Shopping at the pharmacy with chronic conditions
Some people with chronic conditions need extra support. And some products recommended by a person’s health care provider may be covered by their over-the-counter (OTC) supplemental benefits.
In 2021, a report showed that nearly 80 percent of Medicare Advantage plans offer an over-the-counter (OTC) benefit. That’s money someone can use to redeem eligible items at CVS Pharmacy® stores.
Cold medicine and toothpaste are just a few things that may be covered by the OTC benefit. But people may also be able to use these funds to redeem items a health care provider recommends to help manage their chronic health conditions. Here’s what people should know.
In this article:
What’s a chronic health condition?
Chronic diseases are conditions that last at least one year and require ongoing medical treatment and/or limit activities of daily living. The main types of chronic illnesses include hypertension (also known as high blood pressure), high cholesterol, arthritis and diabetes.
Many preventable chronic diseases — such as type 2 diabetes, heart disease or high blood pressure — may be caused by risk factors such as smoking, poor nutrition, lack of physical activity or excessive alcohol use.
Common chronic health conditions
In 2025, research showed that 93 percent of people age 65 or older had at least one chronic health condition. In this same population, nearly 80 percent of people manage two or more chronic diseases. Here are some of the most common chronic conditions for older adults over the age 65 and how OTC-eligible products may help manage their symptoms.
Hypertension
Hypertension, or high blood pressure, is very common among older adults. Research suggests about 61 percent of older adults have this condition. High blood pressure occurs when the force of someone’s blood pushing against the walls of their blood vessels is too high. Hypertension can lead to serious medical incidents such as a heart attack or a stroke.
With high blood pressure, regular monitoring may be key in helping someone lower their blood pressure. But a blood pressure reading done at a health care provider’s office is just one part of the story. For some people, just being in a medical setting can temporarily raise their blood pressure due to nervousness. This is called white coat syndrome. Using their own monitor to check their pressure at home may help alleviate a person’s anxiety. Home blood pressure monitoring can also help give their health care provider a look at what’s going on and see if treatment is working.
Blood pressure monitors can often be redeemed with the OTC benefit.
High cholesterol
High cholesterol happens when the body has extra fats (also known as lipids). This can cause a person’s arteries to get clogged and lead to heart disease. About 55 percent of older adults have high cholesterol. A few ways to help manage high cholesterol may include eating a heart-healthy diet, limiting saturated fats and eating more soluble fiber, which helps prevent the digestive tract from absorbing cholesterol.
Most Americans don’t get enough fiber in their diets. Soluble fiber has been shown to help lower cholesterol because it prevents the digestive tract from absorbing cholesterol. In addition to adhering to a healthy diet, people should talk to a health care provider about whether they might need prescription medication for high cholesterol.
Talk to a health care provider before starting fiber supplements. Some supplements may be redeemed with an OTC benefit card.
Arthritis
About 51 percent of all older adults live with arthritis, a group of diseases affecting the joints that can cause pain, stiffness, swelling and reduced range of motion. A health care provider can diagnose what type of arthritis someone has.
Topical pain relievers containing an NSAID such as diclofenac may also be used to help manage arthritis pain. It can take up to 7 days to work, though, and shouldn’t be used for more than 21 days unless directed by a health care provider. Supplements that include glucosamine and chondroitin are also known to possibly help treat osteoarthritis pain, though research is mixed on results.
Some types of OTC pain relief support products might help with occasional mild to moderate arthritis pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen sodium may help with temporary relief of minor aches and pains due to arthritis. NSAIDs may also help with inflammation and swelling in joints.
For patients who cannot take NSAIDs (such as those with kidney disease or high blood pressure), acetaminophen can be another option.
Always make sure to speak with a health care provider before using any oral or topical products for pain relief support.
If arthritis hinders a person’s mobility, they should talk with their health care provider to see if they might benefit from crutches or a cane. These items are often eligible to be redeemed with an OTC benefit card.
Diabetes
About 24 percent of older adults ages 65 and older are estimated to have diabetes, a disease that impacts how much insulin the body makes or how the insulin is used. In older adults, the most common form of diabetes is type 2. Diabetes is serious. For older adults, there tends to be a higher risk of developing complications of diabetes, like hypoglycemia, heart disease and more.
OTC diabetic products available for redemption include blood glucose monitors, test strips, lancets and glucose tablets. People who have diabetes may have related issues that can be supported by eligible OTC products:
- Diabetes can lead to gum disease, which impacts the soft tissue in the mouth and around the teeth. Some self-care items, like soft-bristle toothbrushes, fluoride toothpaste, dental floss and mouthwash, are eligible under many OTC benefit plans.
- Poor circulation, which is more common when someone has diabetes, can also cause itchy, dry skin as well as serious skin conditions such as infections. Limiting time in the shower, using mild soaps, and moisturizing after showering may help.
- Diabetes may also cause leg swelling. Someone dealing with this may find comfort in wearing compression stockings to help improve blood flow, but no one should try compression stockings without first speaking to their health care provider.
These products are typically eligible for redemption through the OTC benefit card.
This content is for informational purposes only and is not intended to replace professional medical advice, diagnosis or treatment. Consult your health care provider if you have any questions about medications, vitamins or supplements you may be considering or changes to your wellness or health care routines.
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*FOR OVER-THE-COUNTER BENEFITS AT NO ADDITIONAL COST: Over-the-counter (OTC) allowance benefits are included in select Medicare Advantage and Medicaid plans. The allowance may only be applied to select OTC products. Allowance amount may vary by plan. Customer may be responsible for the cost of any items not covered by their plan or the cost that exceeds their allowance amount. Check with your health plan provider for more details.
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FOR NEARLY 80 PERCENT OF MEDICARE ADVANTAGE PLANS OFFER AN OTC BENEFIT SOURCE: Consumer Healthcare Products Association. New study shows Medicare Advantage OTC benefits programs help enrollees and health plans. Published November 2, 2021.
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FOR CHRONIC HEALTH CONDITIONS SOURCE: Centers for Disease Control and Prevention. About chronic diseases. Published October 4, 2024.
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FOR MAIN TYPES OF CHRONIC ILLNESSES SOURCE 1: National Council on Aging. The top 10 most common chronic conditions in older adults. Published December 1, 2025.
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FOR MAIN TYPES OF CHRONIC ILLNESSES SOURCE 2: Nania R. The 12 most common chronic health conditions among older adults. American Association of Retired Persons. Published July 10, 2025.
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FOR CHRONIC HEALTH CONDITIONS SOURCE: Centers for Disease Control and Prevention. About chronic diseases. Published October 4, 2024.
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FOR 93 PERCENT OF PEOPLE AGE 65 SOURCE: Watson KB, Wiltz JL, Nhim K, et al. Trends in multiple chronic conditions among U.S. adults, by life stage, behavioral risk factor surveillance system, 2013–2023. Preventing Chronic Disease. 2025;22:240539.
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FOR HIGH BLOOD PRESSURE OCCURS SOURCE: Fudim M, Blumer V, Feldschuh M, et al. Blood volume analysis in patients with hypertension. Circulation. 2018;138(10.
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FOR HYPERTENSION SOURCE: National Council on Aging. The top 10 most common chronic conditions in older adults. Published December 1, 2025.
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FOR HIGH BLOOD PRESSURE, REGULAR MONITORING IS KEY SOURCE: The Centers for Disease Control and Prevention. Measuring your blood pressure. Published December 13, 2024.
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FOR WHITE COAT SYNDROME SOURCE: Centers for Disease Control and Prevention. Measuring your blood pressure. Published December 13, 2024.
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FOR SEE IF TREATMENT IS WORKING SOURCE: American Heart Association. Home blood pressure monitoring. Updated August 14, 2025.
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FOR HIGH CHOLESTEROL SOURCE: National Council on Aging. The top 10 most common chronic conditions in older adults. Published December 1, 2025.
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FOR TREATMENT FOR HIGH CHOLESTEROL SOURCE: MedlinePlus. How to lower cholesterol with diet. Updated May 5, 2025.
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FOR MOST AMERICANS DON’T GET ENOUGH FIBER IN THEIR DIETS SOURCE: MedlinePlus. Dietary fiber. National Library of Medicine. Updated April 25, 2023.
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FOR FIBER HAS BEEN SHOWN SOURCE: MedlinePlus. How to lower cholesterol with diet. National Library of Medicine. Updated May 5, 2025.
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FOR ABOUT 51 PERCENT OF ALL OLDER ADULTS LIVE WITH ARTHRITIS SOURCE: National Council on Aging. The top 10 most common chronic conditions in older adults. Published December 1, 2025.
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FOR A GROUP OF DISEASES AFFECTING THE JOINTS THAT CAN CAUSE PAIN, STIFFNESS, SWELLING AND REDUCED RANGE OF MOTION SOURCE: Rath L. What is arthritis? Arthritis Foundation. Updated June 9, 2022
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FOR TOPICAL PAIN RELIEVERS CONTAINING AN NSAID SOURCE: Arthritis Foundation. Comparing pain meds for osteoarthritis. Accessed January 28, 2026.
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FOR IT CAN TAKE UP TO 7 DAYS TO WORK AND SHOULDN’T BE USED FOR MORE THAN 21 DAYS SOURCE: MedlinePlus. Diclofenac topical (arthritis pain). National Library of Medicine. Updated April 15. 2021.
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FOR SUPPLEMENTS THAT INCLUDE GLUCOSAMINE AND CHONDROITIN SOURCE: Arthritis Foundation. Glucosamine and chondroitin for osteoarthritis pain. Accessed January 28, 2026.
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FOR NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs) SOURCE 1: MedlinePlus. Pain relievers. National Library of Medicine. Updated July 30, 2025.
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FOR NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs) SOURCE 2: Arthritis Foundation. NSAIDs. Accessed January 28, 2026.
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FOR ACETAMINOPHEN CAN BE ANOTHER OPTION SOURCE: Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019;27(11):1578-1589
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FOR BENEFIT FROM CRUTCHES OR A CANE SOURCE: Centers for Disease Control and Prevention. Osteoarthritis. Published January 26, 2024.
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FOR 24 PERCENT OF OLDER ADULTS AGES 65 AND OLDER ARE ESTIMATED TO HAVE DIABETES SOURCE: National Council on Aging. The top 10 most common chronic conditions in older adults. Published December 1, 2025.
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FOR 24 PERCENT OF OLDER ADULTS AGES 65 AND OLDER ARE ESTIMATED TO HAVE DIABETES SOURCE: National Council on Aging. The top 10 most common chronic conditions in older adults. Published December 1, 2025.
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FOR GUM DISEASE SOURCE: American Diabetes Association. Diabetes and gum disease. Accessed January 28, 2026.
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FOR POOR CIRCULATION SOURCE: Centers for Disease Control and Prevention. Diabetes and your skin. Published May 15, 2024.
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FOR COMPRESSION STOCKINGS SOURCE: Crowe A. 8 tips to protect your feet with diabetes. American Diabetes Association. Accessed January 28, 2026.