Acid Controller: FSA Eligibility

Acid Controller: requires a prescription to be eligible with a Flexible Spending Account (FSA)

Acid controller reimbursement is eligible with a prescription with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement account (HRA). Acid controller reimbursement is not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What are acid controllers?

Acid controllers, also known as antacids, are the most commonly used products to neutralize acid buildup in the stomach that is produced normally to aid in the digestion of food and to kill harmful bacteria. This acid is contained by a mucous layer in the lining of the stomach which prevents it from causing damage to the lining (which leads to ulcers). Acid controllers are a common treatment for acid reflux disease, which refers to an issue with the muscular band at the top of the stomach allowing acid to escape and irritate the esophagus (heartburn) (WebMD).

Acid controllers counteract the effects of stomach acid by introducing bases (alkalis) into the stomach. Combining alkalis and acids will nullify the effects of the damaging effects of the acids in a process called "neutralization." By making the contents of the stomach less corrosive, acid controllers effectively eliminate the pain and discomfort associated with acid reflux and stomach acid issues. Acid controllers are available in liquid form or chewable tablets, but typically contain these ingredients:

  • Aluminum Hydroxide
  • Magnesium Carbonate
  • Magnesium Trisilicate

Why do I need a prescription for acid controller reimbursement?

As a result of the passage of the Patient Protection and Affordable Care Act (PPACA), as of January 1, 2011, OTC items containing an active medical ingredient require a prescription for reimbursement with an FSA, HSA or HRA. To reimburse the cost of OTC medicines and drugs under FSAs, HSAs and other consumer spending accounts, account holders must submit a prescription from a physician for each product. This does not apply to the reimbursement of the cost of insulin, but common OTC products like pain relief medications, cold & flu products and more require a prescription for reimbursement.

However, not every OTC product falls under this distinction, as products like bandages, first aid supplies, diagnostic products and more do not require a prescription. For more information on a specific product, please consult our Eligibility List.

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Specifically Not Covered

Not eligible without a prescription.

Legal Information / Regulations

Prescription Required. Information Letter (IL) 2009-0209; Notice 2010-59.

Check out these FSA Eligible Categories