The National Association of Chain Drug Stores has sent a
In the letter, the NACDS stated its support for a delay longer than the IRS-proposed two-week delay if the IRS would not accept the NACDS's proposal to amend its guidance to clarify that debit cards may be used to purchase prescribed OTC medications from pharmacies.
The new rules were supposed to take effect on Jan. 1, 2011, but the IRS said in
The NACDS said that a longer delay of two years would help enhance the interoperability of the systems needed to distinguish between the types of prescriptions allowed under the Inventory Information Approval System.
Currently, there is no robust interaction between pharmacy dispensing systems and IIAS systems; IIAS systems cannot distinguish between a medication for which a prescription is required and an OTC that has been prescribed, said the letter. To comply with the IRS guidance, pharmacy IIAS systems must be modified to distinguish between the two categories of medications, prescription-only and OTC.
The NACDS also requested clarification on the types of prescriptions allowed under the provisions of the Patient Protection and Affordable Care Act. The letter urged the continued use of flexible spending account and health reimbursement account debit cards for OTC medication purchases where a pharmacist or pharmacy personnel validates the existence of a prescription at the point of sale.