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Flexible Spending AccountOver-the-counter Drug List

Flexible Spending AccountOver-the-counter Drug ListOver-the-counter drugs now reimbursable one more good reasonto enroll in a health care Flexible Spending Account (FSA)!Non-prescription, over-the-counter (OTC) drugs and medicines are nowreimbursable under health Flexible Spending Accounts (FSAs). When youenroll in a health care FSA, you can use pre-tax dollars to pay for eligiblemedical expenses, such as: Copayments/deductibles Prescriptions Certain over-the-counter drugs Eye exams and eyewear Dental work OrthodontiaBy setting aside money from each paycheck, you can: Pay less in taxes Use tax-free dollars to pay for covered services and itemsFSA Savings CalculatorThe savings add up with our FSA Savings Calculator!You could save as much as 20-50 percent on eligible health careservices by using an FSA, depending on your individual incomeand tax filing status.

Canker and Cold Sore Remedies Abreva, Anbesol, Cankaid, Carmex, Kank-A Cold and Flu Medicines Cough & sore throat lozenges/drops, cough syrup, decongestants, homeopathic cold medicines, nasal sprays, vapor rubs Contraceptives/Family Planning Condoms, contraceptive creams, pregnancy tests, ovulation predictor kits

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Transcription of Flexible Spending AccountOver-the-counter Drug List

1 Flexible Spending AccountOver-the-counter Drug ListOver-the-counter drugs now reimbursable one more good reasonto enroll in a health care Flexible Spending Account (FSA)!Non-prescription, over-the-counter (OTC) drugs and medicines are nowreimbursable under health Flexible Spending Accounts (FSAs). When youenroll in a health care FSA, you can use pre-tax dollars to pay for eligiblemedical expenses, such as: Copayments/deductibles Prescriptions Certain over-the-counter drugs Eye exams and eyewear Dental work OrthodontiaBy setting aside money from each paycheck, you can: Pay less in taxes Use tax-free dollars to pay for covered services and itemsFSA Savings CalculatorThe savings add up with our FSA Savings Calculator!You could save as much as 20-50 percent on eligible health careservices by using an FSA, depending on your individual incomeand tax filing status.

2 Our easy-to-use FSA Savings Calculator does the math for calculate your potential tax savings:1. Go to In the lower right corner, click on Learn More inthe Flexible Spending Account Then click on Calculate FSA Savings. Once yousee the savings, there ll be no reason to wait. As a result of the recent Internal Revenue Service ruling, manypeople are curious about what types of over-the-counter (OTC)items may now be reimbursable through Flexible savings accounts(FSAs). The following representative lists may be used as a lists do not include all available OTC drugs and medical careitems, and are subject to change. Individual employers choosewhether to provide OTC coverage under their benefit plans. Todetermine whether OTC drugs and medications are covered underyour FSA, please consult your employer s benefit plan description,or call your customer service t delay enrollin an FSA today!

3 Eligible for ReimbursementPPrroodduucctt TTyyppee EExxaammpplleess iinncclluuddee,, bbuutt aarree nnoott lliimmiitteedd ttoo::AAccnnee MMeeddiiccaattiioonnss - pill, liquid, cream, ointment,medicated soaps and cleansing pads Clean & Clear, Clearasil, Loma Lux Acne, Nature s CureAAlllleerrggyy MMeeddiicciinneess - pill, liquid, nasal spray (see also Eye Drops ) Benadryl, Chlor-Trimeton, Claritin, Drixoral, NasalCrom, Tavist AllergyAAnnttaacciiddss ((aannttii--ggaass,, llaaccttoossee iinnttoolleerraannccee)) --Alka-Seltzer, Beano, Gas-X, Lactaid, Maalox, Mylanta, Pepcid, Pepto-Bismol, Phazyme, Rolaids, TumsAAnnttiibbiioottiicc ccrreeaammss//ooiinnttmmeennttssBacitrac in, Neosporin, PolysporinAAnnttiiddiiaarrrrhheeaall - liquids, pillsImodium, Kaopectate, Pepto-BismolAAnnttii--FFuunnggaall CCrreeaammss && PPoowwddeerrss Aftate, Cruex, Lamisil, Lotrimin, Micatin, TinactinAAnnttii--IIttcchh CCrreeaammss ((aalllleerrggyy aanndd ppooiissoonn iivvyy))Benadryl, Cortaid, Ivarest, LanacortBBaabbyy CCaarree PPrroodduuccttssDiaper rash cream/ointment, rehydration liquids (Pedialyte, PediaSure),teething gelBBrraacceess aanndd ssuuppppoorrttssBraces and supports for neck, wrist, ankle, elbow, knee, etc.

4 ; support stockingsCCaannkkeerr aanndd CCoolldd SSoorree RReemmeeddiieess Abreva, Anbesol, Cankaid, Carmex, Kank-ACCoolldd aanndd FFlluu MMeeddiicciinneessCough & sore throat lozenges/drops, cough syrup, decongestants,homeopathic cold medicines, nasal sprays, vapor rubsCCoonnttrraacceeppttiivveess//FFaamm iillyy PPllaannnniinnggCondoms, contraceptive creams, pregnancy tests, ovulation predictor kitsDDiiaabbeettiicc SSuupppplliieess//EEqquuiippmmeenntt Alcohol swabs; blood glucose control solutions, monitors, strips andproducts; lancets and lancet devices, urine testing productsEEaarr DDrrooppss ((eeaarr wwaaxx rreemmoovvaall)) Auro Ear Drops, Debrox Ear Drops, Murine Ear DropsEEyyee CCaarree PPrroodduuccttss Saline and cleaning solutions, eyeglasses, contact lensesEEyyee DDrrooppss//EEyyee WWaasshh PPrroodduuccttssEye wash products to clean out eye or remove foreign objects, Murine, VisineFFeemmiinniinnee YYeeaasstt IInnffeeccttiioonn MMeeddiicciinneeGyne-Lotrimin, MonistatFFiirrsstt AAiiddBandages, dressings, first aid kits, peroxide, rubbing alcoholHHeemmoorrrrhhooiiddaall PPrreeppaarraattiioonnssPreparation H, TucksHHoommee DDiiaaggnnoossttiicc TTeessttss oorr KKiittssCholesterol, colorectal, drug, HIV, ovulation predictor, pregnancy and urinetests.

5 Thermometers (ear or standard)HHoott//CCoolldd PPaacckkssThermaCareLLaaxxaattiivveess ((llaaxxaattiivveess aanndd ffiibbeerr tthheerraappyy)) Citrucel, Dulcolax, Ex-Lax, FiberCon, Fleet, Metamucil, Milk of Magnesia, Peri-ColaceLLiiccee TTrreeaattmmeennttssLiceFree, Nix, Pronto, RidMMoottiioonn SSiicckknneessss MMeeddiicciinneeBonine, Dramamine, motion sickness wristbandsPPaaiinn RReelliieevveerrss Acetaminophen, Advil, Aleve, Anbesol, Aspercreme, aspirin, Ben-Gay,Excedrin, homeopathic pain relievers, ibuprofen, Icy Hot, Midol, Mineral Ice,Motrin, aproxen sodium, pain relieving gels, TylenolPPaaiinn RReelliieevveerrss - Urinary TractCystex, UristatSSmmookkiinngg CCeessssaattiioonn MMeeddiicciinnee- patches and gumNicoderm, Nicorette, Nicotrol WWaarrtt oorr CCoorrnn RReemmoovveerrss - liquid or padsCompound W, Curad, Dr.

6 Scholl s Corn Remover, Wart-OffConsidered Eligible for Reimbursement When Directed in Writing By aPhysician to Treat a Specific Medical Condition The physician s letter must cite the specific medical condition being treated and indicate thatthe OTC drug or medication will treat or alleviate Eligible for Reimbursement100-5209 11/05 1221 2005 United HealthCare Services, TTyyppee EExxaammpplleess iinncclluuddee,, bbuutt aarree nnoott lliimmiitteedd ttoo::HHeerrbbssBlack cohosh, echinacea, evening primrose oil, ginkgo biloba, Ginsana, ginseng,goldenseal root, nettle, olive leaf extract, saw palmetto, St. John s wortOOtthheerr SSuupppplleemmeennttssAcidophilus, alpha lipoic acid, amino acids (L-Lysine, L-Arginine, L-Carnitine) chondroitinsulfate, cod liver oil, DHA, DHEA, EFO, flax seed oil, glucosamine complex, glucosaminesulfate, kelp, melatonin, omega-3, shark cartilageSSlleeeepp IInndduuccttiioonn MMeeddiicciinneeSimply Sleep, Sleepinal, Sominex, UnisomVViittaammiinnss aanndd MMiinneerraallssAntioxidants, calcium, chromium, folic acid, iron, magnesium, multi-minerals, multi-vitamins, potassium, selenium, vitaminsWWaatteerr RReetteennttiioonn PPrroodduuccttssAqua-Ban, DiurexWWeeiigghhtt LLoossss PPrroodduuccttssPillsPPrroodduucctt TTyyppee EExxaammpplleess iinncclluuddee,, bbuutt aarree nnoott lliimmiitteedd ttoo.

7 BBaatthh PPrroodduuccttss,, CClleeaannsseerrss,, SSooaappAveeno, Dial, Dove, SoftsoapCCrreeaammss,, LLiipp BBaallmm,, LLiippssttiicckk,, LLoottiioonnss,, MMooiissttuurriizzeerrssBasis, Biore, Eucerin, L Oreal, Neutrogena, Nivea, Noxzema, Oil of Olay, PHisodermDDeennttaall MMiisscceellllaanneeoouussBreath fresheners; dental floss, adhesives, cleansers, gel, gum,rinses; oral cleaning systems (Water Pik); tongue scrapers;whitening products/systems; toothbrushes; toothpasteDDeeooddoorraannttss//AAnnttii --PPeerrssppiirraannttssBan, Brut, Dry Idea, Speed StickFFeemmiinniinnee HHyyggiieenneeAlways, douches, feminine lubricants and pads, tamponsFFoooott CCaarree PPrroodduuccttssArch and insole supports, Dr. Scholl s callus removers, Odor-Eaters,pedicure products, shoes, toenail clippersHHaaiirr CCaarree PPrroodduuccttssConditioner and shampoo (including those used for dandruff),hairspray, styling aidsHHaaiirr RReemmoovvaall PPrroodduuccttssHair-removal creams, razors, waxMMeeddiicciinnee DDiissppeennsseerrssMedicine droppers, pill organizersPPoowwddeerrssNon-fungus fighting foot powdersSShhaavviinngg aanndd GGrroooommiinngg PPrroodduuccttssAftershave, razors, shaving creamSSnnoorriinngg AAiiddssNose drops and stripsSSttiimmuullaannttss ((ttoo ssttaayy aawwaakkee))No Doz, VivarinSSuunnssccrreeeenn,, SSuunnlleessss TTaannnniinngg,, AAfftteerr SSuunn PPrroodduuccttssCoppertone, Hawaiian Tropic


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