Can You Buy Over-the-Counter Toothpaste with HSA?

When it comes to using your Health Savings Account (HSA), you may wonder about what expenses are eligible for reimbursement. One common question that HSA users often ask is whether they can purchase over-the-counter toothpaste using their HSA funds.

According to the IRS guidelines, over-the-counter (OTC) items like toothpaste are generally considered eligible expenses for HSA reimbursement, as long as the toothpaste is used to prevent or treat a specific medical condition.

However, it's important to note that not all toothpaste products may qualify for HSA reimbursement. To ensure that your purchase is eligible, look for toothpaste that specifically addresses a medical need, such as:

  • Toothpaste for sensitive teeth
  • Toothpaste for gum disease
  • Fluoride toothpaste for cavity prevention

When using your HSA to buy toothpaste, remember to keep your receipt as documentation in case of an audit. Additionally, it's a good idea to check with your HSA provider or benefits administrator for specific guidelines related to OTC purchases.


Yes, you can purchase over-the-counter toothpaste with your HSA funds, given that the selected product is intended to treat or prevent a specific dental issue. Products designed for sensitive teeth or gum disease, for instance, typically qualify for reimbursement.

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