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Pain 166 , 1179–1190 (2025)

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What You Need to Make It Work Obtain a prescription from a licensed provider Request a Letter of Medical Necessity documenting your diagnosis and the clinical rationale Pay using your HSA/FSA debit card or submit itemized receipts for reimbursement Keep all documentation — prescription, diagnosis code, and receipts — in your records The most common reason HSA/FSA claims are denied is missing documentation of medical necessity — not the medication itself