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Over-the-counter Expenses

The following table provides examples of over-the-counter drugs and health care items that may be reimbursable through your Health FSA under certain circumstance or if specific requirements are met.

A full explanation of the information listed in the Required Documentation column in the table below is available on our Acceptable Documentation page.

Expense Description Health FSA Eligible Required Documentation
Acetaminophen (e.g., Tylenol) Yes Standard + prescription
Acne treatments (e.g., Clearasil, Proactiv) Yes Standard + prescription
Allergy medicine (e.g., Actifed, Benadryl, Claritin, Zyrtec) Yes Standard + prescription
Antacids and acid relievers (e.g., AXID AR, Gas-X, Maalox, Mylanta, Pepcid AC, Prilosec OTC, Tagamet HB, TUMS, Zantac 75) Yes Standard + prescription
Antidiarrheal and laxatives (e.g., Ex-Lax, Imodium A.D., Kaopectate, Pepto-Bismol) Yes Standard + prescription
Antifungal cream (e.g., Fenstat 3, Gyne-Lotrimin,Lamisil AT, Lotrimin AF, Micatin, Monistat 3, Vagistat-1) Yes Standard + prescription
Antihistamine (e.g., Actifed, Allerest, Chlor-Trimeton, Contac, Dimetane, Drixoral, NyQuil, Tavist-1, Triaminic) Yes Standard + prescription
Anti-itch lotion and cream (e.g., for bug bites and poison ivy: Benadryl Cream, Calamine Lotion, Caldecort, Cortaid, Hydrocortisone) Yes Standard + prescription
Aspirin (e.g., Bayer, Excedrin) Yes Standard + prescription
Bandages Yes Standard
Blood pressure monitoring devices Yes Standard
Burn garment Yes Standard
Carpal tunnel wrist supports Yes Standard
Chondroitin sulfate Potentially Standard + Medical Determination Form
Cold medicines and decongestants (e.g., Advil Cold and Sinus, Afrin, Aleve Cold and Sinus, Children's Advil Cold, Neo-Synephrine-12 Hour, Sudafed, Tavist-D, Tylenol Cold and Flu, Theraflu) Yes Standard + prescription
Cold sore remedies (e.g., Abreva, Campho-Phenique, Releev, Zicam) Yes Standard + prescription
Condoms and other contraceptive devices Yes Standard
Contact lens solution (e.g., Aosept, Allergan, Bausch & Lomb, Boston, Opti-Free,Renu) Yes Standard
Cough suppressants (e.g., Chloraseptic,Delsym, Mucinex, Robitussin, Triaminic, Vicks 44) Yes Standard + prescription
Diabetic supplies, test kits, and strips Yes Standard
Diaper rash ointments and creams (e.g., Balmex,Desitin) Yes Standard + prescription
Diarrhea medicine (e.g., Ex-Lax, Imodium A.D., Kaopectate, Pepto-Bismol Yes Standard + prescription
Ear plugs Potentially Standard + Medical Determination Form
Eye drops for allergy and cold relief (e.g., OcuHist, Visine) Yes Standard + prescription
Feminine antifungal and anti-itch creams (e.g., Fenstat 3, Gyne-Lotrimin, Vagistat-1) Yes Standard + prescription
Fiber supplements (e.g., Benefiber, Metamucil) Potentially Standard + Medical Determination Form
First aid cream, ointment, and spray (e.g., Bactine, Neosporin) Yes Standard + prescription
First aid kits and supplies (e.g., ACE bandages, BAND-AIDS, bandage tape, gauze, medical gloves) Yes Standard
Gauze pads Yes Standard
Glucosamine Potentially Standard + Medical Determination Form
Glucose monitoring equipment Yes Standard
Glucose tablets and gel Yes Standard + prescription
Hearing aids and hearing aid batteries Yes Standard
Hemorrhoid treatments (e.g., Preparation H, Tronolane) Yes Standard + prescription
Herbs and Herbal Supplements (e.g., St. John's Wort) Potentially Standard + Medical Determination Form
Hot and cold packs Yes Standard
Ibuprofen (e.g., Advil, Motrin) Yes Standard + prescription
Incontinence supplies (e.g., Depends, Serenity) Yes Standard
Insect bite creams and ointments (e.g., Benadryl cream, Calamine lotion, Cortaid, cortisone cream) Yes Standard + prescription
Insulin (over-the-counter) Yes Standard
Lactose intolerance products (e.g., Lactaid) Yes Standard + prescription
Laxatives (e.g., Correctol, Dulcolax, Ex-Lax, MiraLAX, Senokot) Yes Standard + prescription
Liniments (e.g., BENGAY, Flexall, Tiger Balm) Yes Standard + prescription
Mastectomy-related special bras Yes Standard
Medic Alert bracelet or necklace Yes Standard
Medical monitoring and testing devices Yes Standard
Medicated shampoo (to treat a specific medical condition like psoriasis; e.g., Dermarest shampoo) Potentially Standard + Medical Determination Form
Menstrual pain relievers (e.g., Midol, Pamprin, Premsyn PMS) Yes Standard + prescription
Migraine pain relievers (e.g., Advil Migraine Liqui-gels, Excedrin Migraine) Yes Standard + prescription
Motion sickness pills (e.g., Dramamine, Marzine) Yes Standard + prescription
Nasal sprays Yes Standard + prescription
Nasal strips (nose strips) Potentially Standard + Medical Determination Form
Nicotine gum or patches (e.g., Commit, NicoDerm CQ,Nicorette, Nicotrol, Nicodin) Yes Standard + prescription
Occlusal guards Yes Standard
Over-the-counter supplies Yes Standard
Pain relievers (e.g., Advil, acetaminophen, aspirin, ibuprofen, Motrin, Tylenol) Yes Standard + prescription
Pedialyte and other oral electrolytes Yes Standard + prescription
Pediculicide (head lice treatment; e.g., Nix, RID) Yes Standard + prescription
Poison ivy protection (e.g., Ivy Block) Yes Standard + prescription
Pregnancy test kits Yes Standard
Prenatal vitamins Yes Standard + prescription
Reading glasses Yes Standard
Rubbing alcohol and alcohol pads Yes Standard + prescription
Sinus medicines (see decongestants) Yes Standard + prescription
Sleep aids (e.g., Sominex, Sleepinal, Tylenol P.M., Unisom Sleep Tabs) Yes Standard + prescription
Snoring cessation aids and medications (e.g, Breathe Right Spray, Snoreeze) Potentially Standard + letter of medical necessity
Spermicidal foam Yes Standard + prescription
Sunburn creams and ointments (e.g., Aloe Vera Gel, Solarcaine) Yes Standard + prescription
Sunscreen and sunblock with SPF 15 or greater Yes Standard (itemized receipt must show SPF value)
Sunscreen and sunblock with SPF less than 15 Potentially Standard + prescription
Supplies to treat medical condition Yes Standard
Thermometers Yes Standard
Throat lozenges and cough drops (e.g., Cepacol, Chloraseptic, Halls, Sucrets) Yes Standard + prescription
Toothache and teething pain relievers (e.g., Orajel) Yes Standard + prescription
Vitamins (to treat a specific medical condition, e.g., calcium to treat osteoporosis; iron to treat anemia) Potentially Standard + Medical Determination Form
Walker, wheelchair, cane Yes Standard
Wart remover treatments (e.g., Tinamed) Potentially Standard + prescription