Can I Buy Over-the-Counter Bioidentical Hormones with HSA? - Understanding HSA Rules and Regulations

When it comes to using your Health Savings Account (HSA) for a variety of health-related expenses, it's essential to understand what you can and cannot purchase with your HSA funds. Many individuals wonder whether they can buy over-the-counter (OTC) bioidentical hormones with their HSA, and the answer lies in the specific rules and regulations set by the IRS.

Here is some important information to consider:

  • Bioidentical hormones are hormones that are identical in molecular structure to the hormones produced naturally in the human body.
  • They are often used to address hormonal imbalances and symptoms related to menopause, such as hot flashes and mood swings.
  • While prescription bioidentical hormones are typically covered by insurance, OTC bioidentical hormones may not be eligible for reimbursement with your HSA.

It's crucial to review the IRS guidelines regarding eligible HSA expenses to determine whether OTC bioidentical hormones are a qualified expense. Consulting with a healthcare provider or HSA administrator can also provide clarity on this matter.


When utilizing your Health Savings Account (HSA), it's essential to know the do's and don'ts regarding eligible health expenses. A commonly asked question is whether you can purchase over-the-counter (OTC) bioidentical hormones with HSA funds. This decision is influenced by specific IRS regulations.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter