Upset Stomach Relief: FSA Eligibility

Upset stomach relief medications are eligible with a prescription by a medical doctor for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Upset stomach relief medications are not eligible with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

What are upset stomach relief medications?

Upset stomach relief medications, known by their technical name of antiemetic medicines, are a family of medications that are designed to relieve nausea and vomiting caused by numerous conditions. What many people call an "upset stomach" is usually a form of viral gastroenteritis, nausea can arise as a negative response to a medication, as a result of morning sickness during pregnancy, motion sickness or as a reaction to general anesthesia during surgery. Ultimately, in only extremely rare cases, is nausea and vomiting a sign of a serious or life-threatening medical condition, and will typically clear up quickly with medication.

The most common upset stomach relief medication is bismuth subsalicylate, which is the active ingredient in common OTC medicines like Kaopectate and Pepto-Bismol. Bismuth subsalicylate works by coating the inside of the stomach to treat heartburn, upset stomach, indigestion, nausea, diarrhea by limiting secretions in the digestive tract, reducing inflammation in the stomach and intestines and inhibiting the growth of specific bacteria and viruses that can be the source of intestinal issues.

Why do I need a prescription for nausea medicines?

As a result of the passage of the Patient Protection and Affordable Care Act (PPACA), as of January 1, 2011, a new set of uniform standards were put into place regarding the reimbursement of medical expenses. 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.

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Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)

Eligible

Eligible with Rx

Eligible with LMN

Not Eligible

Additional Information

FSAstore.com's Prescription Process can help. Click Here to learn more.

Specifically Not Covered

Prescription required.

Legal Information / Regulations

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

 


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