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Over the Counter Reference
Important: Effective January 1, 2011, over-the-counter (OTC) medications and other non-prescription items must be accompanied by a doctor’s prescription and a reimbursement request to be covered under the FSA. The prescription must identify the individual these items are prescribed to and the medical necessity of these items. This new legislation affects OTC medications only; all other medical supplies (e.g., band-aids, first-aid supplies, etc.) are still eligible for reimbursement.
When shopping for OTC items, remember that eligible items are used to treat or alleviate personal injury or sickness. Items for general health, personal or cosmetic use are not eligible. The following reference is alphabetized and split into the three categories. This list is not a comprehensive list, it simply lists examples of various products that are either eligible or ineligible according to IRS guidelines.
|Over-the-counter medications requiring a prescription |
|Acne treatments |Diarrhea medicine |Herbal supplements |
|Allergy medicine |Dietary supplements |Insect-bite cream |
|Antacids |Ear plugs |Lactose intolerance tables |
|Antibiotic ointments |Ear wax removal |Laxatives |
|Anti-itch creams |Eczema treatments |Motion-sickness pills |
|Aspirin |Expectorants |Nasal spray |
|Calamine lotion |Eye drops |Pain relievers |
|Chondroitin |Fever-reduction medicine |Sleep aids |
|Cold medicine |Fiber supplements |Sunscreen/sunburn cream |
|Cold/hot packs |Glucosamine |Toothache/teething pain reliever |
|Cough suppressants |Hand sanitizer |Vitamins |
|Denture adhesives |Headache medicine |Wart removal treatment |
|Diaper rash creams |Hemorrhoid medicine |Yeast infection medication |
|Over-the-counter items not requiring a prescription |
|Bandages |Flu shots |Orthopedic shoe inserts |
|Blood-pressure monitoring devices |Glucose monitors |Ovulation indicators |
|Blood-sugar testing kits and strips |Hearing aid batteries |Pregnancy testing kits |
|Carpal tunnel wrist supports |Incontinence supplies | |
|First aid kits |Insulin | |
|Not acceptable over-the-counter items |
|Aromatherapy |Dental floss |Oral care |
|Baby bottles & caps |Deodorants |Petroleum jelly |
|Baby diapers & wipes |Facial care |Shampoo and conditioner |
|Baby formula |Feminine care |Skin care and Makeup |
|Baby oil |Fragrances |Sun tanning products |
|Breast enhancement system |Hair regrowth/removal products |Toothbrushes – manual or electric |
|Cosmetics |Low “carb” foods | |
|Cotton swabs |Low calorie foods | |
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