OVER-THE-COUNTER MEDICATIONS

You may submit claims for reimbursement of Over-the-Counter drugs from your Cafeteria Plan Medical Expense Account.

A receipt clearly indicating the date of purchase and type/name of the Over-the-Counter (OTC) drug purchased must accompany claims.

Specifically excluded in the listing of eligible Over-the-Counter drugs are those which are merely beneficial to an individual’s health (vitamins, dietary supplements, etc.). When submitted for reimbursement, ABC will make the determination as to whether the specific item is reimbursable.

While we cannot provide an all-encompassing list of reimbursable medications, the information below should provide some clarity regarding what is reimbursable, what is reimbursable with a medical necessity letter and items that are excluded.

When determining what is eligible, ask yourself...

Would I use this item if I didn't have the medical condition?

If your answer is "Yes, I would be using the item even without the medical condition" (i.e. toothbrush, toothpaste), then the item is not eligible for reimbursement. However if I would not be using the item except for the medical condition, it may be an eligible expense.

What kind of documentation do I need to submit?

Receipts for Over-the-Counter medications and supplies should contain the name of the item, the date of purchase, and the total amount of the purchase. The receipt need not include the name of the person incurring the expense. If a receipt does not include the name of the drug, you must submit additional third-party substantiation (for example, a box top that includes the name and a price tag matching the price on the receipt).

The following is a list of Over-the-Counter medications and expenses which may or may not be eligible for reimbursement through ABC's Section 125 Cafeteria Plan Medical Expense account.