Can I Use HSA Over the Counter? All You Need to Know About HSA Over-the-Counter Purchases

Health Savings Accounts, or HSAs, are a great way to save for medical expenses while enjoying tax benefits. One common question that people have is whether they can use their HSA funds to purchase over-the-counter (OTC) items. The answer is yes, you can use your HSA to buy OTC items, but there are certain guidelines you need to follow.

When using your HSA for OTC purchases, keep in mind the following:

  • Make sure the item is considered a qualified medical expense by the IRS.
  • Save your receipts in case you need to provide proof of the purchase.
  • Check with your HSA provider for any specific rules or restrictions regarding OTC purchases.

It's important to note that as of 2020, the CARES Act has reinstated the ability to use HSA funds for OTC medications without a prescription. This is a great advantage for HSA holders as it provides more flexibility in using their funds for medical needs.


Health Savings Accounts, or HSAs, are becoming increasingly popular as a way to fund medical expenses while taking advantage of tax benefits. But what about those everyday items we often buy over the counter? Thankfully, you can use HSA funds for over-the-counter (OTC) purchases, provided certain criteria are met.

Here are a few key points to remember when using your HSA for OTC transactions:

  • Only purchase items that are deemed qualified medical expenses according to IRS guidelines.
  • Always keep your receipts as proof of purchase for future reference.
  • Consult with your HSA provider for any specific limitations or guidelines regarding OTC purchases that may apply.

Since the enactment of the CARES Act in 2020, HSA holders can freely buy OTC medications without requiring a prescription. This change significantly enhances convenience and allows for greater flexibility in managing healthcare expenses.

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