As of January 1, 2011 over the counter medicines and drugs will no longer be covered under a Flexible Spending Account (FSA) unless a letter of medical necessity is obtained from a physician. The exception to this is insulin, or health related supplies. Prescription medications will continue to be eligible, although some items may require additional substantiation regarding necessity.
According to a study conducted by a large health debit card provider, losing the tax-deductible status for OTC medicines will affect only a small percentage of employee medical FSA reimbursements. It is suggested that participants continue to make their elections as conservatively as possible, and not drastically reduce their contributions