Can I Submit Prescriptions to FSA if I Have Both HSA and FSA Accounts?

Having both a Health Savings Account (HSA) and a Flexible Spending Account (FSA) can provide you with valuable benefits when it comes to managing your healthcare expenses. However, it's essential to understand the rules and limitations that come with each account to make the most out of them.

When it comes to submitting prescriptions, it's important to note that you cannot use your FSA funds to pay for prescriptions if you also have an HSA. This restriction is due to the IRS regulations that prohibit the use of FSA funds for qualified medical expenses if you have an HSA.

Here are some key points to keep in mind:

  • If you have both an HSA and an FSA, you can only use your HSA funds to pay for prescriptions.
  • However, you can still use your FSA funds for other qualified medical expenses not covered by your HSA, such as co-pays, deductibles, and certain over-the-counter medications.
  • It's important to keep track of which account you are using to pay for each expense to ensure compliance with IRS regulations.

Overall, while having both an HSA and an FSA can offer you added flexibility in managing your healthcare costs, it's crucial to understand the rules governing each account to avoid any confusion or penalties.


When managing healthcare expenses, it's vital to comprehend the distinct roles of your Health Savings Account (HSA) and Flexible Spending Account (FSA). While both accounts can coexist, they have specific rules, especially concerning prescription drugs.

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