Are Over-The-Counter Antihistamines eligible for HSA? - A Comprehensive Guide

If you have allergies, you're probably familiar with antihistamines – medications that help alleviate symptoms like sneezing, itching, and nasal congestion. But are over-the-counter (OTC) antihistamines eligible for Health Savings Account (HSA) reimbursement? Let's dive into the details to help you make informed decisions.

Typically, OTC antihistamines are eligible for HSA reimbursement if they are used to treat a specific medical condition, such as allergies. Here are some key points to consider:

  • Check with your HSA provider: It's essential to verify with your HSA provider whether OTC antihistamines are considered eligible expenses.
  • Prescription requirement: Some HSAs may require a prescription for OTC medications to qualify for reimbursement, so it's crucial to understand your plan's guidelines.
  • Medical necessity: OTC antihistamines must be deemed necessary for the treatment of a specific medical condition to be eligible for HSA reimbursement.

Remember, HSA funds can only be used for qualified medical expenses, so it's essential to familiarize yourself with your plan's coverage. Always keep receipts and documentation for any OTC medications you purchase with HSA funds for tax and verification purposes.


When treating allergies, many of us reach for over-the-counter (OTC) antihistamines, but have you checked if they’re eligible for reimbursement under your Health Savings Account (HSA)? This guide will clarify your questions surrounding HSA eligibility for these common medications.

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