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Symptom

Unchecked Box Acid indigestion
(2)
Checked Box Body aches and pains
Unchecked Box Headache
(2)
Unchecked Box Heartburn
(2)
Unchecked Box Sour stomach
(2)
Unchecked Box Upset stomach
(1)

Special Values

Unchecked Box FSARx Item
(1)

FSARx
Designates items eligible for your Flexible Spending Account only with prescription.


Antacids

2  Items
2  Items

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