Health Care Reform, Insurance and Employee Benefits

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IRS Clarifies Over-the-Counter (OTC) Treatment Under Health Reform

Note: None of this should not be taken as tax or legal advice.

Yesterday, the IRS issued Notice 2010-59 giving guidance on the new tax treatment of over-the-counter (OTC) drugs with regard to HRAs, FSAs, and HSAs.

The notice clarified that:
  1. A doctor's prescription is required for over the counter drugs the same way prescriptions are required for prescription drugs (i.e. substantiation would include a receipt that identifies the purchaser along with an Rx number or a receipt showing the item purchased along with a copy of the prescription).
  2. The new prescription requirements do not apply to insulin, equipment (e.g. crutches), supplies (e.g. band aids), or diagnostic devices  that are not medicines or drugs.
  3. The IRS will permit documents to be amended no later than June 30, 2011.
  4. Debit cards cannot be used at all providers and merchants to purchase over-the-counter medicines or drugs. 
Click here to read the IRS FAQ.


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Clarifying Health is a blog about health insurance, health benefits, and everything else related to how Americans pay for medical expenses.

If you have any tips or suggestions for this blog, send an email to blog@ZaneBenefits.com and let us know. We always appreciate feedback

We also run a company called Zane Benefits where we're doing everything we can to help America out of the current healthcare mess.

If you want to learn more about how Zane Benefits helps companies with their benefits, or you're interested in working with us, visit the Zane Benefits website.
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