Can I Use My HSA for Over the Counter Medicine?

One common question among HSA account holders is whether they can use their HSA funds to purchase over-the-counter medicines. The answer is yes, you can use your HSA for over-the-counter medicine, but there are some guidelines you need to follow.

Here are a few things to keep in mind when using your HSA for over-the-counter medicine:

  • Ensure the medicine is eligible: Not all over-the-counter medicines are HSA-eligible. Make sure the medicine is used to treat a specific medical condition and is approved by the FDA.
  • Save your receipts: It's important to keep your receipts for any over-the-counter medicine purchased with your HSA funds. This will help you in case of an audit or if you need to provide proof of the purchase.
  • Use your HSA debit card: Using your HSA debit card for over-the-counter medicine is the most convenient way to pay for these expenses. However, if you don't have a debit card, you can pay out of pocket and reimburse yourself from your HSA later.
  • Consult your healthcare provider: Before using your HSA funds for any over-the-counter medicine, it's always a good idea to consult with your healthcare provider to ensure it is the right treatment for your condition.
  • Keep track of your expenses: Make sure to keep track of all your over-the-counter medicine expenses paid with your HSA funds. This will help you stay organized and make it easier to report your expenses come tax time.

Overall, using your HSA for over-the-counter medicine is a convenient way to manage your healthcare expenses. Just remember to follow the guidelines and keep proper documentation of your purchases.


Especially in today’s healthcare environment, knowing that you can use your HSA for over-the-counter (OTC) medicines can be a relief. It’s important to understand that while many OTC items are eligible, they must be used for a specific medical need and approved by the FDA.

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