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Examples of Over-the-Counter (OTC) items allowed as Unreimbursed Healthcare

Effective January 1, 2011, OTC drugs and medicines (other than insulin) require a directive from a medical

provider. Items are not eligible for reimbursement if they are normally used for general health, are not used

to treat a medical condition or are primarily cosmetic in nature. The directive should include the health care

item, medical purpose, description of the item, along with any special instructions.



Prescriptions, Certificate of Necessity, or a Doctor’s note will be required for the following:



Acne Medications

Allergy Medicines

Herbal Remedies as part of alternative medicine

Cold and Flu Medicines

Health Club memberships (including Yoga Classes but not including personal trainers)

Motion Sickness Medicine

Vitamins

Weight Loss Products



This rule does not apply to eligible OTC health care supplies that are not drugs or medicines:



Antacids (anti-gas, lactose intolerance)

Antibiotic Creams & Ointments

Anti-Diarrhea Products

Anti-Fungal Creams & Powders

Baby Care Products including powder, lotions, skin care but not diapers

Birth Control Products

Braces and supports Braces and supports for neck, wrist, ankle, elbow, knee, etc.

Canker and Cold Sore Remedies

Contact Lens solutions and other maintenance products

Contraceptives

Diabetic Supplies and Equipment

Ear Drops (ear wax removal)

Eye Care Products

Eye Drops/Eye Wash

Family Planning

Feminine Hygiene Products

First Aid Bandages

Hemorrhoidal Preparations

Home Diagnostic Tests or Kits

Hot & Cold Packs

Insulin Supplies and Equipment

Lactation assistance including lactation supplies and devices such as breast pumps

Laxatives or Fiber Therapy

Lice Treatments

Mouth Wash providing fluoride, anti-gingivitis, tartar or plaque control

Pain Relievers

Smoking Cessation products

Sun Screen protection

Sun glasses (both prescription and non-prescription)

Tooth Paste providing fluoride treatment, anti-gingivitis, tartar or plaque control

Viagra or similar products

Wart or Corn Removers



Note: often these items may be noted on the cash register receipt

as “health item” or “allowed in a HSA or FSA.”



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