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Changes to Over-the-Counter (OTC) Reimbursements 

 

Effective January 1, 2011, OTC drugs and medicines will no longer be eligible for reimbursement without a prescription from the attending provider. This includes OTC items like: digestive aids, allergy drugs, pain relief, cold and cough medicines, sleep aids, anti-gas meds, baby rash creams and insect bite treatments.

Items like eyeglasses, wrist splints and band aids, as well as durable medical items such as crutches and canes will continue to be reimbursed without a doctor’s prescription. Items that require a doctor’s prescription may not be purchased using the myFBMC Card® because the approval systems cannot determine if there is a doctor’s note on file with administrators. However, non-medicinal OTC, as well as regular prescriptions, will still be available for purchase with the card.

If you wish to continue purchasing and submitting claims for tax-free OTCs you must obtain a doctor’s prescription for the items you want reimbursed.

For more information contact FBMC Customer Care at 1-800-342-8017.

Originally Posted: 11/17/2010