What Does My HSA Cover OTC? Exploring HSA Eligible Over-the-Counter Expenses

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. But what exactly does your HSA cover when it comes to over-the-counter (OTC) expenses?

OTC medications and supplies are generally eligible for HSA coverage, but there are some criteria to keep in mind:

  • Items must be primarily for medical care
  • They must be used to alleviate or treat a specific medical condition
  • The expenses must be incurred after you've established your HSA

Common OTC items that are typically eligible for HSA coverage include:

  • Pain relievers like Tylenol and Advil
  • Allergy medications such as Claritin and Zyrtec
  • First aid supplies like bandages and antiseptics
  • Cough and cold remedies
  • Menstrual care products

It's essential to keep receipts for all OTC purchases to prove their eligibility in case of an audit. Some non-qualifying items include supplements, vitamins, and general health products.

Consulting with your HSA provider or referring to the IRS's list of eligible medical expenses can help clarify any uncertainties about OTC coverage.


Health Savings Accounts (HSAs) are a fantastic way to manage your healthcare expenses while reaping tax advantages. When it comes to over-the-counter (OTC) expenses, it’s crucial to understand what your HSA can cover.

Generally, OTC medications and supplies are eligible for HSA coverage, as long as you meet certain criteria:

  • The items must be primarily used for medical care.
  • OTC products must address a specific medical condition.
  • Expenses should be incurred after you have set up your HSA.

Some common OTC items that are often covered by HSAs include:

  • Pain relievers like Advil and Tylenol, which are essential for managing pain.
  • Allergy relief medications such as Zyrtec and Claritin, helpful for allergy season.
  • Basic first aid supplies, including antiseptics and bandages, for those necessary scrapes and cuts.
  • Remedies for coughs and colds that can help ease your symptoms.
  • Menstrual care products, which are a vital health necessity for many.

Remember to keep your receipts for all OTC purchases, as they are vital for proving eligibility if ever questioned during an audit. Note that items like vitamins and supplements are not eligible under HSA guidelines.

For more clarity, consider consulting with your HSA administrator or check the IRS's comprehensive list of eligible medical expenses.

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