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Shopping cart with medications While general account eligibility is a leading concern for FSA users, another 30.8 percent said the over-the-counter (OTC) Rx provision is the most confusing.

Flexible spending accounts (FSAs) aren’t new, and they aren’t particularly sexy. But each year, more than 35 million Americans enroll in the tax-free accounts to help pay for qualified health care needs for themselves and their dependents.

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