Can you buy pain relievers with HSA?

Asked by: Dr. Halle Smitham III  |  Last update: June 27, 2025
Score: 4.1/5 (48 votes)

What can I buy with my HSA or FSA in 2025? The IRS expanded the list* to include OTC products such as pain reliever, face masks and cold and flu medicine. (* Over-the-counter products were added by the CARES Act, March 2020).

Can you use HSA for pain relief?

Common OTC pain medications that you can buy with your HSA funds include: Advil. Anacin. Aleve.

What over-the-counter medicine is HSA eligible?

Those types of medications include:
  • Cold, cough, and flu medicine.
  • Heartburn medications.
  • Pain relievers and anti-inflammatory medications.
  • Allergy and sinus medicine.
  • Digestive aids and laxatives.
  • Baby rash ointments and creams.
  • Baby electrolytes.
  • Sleep aids.

Can you use an HSA to pay for medications?

Along with prescription drugs, your HSA covers eligible medical expenses as defined by the IRS, including: medical care. vision and dental care expenses, plus hearing aids.

What can I not buy with HSA?

Generally, you can't use your HSA to pay for expenses that don't meaningfully promote the proper function of the body or prevent or treat illness or disease. Nutritional supplements and weight loss programs not prescribed by a physician are examples of expenses that would not be covered by your HSA.

DWYM: Last two days to buy over the counter meds with HSA

38 related questions found

Can I use my HSA to pay for a gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

Is it illegal to use HSA money for anything?

You generally can't use HSA funds to pay premiums. Once you turn 65, you can use the money in your HSA for anything you want. If you don't use it for qualified medical expenses, it counts as income when you file your taxes.

Is ibuprofen HSA eligible?

Ibuprofen is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Ibuprofen is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

Can I buy deodorant with HSA?

Deodorant reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can I use my HSA for massage?

Your HSA can pay for massage therapy, though you'll likely need a letter of medical necessity (LMN) from your doctor. An LMN states what condition the treatment is for, how many sessions you need, and any other relevant details. An HSA may also be used on alternative or holistic treatments, such as: Massage therapy.

Can I buy vitamins with HSA?

In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition.

Can I buy NyQuil with HSA?

Q: Can I use my HSA to purchase over-the-counter medications? A: Yes, you can.

Can I buy tampons with HSA?

Yes! Thanks to the CARES Act, tampons are now considered a “medical expense.” That means you can use pre-tax income to pay for them through your HSA. More questions about tampons?

Can I buy Tylenol with HSA?

Antacids such as Tums or Prilosec are eligible OTC items when accompanied by a prescription from a doctor. Analgesics (e.g. Advil, Aspirin, Tylenol) are eligible with a prescription from a doctor.

Are condoms HSA eligible?

Condoms are eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). They are not eligible for reimbursement with dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA).

Are toothbrushes HSA eligible?

Unfortunately, most products for oral health care are not currently eligible medical expenses for FSA and HSA spending.

Is the Apple Watch HSA eligible?

Even though Fitbits and Apple Watches measure important health data, they currently do not qualify for HSA reimbursement, as they are considered for general health use and not intended to treat or manage a specific medical condition.

Can I buy shampoo with HSA?

Over-the-counter toiletries or personal hygiene items which may include, but are not limited to shampoo, toothpaste, conditioners, hand creams, deodorant, shaving cream, razors, dental floss, body powders, hair gels/sprays, make-up, nail polish accessories, soap, mouthwash, etc., are not reimbursable.

Can you use HSA for gym membership?

Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.

Can I buy bandaids with HSA?

Bandages are over-the-counter (OTC) items that are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA).

Can you buy toothpaste with HSA?

Toothpaste is not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can I buy Gatorade with HSA?

You can grab a pack of ORS using your HSA or FSA funds without a prescription. However, rehydration sports drinks (think Gatorade) and electrolyte solutions containing additional additives (such as caffeine, immunity boosters, or the like) are not eligible.

What if I accidentally bought food on my HSA?

Yes, you read that correctly—even if you accidentally paid for a burger with your HSA debit card, you will have to report it on your annual income tax return and pay taxes on it. If you're under 65 and spend the money on unqualified purchases, you must also pay a 20% penalty on top of the income tax.

How does IRS know what you spend HSA on?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

What is the downside of an HSA?

Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).