Can You Use Your HSA Card for OTC Meds?

If you're wondering whether you can use your HSA card for over-the-counter (OTC) meds, the answer is both yes and no. Here's a breakdown of when you can and cannot use your HSA card for OTC medications:

Yes, You Can:

  • You can use your HSA card to purchase OTC meds if you have a prescription from a healthcare provider.
  • Some OTC items are eligible for HSA reimbursement; these include items such as first aid supplies, bandages, and reading glasses.

No, You Can't:

  • As of 2020, without a prescription, you cannot use your HSA card for general OTC medications.
  • Some OTC items, like vitamins and supplements, are not considered eligible expenses for HSA reimbursement without a prescription.

It's essential to know these guidelines to make the most of your HSA funds and avoid any unexpected expenses or issues when using your HSA card for OTC meds.


If you're curious about using your HSA card for over-the-counter (OTC) medications, understanding the rules is essential. While you can purchase OTC items with a prescription from your healthcare provider, many people remain confused about which items qualify.

Yes, You Can:

  • If you obtain a prescription, your HSA card can be used for OTC medications, enabling a more flexible approach to your healthcare needs.
  • Additionally, certain OTC items such as first aid kits, bandages, and contact lens solution are eligible for HSA reimbursement.

No, You Can't:

  • Since the changes in 2020, general OTC medications are no longer eligible without a prescription, so it’s vital to check with your doctor if you need an Rx.
  • Moreover, items like vitamins and dietary supplements do not qualify for reimbursement under most circumstances unless prescribed by a medical professional.

Being aware of these HSA guidelines will empower you to maximize your funds wisely and know what to expect.

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