How to get reimbursed for Flexible Spending Account prescriptions

Update: with the passage of the CARES Act in 2020, OTC drugs and medications are now FSA/HSA eligible without a doctor's prescription.

But, they are FSA-eligible expenses. Many people get confused about the OTC drug availability with an FSA, and who can blame them? The Internal Revenue Service (IRS) issued regulations starting on January 1, 2011, that any over-the-counter medications need a prescription for Flexible Spending Account reimbursement. This regulation only applies to products that contain medicine such as Advil, Prilosec and Zyrtec - insulin is excluded.

At FSAstore.com, we make it easy for you to buy OTC medicines in addition to thousands of products that do NOT require prescriptions.

Shopping for FSA eligible prescription items:

1. Shop FSAstore.com for the items you need and add them to your cart. You'll see:

• Items with a Red Checkmark – you can buy these without a prescription using an FSA card or a credit/debit card.

• Items with a Blue Rx logo – you can buy these, but must get a prescription to be reimbursed with your FSA. You can shop with an FSA card if you have a prescription or use a credit/debit card.

If you accidentally add an Rx item for which you don't have a prescription, you can easily remove the item from your cart.

You can submit your prescription to us by taking these three steps:

  1. During checkout, sign in and click on a Prescription banner to complete the prescription process.
  2. Simply give your physician's information (name, phone number, address) and we'll take it from there.
  3. To make it easy for you, you can mail a prescription, or ask your doctor to fax a prescription to our pharmacy partner.

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