diff --git a/homeassistant/components/ruuvitag_ble/config_flow.py b/homeassistant/components/ruuvitag_ble/config_flow.py
index 564f3c9d0e2f..1d71eaf28c07 100644
--- a/homeassistant/components/ruuvitag_ble/config_flow.py
+++ b/homeassistant/components/ruuvitag_ble/config_flow.py
@@ -72,7 +72,7 @@ class RuuvitagConfigFlow(ConfigFlow, domain=DOMAIN):
                 title=self._discovered_devices[address], data={}
             )
 
-        current_addresses = self._async_current_ids()
+        current_addresses = self._async_current_ids(include_ignore=False)
         for discovery_info in async_discovered_service_info(self.hass, False):
             address = discovery_info.address
             if address in current_addresses or address in self._discovered_devices:
diff --git a/tests/components/ruuvitag_ble/test_config_flow.py b/tests/components/ruuvitag_ble/test_config_flow.py
index 5259511fc0f1..add4b6682a9b 100644
--- a/tests/components/ruuvitag_ble/test_config_flow.py
+++ b/tests/components/ruuvitag_ble/test_config_flow.py
@@ -6,6 +6,7 @@ import pytest
 
 from homeassistant import config_entries
 from homeassistant.components.ruuvitag_ble.const import DOMAIN
+from homeassistant.config_entries import SOURCE_IGNORE
 from homeassistant.core import HomeAssistant
 from homeassistant.data_entry_flow import FlowResultType
 
@@ -205,3 +206,42 @@ async def test_async_step_user_takes_precedence_over_discovery(
     assert result2["title"] == CONFIGURED_NAME
     assert result2["data"] == {}
     assert result2["result"].unique_id == RUUVI_V5_SERVICE_INFO.address
+
+
+async def test_user_setup_replaces_ignored_device(hass: HomeAssistant) -> None:
+    """Test the user initiated form can replace an ignored device."""
+    entry = MockConfigEntry(
+        domain=DOMAIN,
+        unique_id=RUUVI_V5_SERVICE_INFO.address,
+        source=SOURCE_IGNORE,
+        data={},
+    )
+    entry.add_to_hass(hass)
+
+    with patch(
+        "homeassistant.components.ruuvitag_ble.config_flow.async_discovered_service_info",
+        return_value=[RUUVI_V5_SERVICE_INFO],
+    ):
+        result = await hass.config_entries.flow.async_init(
+            DOMAIN, context={"source": config_entries.SOURCE_USER}
+        )
+    assert result["type"] is FlowResultType.FORM
+    assert result["step_id"] == "user"
+
+    # Verify the ignored device is in the dropdown
+    assert (
+        RUUVI_V5_SERVICE_INFO.address
+        in result["data_schema"].schema["address"].container
+    )
+
+    with patch(
+        "homeassistant.components.ruuvitag_ble.async_setup_entry", return_value=True
+    ):
+        result2 = await hass.config_entries.flow.async_configure(
+            result["flow_id"],
+            user_input={"address": RUUVI_V5_SERVICE_INFO.address},
+        )
+    assert result2["type"] is FlowResultType.CREATE_ENTRY
+    assert result2["title"] == CONFIGURED_NAME
+    assert result2["data"] == {}
+    assert result2["result"].unique_id == RUUVI_V5_SERVICE_INFO.address