New Medicare Advantage OTC opportunities in 2026
By Good Neighbor Pharmacy
Throughout 2026, we want to ensure you’re aware of upcoming changes so you can continue to support your patients effectively.
NationsBenefits: What You Need to Know for 2026
Starting January 1, 2026, NationsBenefits will begin administering the supplemental Flex card benefits program for Humana and CarePlus members.* Here’s what this means for your pharmacy:
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New cards issued: Humana and CarePlus members received new NationsBenefits Flex cards, effective January 1, 2026.
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Expanded benefits: All eligible purchases, such as OTC and grocery items, will now be processed through the NationsBenefits platform following approved product eligibility rules.
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Additional plans: Interested in hearing what additional plans are supported by NationsBenefits in your state? Contact your Cencora business performance coach or Sales Executive.
How Your Pharmacy Can Benefit:
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PioneerRx Users: Your pharmacy is already set up to seamlessly accept NationsBenefits cards through your integrated POS system.
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Non-PioneerRx Users: Pharmacies without PioneerRx will require a separate terminal to process NationsBenefits transactions.
ProHealth: Now Accepting S3, &More, and FIS Cards
If you’re enrolled with ProHealth Connect, you can accept S3, &More, and FIS Medicare Advantage OTC benefit cards. We have also established a negotiated rebate opportunity for Good Neighbor Pharmacy members through ProHealth Connect. To learn more or enroll, please visit the AB Solutions Portal. Select Good Neighbor Pharmacy > Resources > Marketing & In-store experience.
Why This Matters:
Medicare Advantage OTC benefit programs are a win-win for pharmacies and patients. Members can purchase essential items with ease, while your pharmacy benefits from increased foot traffic, patient loyalty, and revenue.
* Please reach out to Humana and CarePlus for additional information.
