Can I Use My HSA Card for OTC Meds?

One common question many people have about their HSA card is whether they can use it for over-the-counter (OTC) medications. The short answer is, yes, you can use your HSA card to purchase OTC meds, but with a few caveats.

When it comes to using your HSA card for OTC meds, here are some key points to keep in mind:

  • Make sure the OTC meds are eligible: Not all OTC medications are eligible for purchase with your HSA funds. Only certain items that qualify as medical expenses under the IRS guidelines can be purchased using your HSA card.
  • Check the store's point-of-sale system: Some stores' point-of-sale systems are not set up to automatically recognize which OTC meds are eligible for HSA purchases. In such cases, you may have to pay out-of-pocket and then seek reimbursement from your HSA provider.
  • Keep your receipts: It's important to keep your receipts for all OTC medication purchases made with your HSA card. This documentation is necessary in case you are ever audited by the IRS.

Using your HSA card for OTC meds can be a convenient way to manage your healthcare expenses, but it's important to understand the guidelines and limitations associated with these purchases.


Many individuals often wonder if they can use their HSA card for over-the-counter (OTC) medications. Fortunately, the answer is yes, but there are some considerations you need to keep in mind.

First, it's essential to know which OTC medications qualify: not all are eligible under IRS guidelines for HSA purchases. You’ll want to make a checklist of approved items.

Additionally, remember that some retailers may not have systems in place that identify eligible OTC items at the register. In those cases, you may need to pay upfront and submit for reimbursement later.

Keeping your receipts is crucial as well. IRS regulations require you to have documentation for every transaction made with your HSA, particularly for OTC medications, in case of an audit.

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