Do you have a Health Flexible Spending Arrangement – this can be a HSA, FSA or Archer MSA. Effective January 1, 2011, the cost of over-the-counter medicines can’t be reimbursed from these accounts unless you have a prescription except for Insulin. Other health care expenses that are not affected are medical devices, eye glasses, contact lenses, co-pays and deductibles. FSA and HRA participants can continue using debit cards to buy prescribed over-the-counter medicines. Also, as of October 31, 2013, there is a new $500 carryover option for employer-sponsored healthcare flexible spending arrangements.