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Sunshine Health OTC Benefits: $25 Monthly Allowance, How to Order and Balance

By Modinul Islam Khan Updated October 23, 2026

Reviewed October 23, 2026. Sunshine Health’s Medicaid OTC benefit gives members $25 per household per month to spend on over-the-counter health products through CVS OTC Health Solutions. You can order online at cvs.com/benefits, in the OTC Health Solutions app, by phone at 1-888-262-6298 (TTY 711), or shop at participating CVS and Navarro stores. Unused money doesn’t roll over to the next month.

Quick answer: The $25 monthly OTC allowance applies to Sunshine Health’s Florida Medicaid plans, including Managed Medical Assistance (MMA), the Medicaid specialty plans, Long-Term Care and the Pathway to Shine child welfare plan. Sunshine Health reduced the OTC amount to $25 per month, per household, effective July 1, 2026. Order by 11:59 p.m. ET on the last day of the month, or the balance is gone.

Sunshine Health OTC benefits at a glance

Feature	Sunshine Health Medicaid OTC benefit (2026)
Amount	$25 per household per month
Plans	MMA, Medicaid specialty plans, Long-Term Care and Pathway to Shine (child welfare)
Vendor	CVS OTC Health Solutions
How to order	Online at cvs.com/benefits, the OTC Health Solutions app, by phone or in participating CVS and Navarro stores
Phone orders	1-888-262-6298 (TTY 711), Monday to Friday, 9 a.m. to 8 p.m.
Rollover	None. Unused amounts don’t carry over to the next month
Order deadline	11:59 p.m. ET on the last day of the month
Shipping	Free

Sources: Sunshine Health: OTC benefit, Sunshine Health MMA and Medicaid Specialty Plans OTC catalog 2026 and Sunshine Health: new and updated Medicaid benefits.

How much is the Sunshine Health OTC benefit?

Sunshine Health’s 2026 OTC catalogs say: “You have $25 per household per month.” The same amount appears in the Pathway to Shine catalog and in the Long-Term Care expanded benefits table (“Up to $25 per household, per month,” all ages).

Two things to know about the “per household” rule:

If several family members are enrolled with Sunshine Health, the household shares one $25 monthly amount; it isn’t $25 for each person.
The MMA catalog says items “are for personal use and can only be ordered for the member.” For Pathway to Shine, only legal guardians and adult members can create accounts and place orders.

The July 2026 change

In its June 30, 2026 announcement of new and updated Medicaid benefits, Sunshine Health said that, effective July 1, 2026, “The over-the-counter (OTC) benefit amount was reduced to $25 per month, per household.” Sunshine Health’s announcement doesn’t say what the earlier amount was for each plan, so if you remember a different amount, it may have come from an older plan or catalog. Your current member handbook and catalog show the amount that applies to you.

How to order Sunshine Health OTC products

Sunshine Health’s OTC benefit is run by CVS OTC Health Solutions. You have four ways to use it:

Online: go to cvs.com/benefits and choose “Shop OTC benefits.” Create an account with your member information.
Mobile app: download the OTC Health Solutions app to browse items, see your balance and place orders.
By phone: call 1-888-262-6298 (TTY 711), Monday through Friday, 9 a.m. to 8 p.m. Have your catalog item numbers ready.
In store: shop at participating CVS Pharmacy, CVS Pharmacy y más and Navarro locations. CVS locations inside Target and Schnucks stores don’t participate. To find a store, call 1-888-628-2770 (TTY 711).

Ordering rules

Orders must be placed by 11:59 p.m. ET on the last day of the month.
Online and phone orders can’t go over your balance. In stores, you can pay the difference yourself.
Sunshine Health’s OTC page limits orders to 3 units of each item.
You can cancel an order within 30 minutes. Returns aren’t accepted.
Shipping is free. Sunshine Health’s catalog says most orders arrive in less than 5 business days, while its web page says under 7 business days. If an order hasn’t arrived within 14 days, call the OTC line.

What you can buy with Sunshine Health OTC benefits

The catalog lists over-the-counter health products in categories such as pain relief, cold and allergy, vitamins, first aid, oral care and personal health items. Household goods such as toilet paper and cleaning supplies are generally not part of OTC benefits; see can you buy toilet paper with an OTC card for why. Check the current catalog for exact items, since products and prices change.

How to check your Sunshine Health OTC balance

Sign in at cvs.com/benefits or in the OTC Health Solutions app to see your remaining balance for the month, or call 1-888-262-6298 (TTY 711). Because the balance resets each month and doesn’t roll over, check it a few days before the end of the month. For other plans, see our guide to checking your OTC card balance.

Other Sunshine Health expanded benefits

Florida’s Medicaid health plans offer “expanded benefits” beyond the standard Medicaid package. Sunshine Health’s include:

My Health Pays rewards: members earn rewards for healthy activities, such as a $25 reward for completing the Health Quiz within 60 days of enrolling. Sunshine Health says rewards can help pay for utilities, transportation, telecommunications, childcare, education and rent, or for everyday items at Walmart. They can’t be used for alcohol, tobacco or firearms.
Grocery benefit (Long-Term Care): $50 per household for members who report food insecurity on the Health Quiz, ages 16 and older, once a year.
New in 2026: Sunshine Health added benefits on June 1, 2026, including medically tailored meals for members with diabetes or congestive heart failure, home-delivered meals for high-risk pregnancies, baby care bundles and 24/7 lactation support.

Sources: Sunshine Health: Long-Term Care benefits and services, Sunshine Health: My Health Pays rewards and the June 30, 2026 benefits announcement above.

Sunshine Health, Wellcare and Medicare: which card do you have?

Sunshine Health is a Centene company, and Centene also sells Medicare Advantage plans in Florida under the Wellcare name, shown on Wellcare’s Florida site as “Wellcare With Sunshine Health.” Those Medicare plans have their own benefits, separate from the Medicaid OTC allowance. Many Wellcare plans use the Wellcare Spendables card, and amounts vary by plan. If you have both Medicare and Medicaid, check which plan sent your card. For 2027 Medicare Advantage amounts, check the plan’s 2027 Summary of Benefits during Open Enrollment, October 15 to December 7, 2026. See our Wellcare Spendables guide.

Florida residents comparing coverage may also find these useful: how to check your Florida Medicaid eligibility status and Florida Medicaid dental plans compared.

Sunshine Health phone numbers

Line	Number
OTC orders (CVS OTC Health Solutions)	1-888-262-6298 (TTY 711)
Medicaid Member Services	1-866-796-0530 (TTY 1-800-955-8770)
Pathway to Shine (child welfare) Member Services	1-855-463-4100 (TTY 1-800-955-8770)
Pharmacy Help Desk	1-833-750-4392

Source: Sunshine Health: key contacts.

Frequently asked questions

How much is the Sunshine Health OTC allowance?

$25 per household per month for Sunshine Health Medicaid members, according to its 2026 OTC catalogs.

Does the Sunshine Health OTC benefit roll over?

No. Unused money doesn’t carry over to the next month, so order by 11:59 p.m. ET on the last day of the month.

How do I order Sunshine Health OTC items?

Online at cvs.com/benefits, in the OTC Health Solutions app, by phone at 1-888-262-6298 (TTY 711), or at participating CVS and Navarro stores.

Can I use my Sunshine Health OTC benefit at Walgreens or Walmart?

Sunshine Health names CVS and Navarro stores for in-store OTC shopping. My Health Pays rewards, a separate benefit, can be used for everyday items at Walmart.

Is the OTC benefit per person or per household?

Per household. Family members enrolled with Sunshine Health share the $25 monthly amount.

Why did my Sunshine Health OTC amount go down?

Sunshine Health announced that, effective July 1, 2026, the OTC benefit amount was reduced to $25 per month, per household.

This article is general information, not individual insurance advice. Benefits can change; check your Sunshine Health member handbook and current OTC catalog, or call Member Services. Medicare365 is not affiliated with Sunshine Health, Centene, Wellcare, CVS, the Florida Agency for Health Care Administration or the U.S. government.