HSA-Eligible Pharmacy Expenses (2026)
Prescription medications and qualifying over-the-counter drugs.
Prescription Medications
Varies widely - $5–$500+ per prescription
Over-the-Counter Medications
$5–$30 per item
Insulin
$50–$300+ per month (without insurance)
Sunscreen
$8–$30 per bottle
Vitamins & Supplements
$10–$60 per month
Protein Powder
$25–$80 per container
Menstrual Products
$5–$40 per month
GLP-1 Prescription Medications
Varies by medication, dose, insurance coverage, discount program, and pharmacy
Condoms
$5–$20 per box
Birth Control
$0–$50/month (pills); $0–$1,300 (IUD insertion)
Nicotine Patches & Smoking Cessation
$20–$50/month (OTC); $100–$500 (programs)
Melatonin
$5–$20 per bottle
Probiotics
$15–$60 per month
CBD Oil
$30–$100 per product
Acne Medication
$5–$30 (OTC); $50–$500/month (prescription)
Flu & Cold Medicine
$5–$20 per product
Prenatal Vitamins
$10–$40 per month
EpiPen
$50–$350 per two-pack (varies by brand and insurance)
Pregnancy Test
$5–$20 per test
Ovulation Test
$10–$30 (test strips); $100–$300 (fertility monitors)
Baby Formula
$25–$60 per can
Diaper Cream
$5–$15 per tube
Pedialyte
$5–$15 per pack
Saline Nasal Spray
$5–$20
Wart Remover
$5–$25 (OTC); $100–$500 (in-office removal)
Motion Sickness Medicine
$5–$15 (OTC); $20–$50 (prescription patches)
Anti-Itch Cream
$5–$15 per tube/bottle
Sleep Aids
$5–$15 (OTC); $10–$100 (prescription)
Digestive Aids
$5–$25 per product
Hand Sanitizer
$3–$10 per bottle
Lice Treatment
$10–$30 (OTC); $100–$200 (professional treatment)
Lip Balm with SPF
$3–$8 per tube
Nasal Strips
$5–$15 per box
Pain Relievers (OTC)
$5–$15 per bottle
Prescription Skin Care
$10–$500+ depending on product
Iron Supplements (Prescribed)
$5–$20/month (OTC with LMN); $500–$3,000 (iron infusions)
Controlled Substances Used Illegally
Not eligible under the federal rule
Greens Powders (AG1 and similar)
Only practitioner-recommended treatment for a diagnosed condition
Botox
Varies by condition, dose, provider, and insurance coverage
Lactation Supplements
Only practitioner-recommended treatment for a diagnosed condition
Gluten-Free and Special Food
Only the cost above comparable ordinary food
Prescription Drugs Bought Abroad
Only legally purchased or legally imported prescription drugs
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