Recently Congress passed the CARES ACT (COVID-3 Stimulus Bill), which included language to permanently reinstate coverage for over-the-counter drugs from FSAs and HSAs, without the need for a prescription. They also included menstrual care products to the list of eligible items.

To be reimbursed, provide the cash register receipt that lists the products purchased. If you have the SABCFlex Card (WEX), it will take some time before the merchants can update their inventory control system (SIGIS) to accommodate payment with the card. Therefore, you will have to pay with another form of payment and send it to us for reimbursement. Always keep your receipts for your OTC items, as many smaller drug stores/pharmacies will not have the inventory control system.


OTC drugs and items must be purchased for use by you, your spouse and/or dependents and intended for use in the same Plan Year in which you request reimbursement. Bulk purchases are not allowed.

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The items purchased must be used to alleviate or treat a medical condition and NOT for general well being. OTC items such as vitamins and supplements are not generally allowed, unless for the treatment of a specific illness and reimbursement would be based on documentation from your physician. Toiletries, cosmetics and sundry items are NOT reimbursable expenses.

Should you have any questions, please contact our office.