Flexible Spending Accounts: Over-the-Counter Drugs and Medicines

Effective January 1, 2011 over-the-counter (OTC) medications will require a prescription in order to be reimbursed from your medical care reimbursement account.  Typically, these are OTC medications are those taken orally or topically.  Some examples of each type of OTC items are listed below:

Over-the-Counter Medical Items that Do NOT Require a Prescription

Over-the-Counter Medical Items that DO Require a Prescription*

  • Bandages
  • Birth control & condoms
  • Eyeglasses
  • Hearing aids & batteries
  • Orthotics
  • Pregnancy tests
  • Antacids
  • Asthma medicines
  • Cold & flu medicines
  • Gastrointestinal medicines
  • Herbal or homeopathic medicines
  • Pain relievers

*For State of Maine employees enrolled in the medical care reimbsurement account, you will also need to submit a Medical Necessity Letter completed by your doctor.

Medical and Dental Expenses - IRS Publication 502
Child and Dependent Care Expenses - IRS Publication 503