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HRA

HSA

FSA

Limited Purpose FSA

Dependent Care FSA

HRA

HSA

FSA

Limited Purpose FSA

Dependent Care FSA

Eligible

Eligible with Rx

Eligible with LMN

Eligible

Eligible with Rx

Eligible with LMN

Infant Formula

Infant formula is typically not eligible for reimbursement with flexible spending account (FSA), health savings account (HSA) or health reimbursement arrangement (HRA). In rare circumstances, when there is a medical condition that requires use a specific type of formula, administrators may or may not reimburse the difference in cost with a Letter of Medical Necessity (LMN). Infant formula is not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

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