Is Over the Counter Medicine HSA Eligible? Exploring HSA Rules and Benefits

One common question among those with Health Savings Accounts (HSAs) is whether over the counter (OTC) medicine is HSA-eligible. The short answer is yes, but there are some rules and regulations to keep in mind.

Here's what you need to know:

  • Eligible OTC Medications: OTC medicines must be used to treat a specific medical condition to be considered HSA-eligible. This includes items like pain relievers, allergy medications, and first aid supplies.
  • Prescription Requirement: In most cases, a prescription is not required for OTC medications to be eligible for HSA reimbursement. However, it's always a good idea to keep receipts and documentation for your records.
  • Non-Eligible Items: While many OTC medications are HSA-eligible, items like vitamins, supplements, and cosmetic products are not eligible for reimbursement.
  • Payment Methods: You can use your HSA debit card or reimburse yourself from your HSA account for eligible OTC purchases. Just make sure to keep accurate records to comply with IRS rules.
  • Recent Changes: The CARES Act of 2020 expanded HSA eligibility to include menstrual care products as well, providing even more options for tax-free spending.

Overall, HSA accounts offer a flexible and tax-advantaged way to cover a wide range of healthcare expenses, including over the counter medicines. By understanding the rules and benefits of HSAs, you can make the most of this valuable financial tool.


Many people with Health Savings Accounts (HSAs) often wonder about the eligibility of over the counter (OTC) medicines for reimbursement. The good news is that yes, OTC medicines can be purchased with HSA funds, but there are important rules to remember.

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