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Guest maya24
Posted

Can anyone give me guidance on whether a OTC dairy relief product would qualify for reimbursement without a Dr's note? The employee sent a note stating her son is lactose intolerant and needs this product when he consumes dairy. Thanks for your help.

Guest FormsRmylife
Posted

I compare this to the Tums or Peptobismal the boy would need if he did not take the dairy relief and would allow the claim. The dairy relief product is only purchased to relieve a medical condition, it has no other purpose. Of course, never eating ice cream or cheese would avoid the need for the product; therefore, the product could be argued not to be medically necessary. However, I think the same arguement applies to most digestive relief products. If I had not eaten the chili, I would not need the Tums. Since digetive relief products have not been removed from the realm of reimbursable OTC products, I would think dairy relief would be reimbursable.

Posted
Of course, never eating ice cream or cheese would avoid the need for the product; therefore, the product could be argued not to be medically necessary.

What about psychologically and emotionally necessary? ;)

...but then again, What Do I Know?

Posted

Kirk...you made my day! Thanks for the laugh... :D

Guest Laura Browne
Posted

Wouldn't the lactose free milk be a special food item which has always been allowable under the Section 125? Therefore, the cost of the special food item would be reimbursable only to the extent of the cost above and beyond regular milk.

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