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Over The Counter:
Health FSAs and Over-the-Counter Drugs

On September 3, 2003 the IRS issued Revenue Ruling 2003-102, which allows for FSA participants to purchase certain over-the-counter medications without a doctor’s prescription.

Previously, a health FSA could reimburse medicines and drugs only if they were prescribed. Now, under the Over-the-Counter Drug Ruling, if certain requirements are met, a health FSA can reimburse medicines and drugs that are available without a prescription.

FSA participants (and prospective FSA participants) should be pleased by this ruling for two reasons. First, everyday items such as aspirin and cold medicine can now be purchased with tax free FSA dollars, thereby broadening the scope and value of the FSA. Second, participants with concerns about year-end forfeitures now have the ability to use their FSA dollars without the need for a doctor’s office visit or prescription.

Skip to Over-The-Counter expenses that are:
Reimbursable
Reimbursable with Physician's note
Not reimbursable

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