NCFlex OTC Eligibility List

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NCFlex OTC Eligibility List
The FSA eligible items listed below do not require a doctor’s
prescription for reimbursement. You can use your NCFlex
Convenience Card at the point of service to purchase these
expenses. You can also pay out-of-pocket for the expense and
submit for reimbursement. If you have a question about a
specific item please contact P&A customer service at (866) 9163475.
Eligible Expense
Examples
(No Doctor’s Prescription Required)
Acupuncture
Breast Pumps and Breast-Feeding Supplies
Breast pump parts, gel pad, nipple shields,
conversion kits
Contraceptives
Condoms
Denture Adhesives, Repair, Pain Relief and
Cleansers
PoliGrip, Benzodent, Plate Weld, Efferdent
Diabetes Testing & Aids
Ascencia, One Touch, insulin syringes; glucose
products
Diagnostic Products
Thermometers, blood pressure monitors,
cholesterol testing
Diagnostic Testing
Cholesterol screening
Durable Medical Equipment
Wheel chairs, crutches
Elastic/Athletic Treatments
ACE, Futuro, elastic bandages, braces, orthopedic
supports & rib belts
Eye Care
Contact lens care
Family Planning
Pregnancy kits, ovulation kits
First Aid Dressings & Supplies
Band Aid, 3M Nexcare, J&J First Aid, non-sport tapes
Health Care Services
Urgent care/ primary care services provided by a
licensed practitioner
Incontinence Protection & Treatment Products
Attends, Depend, GoodNites for juvenile
incontinence, Prevail
Insulin
Motion Sickness Wristbands
Orthopedic Shoe Inserts
Dr. Scholl’s inserts
Reading Glasses and Maintenance Accessories
Accessories used to maintain corrective lenses and
frames
Re-hydration Solutions
Pedialyte, Enfalyte
Vaccinations
Flu shots, pneumonia vaccinations
NCFlex OTC Eligibility List
The items listed below must be submitted with a doctor’s
prescription in order to be eligible for reimbursement
under the FSA. You can use your NCFlex Convenience Card
only if the item is purchased with a prescription through a
pharmacy. If you are unable to use the NCFlex Convenience
Card at a pharmacy, you may submit a claim (along with a
copy of the prescription) for reimbursement.
Eligible Expense
Examples
(Doctor’s Prescription MUST Be Provided)
Acid Controllers
Pepcid AC, Zantac, Prilosec
Allergy & Sinus
Alavert, Benadryl, Claritin, Sudafed
Antibiotic Products
Bacitracin, triple antibiotic ointment
Anti-Diarrheals
Imodium, Kaopectate
Antifungal (Foot)
Lamisil, Lotrimin
Anti-Gas
Gas-X, Phazyme
Anti-Itch & Insect Bite Remedies
Caladryl, Lanacane, Sarna, hydrocortisone
Antiparasitic Treatments
Nix, Rid, lice treatments
Baby Rash Ointments & Creams
Desitin, Aveeno Baby
Cold Sore Remedies
Abreva, Herpecin, Orajel
Cough, Cold & Flu Medicines
Robitussin, Theraflu, Vicks, Cepacol, Zicam, Cold-Eze
Digestive Aids
Lactaid, Lactase, Beano
Ear Care
Medicated ear drops, Debrox, Similasin
Eye Care
Visine, Refresh Tears
Female Contraceptives
Birth control pills
Feminine Antifungal and Anti-Itch
Monistat, Gyne-Lotrimin, Vagisil, Soothing Care
Fiber Laxatives
Benefiber, Fibercon, Metamucil
First Aid Burn Remedies & Creams
Dermoplast, Solarcaine
Glucosamine &/or Chondroitin
Hemorrhoidal Preparations
Preparation H, Tucks
Laxatives
Dulcolax, Ex-Lax, Miralax
Medicated Respiratory Treatments and Vapor
Products
Primatene, Bronkaid, medicated Vics Vapor Rub
Motion Sickness Pills
Dramamine, Bonine
Nasal Sprays, Drops & Inhalers
Afrin, Ocean Nasal Spray
Pain Relief (includes aspirin)
Tylenol, Advil, Midol, Bayer
*Prenatal Vitamins
*Cannot use the NCFlex Convenience Card for
this expense
Stuart Prenatal, Nature’s Bounty Prenatal Vitamins
Sleep Aids & Sedatives
Unisom, Nytol, Sominex
Smoking-cessation Programs
Nicoderm, Nicorette
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