In case you missed it when I wrote about Guidance from the IRS on Flex Spending Plans – one of the changes you’ll have to deal with beginning with 2011 is that you can no longer use your Flex-Spending Account (FSA) to reimburse yourself for over-the-counter drugs like you’ve been able to do in the past.
However, there is a way to get the over-the-counter (OTC) drugs that your physician recommends and use your FSA funds to pay for it… if your physician gives you a prescription for it. Even though the IRS has disallowed the use of FSA funds for OTC drugs, if your physician gives you a prescription for the OTC drug, your FSA can be used to pay for the drug.
There are some rules though: first, the prescription has to provided to the pharmacist prior to the purchase, and the pharmacist must dispense the drug just as if it were a regular prescription, with a Rx number assigned to the prescription. The records must be maintained by the pharmacy and the taxpayer and available to the IRS if necessary. FSA debit cards (and HSA debit cards) can also be used for this purpose, as long as all of the requirements are met.
Photo by 416style

Sterling Raskie, MSFS, CFP®, ChFC®
The latest in our Owner’s Manual series, A 401(k) Owner’s Manual, was published in January 2020 and is available on
A Medicare Owner’s Manual, is updated with 2020 facts and figures. This manual is available on
Social Security for the Suddenly Single can be found on Amazon at
Sterling’s first book, Lose Weight Save Money, can be
An IRA Owner’s Manual, 2nd Edition is available for purchase on Amazon. Click the link to choose the
Jim’s book – A Social Security Owner’s Manual, is now available on Amazon. Click this link for the
And if you’ve come here to learn about queuing waterfowl, I apologize for the confusion. You may want to discuss your question with Lester, my loyal watchduck and self-proclaimed “advisor’s advisor”.