Suppositories: FSA Eligibility

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

Suppositories are eligible for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA). Suppositories are not eligible for reimbursement with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What is a suppository? 

A suppository is a term that encompasses a large family of over-the-counter and prescription drugs that are ingested to absorb medication into the body’s bloodstream. Typically, these medications are coated with a gelatin, cocoa butter or another substance to allow it to be comfortably inserted into the body where it can break down and the proper dosage can be administered (WebMD).

When are suppositories used?

There are many reasons that a patient may require the use of suppositories as opposed to the more traditional oral method. Patients may require a suppository if they have experienced seizures, are unable to swallow medication, experiencing stomach issues like vomiting or have a blockage in their gastrointestinal tract that could prevent the absorption of the medication. Suppositories are generally safe and helpful for people who can’t take medications and require an effective alternative to deliver the medication (Medical News Today)

Why do I need a prescription for suppository 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 like suppositories under FSAs, HSAs and other consumer spending accounts, account holders must submit a prescription for each product.

However, not every OTC product falls under this distinction and thousands of products continue to remain eligible without a prescription.


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