Are Over the Counter Creams Covered by HSA?

One common question that HSA account holders often have is whether over the counter creams are covered by their HSA. The answer is not a straightforward yes or no, as it depends on various factors.

Over the counter creams, such as pain relief ointments, skin care products, and other topical treatments, are generally eligible for HSA reimbursement as long as they are for medical purposes to treat a specific health condition. However, there are some guidelines to keep in mind:

  • Make sure the cream is prescribed by a healthcare provider. Without a prescription, it may not be considered a qualified medical expense.
  • Check the HSA provider's list of eligible expenses to ensure the cream is included.
  • Over the counter creams for general health and wellness, such as moisturizers and vitamins, are typically not eligible.

It's always a good idea to consult with your HSA provider or tax advisor to clarify any confusion regarding eligible expenses.


If you’re wondering whether over-the-counter creams are covered by your Health Savings Account (HSA), you'll be relieved to know that some might be reimbursable, but there are specific conditions involved.

Products like pain relief ointments and creams for skin conditions can be eligible, provided they are used to treat a particular health issue. Here are crucial points to consider:

  • Always ensure the cream is prescribed by a healthcare professional; otherwise, it may not qualify for reimbursement.
  • Review your HSA provider’s list of eligible expenses to confirm the product is covered.
  • Keep in mind that creams intended for cosmetic purposes, such as moisturizers and those without a specific medical claim, are typically not eligible.

Consulting your HSA provider or a tax professional can also help clarify expenses that qualify under your HSA.

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