OTC (Over the Counter) Drug Ruling If certain requirements are met, a health FSA can reimburse medicines and drugs that are available without a prescription.
Must be accompanied by adequate claims substantiation (statements from third party and
participant) Receipt must show the name of the medicine or drug, the date, and the amount of the purchase
Must be incurred during the coverage period Must be incurred for the employee, spouse, or dependent(s) Must be adjudicated by the plan administrator Must meet the definition of “medical care”
¾ The definition: For purposes of a health FSA, the term “medical care” means amounts
paid for “ the diagnosis of disease,  the cure, mitigation, treatment or prevention of disease, or  for the purpose of affecting any structure or function of the body.”
Must be more than merely beneficial to general health Must not involve an unreasonable stockpiling For small quantities, of items on the medical-only list below, the expense is reimbursable
even if the employee, spouse, or dependent did not have an illness at the time of purchase
Medical Only List – The following list has been determined as primarily for medical care and reimbursement for reasonable quantities will be made if the above requirements/documents are met.
Any item that used to be a prescribed drug Allergy Medicine such as Benadryl, Sudafed, Actifed, Claritan, Trimaton, and Nasalcrom Antacids such as Gas-X, Maalox, Mylanta, Tums, Pepcid, Prilosec, Tagamet, Zantac Anticandial such as Lotrimin, Monistat, Vagistat Antihistamines such as Actifed, Allerest, Benadryl, Claritin, Chlor-Trimeton, Contac, Drixoral, Nyquill, Triaminic Antidiarrheal and Laxatives such as Pepto-Bismol, Immodium, Kaopectate, ExLax Anti-fungel such as Lamisil, Lotramin, Micatin Anti-itch creams and lotions such as Bactine, Caldecort, Cortaid, Lanacort, Calamine, Benadryl, Cortaid Asthma medications such as Primatene Mist Cold Remedies such as Advil, Afrin, Aleve, Dristan, Tylenol Flu, Alka Seltzer, Triaminic Cold Sore and Fever Blisters medications such as Carmex, Abreva cream Condoms and other contraceptive devices such as Trojans, VGF Film, Delfen Contraceptive Foam Contact Lense Solutions such as Allergan, Renu, Bausch and Lomb, Opti Free Cough Suppresants and lozenges such as Chloraseptic, Vicks, Robitussin Dehydration such as Pedialyte Diaper Rash Ointments such as Desitin Eye Products such as Visine or even reading glasses First Aid supplies such as Band-Aids, ace bandages, gauze and tape, thermometers, Neosporin, rubbing alcohol, hot/cold
Hemmorrhoid Treatments such as Preparaton H, Hemorid, and Tronolane Internal Analgesics such as Advil, Aleve, Motrin, Nuprin, Excedrin, Tylenol, Bayer Incontinence Supplies such as Depends Liniments such as BenGay, Tiger Balm and Flexall Monitoring such as bracelets specifically to provide medical treatment Medical Products and Devices such as blood pressure monitor, glucose tester, HIV test, pregnancy tests, ovulation
monitor, diabetic supplies, cholesterol test, crutches, wrist supports
Mentrual Cycle products for pain and cramp relief such as Midol, Pamprin, Premysyn PMS Migraine relief such as Advil Migraine, Execdrin Migraine, Motrin Migraine Motion Sickness medicines such as Dramamine and Marizine Pediculicide (head lice) such as Nix Poison Ivy protection such as Ivy Block Smoking Cessation products such as Commit, Nicoderm CQ, Nicorette, Nicotrol Special ointment or cream for sunburns (not regular skin moisturizers) Toothache and teething pain relievers such as Orajel Wart remover treatments such as Tinamed
Dual-Purpose List – the following items require a medical practitioner’s diagnosis and recommendation. The items listed below have both a medical purpose and a personal/cosmetic or general health purpose. A medical practitioner’s note is required stating that the person has a specific medical condition and that the OTC drug is recommended to treat it and that treatment is not a cosmetic procedure. A medical practitioner’s note is not a guarantee of reimbursement. Acne treatment and Retin-A, not reimbursable if used for cosmetic purposes such as wrinkle reduction Dietary and Herbal Supplements only as recommended by a physician to treat a specific medical condition Glucosamine/Chondrotin for arthritis or other medical condition Hormone therapy and treatment for menopause Nasal sprays/strips for snoring for proper breathing or other medical condition Orthopedic shoes and inserts Pills for persons who are lactose intolerant Sunscreen and Sunblock if you’ve been diagnosed with skin cancer or other related diagnosis Topical creams to treat gingivitis Vitamins and Fiber Supplements to treat a specific disease Weight-loss drugs to treat a specific disease (including obesity) Non-Reimbursable OTC Items: Any expenditure which is merely beneficial to the general health of an individual is excluded. Chapstick Cosmetics, including face cream, moisturizers, hand lotion, perfumes, lipsticks, fingernail polishes Cotton Balls Deodorants Eye and facial makeup preparations Feminine Hygiene Products such as Tampons and Maxi Pads Hair colors, hair removal products Mouth wash One-a-day vitamins, dietary supplements Shaving lotion Suntan lotion Toiletries and or cosmetics Teeth Whitening products Toothpaste and toothbrushes (electric or otherwise) Q-Tips IMPORTANT: The receipt MUST indicate (1) the name of the medicine, drug, or supply purchased, (2) the date of purchase (3) the amount of purchase, and (4) MUST have been purchased for the employee, the employee’s spouse, or the employee’s dependent(s). If receipts from the store where you purchase OTC products do not include the required information, you may want to consider shopping around to find a store that can provide you with a receipt that indicates the required information. Receipts that do not provide the required information will not be reimbursed. If you use your debit card to purchase OTC items and you cannot provide a receipt with the required information, you will be required to reimburse your account, as the expense will be deemed ineligible. Continued use of your debit card for the purchase of OTC products without a proper receipt could result in permanent de-activation of your debit card.
1- CONSIDERAZIONI E CONOSCENZE GENERALI I- Sistema giuridico II- Politica economica III- Valuta IV- Segretezza V- Attività bancaria e controlli valutari 2- SOCIETA' E TRUST DI CIPRO I- Tipologie societarie II- Trust III- Altre società 3- SISTEMA IMPOSITIVO I-Tassazione delle società residenti II- Tassazione delle persone fisiche III- Esenzioni IV- Deduzioni V- Tasse sul capi
C.CLIN Sud-Est – Septembre 2004 Conduite à tenir en cas d’une épidémie de gale en établissement de santé Définition : la gale est une ectoparasitose (parasite externe) à Sarcoptes scabiei variété hominis qui vit dans l’épiderme humain, à l’origine d’une dermatose très prurigineuse et contagieuse. I. Contexte épidémiologique Le sarcopte a un aspec