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FAQs

Most Popular Questions

What documentation do I need to submit to be reimbursed for eligible over-the-counter (OTC) drugs and medicines?

An itemized receipt is required for over-the-counter (OTC) drugs and medicines.

  • Provider's Name
  • Name of Medicine or Drug
  • Date of Purchase
  • Purchase Amount

However, if the OTC item is considered dual-purpose and can be used for general health or cosmetic, your claim must be accompanied by the following information:

  • Letter of Medical Necessity Form Letter of Medical Necessity (LMN) (PDF) be on the licensed practitioner's letterhead or prescription form
  • Be dated within the current benefit period
  • Include the specific medical condition
  • Include the recommended treatment
  • Include the duration of the treatment
  • Include the licensed practitioner's name and signature
  • If the treatment could be for cosmetic purposes, specifically state that the treatment is not cosmetic in nature

Please see Eligible HCFSA Expenses for more details.