Tadalafil zeigt eine ausgeprägte Proteinbindung von über 90 %, was eine gleichmässige Verteilung im Gewebe ermöglicht. Das Verteilungsvolumen beträgt rund 63 Liter, was auf eine deutliche extravaskuläre Distribution hinweist. Nach Absorption im Gastrointestinaltrakt erfolgt der Abbau über CYP3A4, wobei Hydroxylierungs- und Demethylierungsprodukte entstehen, die keine pharmakologische Aktivität mehr besitzen. Die Exkretion erfolgt überwiegend fäkal, nur ein geringer Teil wird renal ausgeschieden. Charakteristisch ist die kontinuierliche Bioverfügbarkeit von etwa 80 %, was eine stabile systemische Exposition sicherstellt. Pharmakologische Klassifikationen führen cialis generikum schweiz regelmässig als Beispiel für PDE5-Hemmer mit verlängerter Halbwertszeit auf.

June 3, 1996

INC. FSA - CLAIM VOUCHER
Washington
Braintree, MA 02184
(781) 848-8477 (Fax)

EMPLOYER: _______________________________________________________

EMPLOYEE: ____________________________________________________ SS#: XXX -XX - _______
ADDRESS: ___________________________________________CITY:_____________________________________
STATE: __________ ZIP: _____________
PHONE: ( )__________________________
E-MAIL ADDRESS:
UNREIMBURSED MEDICAL EXPENSES (Participants & Eligible Dependents -as defined by the IRS guidelines)
ITEMS (group similar items)
DATE OF SERVICE
TOTAL: $__________________
DEPENDENT/CHILD CARE EXPENSES (daycare)

_____________________________________

OTHER ACCOUNT EXPENSES (e.g. COBRA)
_____________________________________

TRANSPORTATION ACCOUNT EXPENSES (For Participants Enrolled in Qualified Parking/Transit Plan ONLY)
PARKING (IRS Monthly max $230)

All medical claims submitted require copies of bills/statements/receipts showing date and type of service. (No cancelled checks/credit
card receipts). All claims must be received 2 days prior to claim payment day. Direct deposit payments are processed weekly
(Wednesday). Checks are processed at least twice a month (every other Wednesday). Please allow 3 business days to receive your
check. Minimum payment is $20.00.

This is to certify that I have incurred the expenses listed above that qualify for reimbursement under my employer’s Cafeteria Plan. I
have not been reimbursed from any other source including insurance programs or other programs offered by my employer. None of
these expenses have previously been submitted. I understand and agree that since these expenses are to be reimbursed they may not be
claimed as deductions for income tax purposes. Additionally, I am aware that unused funds may be forfeited or otherwise handled in
accordance with the plan document and the current IRS law. I hereby request reimbursement for these claims.

PARTICIPANT’S SIGNATURE: ________________________________________________ DATE: _________________
CLAIM PROCESSING & PROCEDURES

• PAYMENTS: DIRECT DEPOSIT PAYMENTS ARE PROCESSED WEEKLY (WEDNESDAY). PLEASE
ALLOW TWO BUSINESS DAYS FOR FUNDS TO BE IN YOUR ACCOUNT. CHECKS ARE ISSUED AT LEAST TWICE A MONTH (EVERY OTHER WEDNESDAY). • CLAIMS MUST BE RECEIVED AT LEAST 2 DAYS PRIOR TO THE SCHEDULED PAYMENT DAY TO BE
• MEDICAL CLAIMS SUBMITTED REQUIRE COPIES OF BILLS/STATEMENTS/RECEIPTS SHOWING DATE AND TYPE OF SERVICE. (NO CANCELLED CHECKS/CREDIT CARD RECEIPTS). • YOU MAY FAX A CLAIM AND YOUR RECEIPTS TO CPA, INC. PLEASE LIMIT TO 10 PAGES. • ELIGIBLE EXPENSES REQUIRE THE DATE OF SERVICE FALL WITHIN YOUR PLAN YEAR, NOT WHEN • GROUP EXPENSES TOGETHER ON ONE LINE (See Example Below) DATE INCURRED
IRS Reimbursable Expenses (examples). Please call CPA, Inc. if any questions.
Mileage traveled to/from a medical facility: (16.5 cents per mile effective 1/1/2010) Insulin and Testing Supplies

*IMPORTANT NOTE: Due to new Health Care Reform, Over-The-Counter items are no

longer eligible expenses, effective 1/1/2011.
The following items require a physician prescription each plan year stating the expense is
necessary to treat a particular medical condition/disease. Wellness procedures and programs are NOT
covered.
Health Club memberships

Source: http://town.dennis.ma.us/Pages/DennisMA_HR/employees/flex.pdf