) and are ordered by a physician via legal prescription will be covered by South Dakota Medicaid. OTC drugs are to be dispensed to Medicaid recipients in the same manner as legend products are dispensed.

  1. loratadine (all dosage forms and strengths available)
  2. omeprazole (Prilosec OTC 20mg tablets is the only product currently available)
  3. pediculicides (e.g. permethrin)

If you have questions regarding over-the-counter drug coverage, please contact provider telephone service unit at 1-800-452-7691 (for in-state only). Out-of-state providers may call 605-773-3495 and ask for the telephone service unit.