Yes, for prescription services. Hims accepts HSA and FSA debit cards at checkout for ED medication, mental health, weight loss, primary care, and prescription skincare. Cosmetic-only purchases and hair loss treatments without a Letter of Medical Necessity are not HSA-eligible.
Hims is HSA-eligible for prescription services. The clinical visit and the prescription medication are both qualified medical expenses under IRC Section 213(d) and IRS Publication 502. Cosmetic-only purchases - shampoos, supplements without a prescription, packaging upgrades - are not eligible. Hair loss medications sit in a gray area and most readers should treat them as not eligible without a Letter of Medical Necessity from a licensed clinician.
Service-by-service eligibility
Each Hims service category gets its own IRS classification below. Every status carries a verbatim quote from IRS Pub 502 so you can verify the rule, not just the answer. The IRS does not name vendors, so the rules below apply equally to any telehealth provider offering the same service.
Erectile dysfunction (sildenafil, tadalafil)
HSA-eligible (prescription required)
Yes. ED prescriptions like sildenafil and tadalafil are HSA-eligible when prescribed by a licensed clinician for diagnosed erectile dysfunction.
“You can include in medical expenses amounts you pay for prescribed medicines and drugs.”
Sildenafil and tadalafil are FDA-approved prescription medications for erectile dysfunction (a recognized medical condition). The IRS prescription-medicines rule applies whether you fill the prescription at a brick-and-mortar pharmacy or through a telehealth provider like Hims. Pub 502 does not single out ED treatment as cosmetic or excluded.
Watch out for
Requires a valid prescription from a licensed clinician (Hims includes a virtual consultation that issues the prescription as part of the service).
Keep the prescription record and pharmacy receipt. The visit fee and the medication cost are both eligible.
If you also receive non-prescription supplements bundled in the order, separate those out - only the prescription medication and clinical visit are HSA-eligible.
Typical Hims pricing: $25-$199/month depending on dose and quantity
Weight loss (compounded GLP-1, oral semaglutide kits)
HSA-eligible (prescription required)
Yes, with caveats. Prescription weight loss medications are HSA-eligible when prescribed for a diagnosed condition. Compounded GLP-1s sit in a shifting regulatory zone - keep documentation.
“You can include in medical expenses amounts you pay to lose weight if it is a treatment for a specific disease diagnosed by a physician (such as obesity, hypertension, or heart disease).”
Hims weight loss prescribes compounded semaglutide and tirzepatide for clinical obesity (typically BMI 30+ or 27+ with comorbidity). Two IRS rules combine to make this eligible: the prescription-medicine rule covers the drug itself, and the weight-loss-as-disease-treatment rule covers the program. Compounded versions ship from licensed compounding pharmacies and require a valid prescription, which keeps them inside the prescription-medicine rule.
Watch out for
FDA periodically updates the drug shortage list. When semaglutide or tirzepatide leaves the shortage list, compounding legality changes. Keep your prescription, pharmacy receipt, and a copy of your obesity diagnosis from your clinician.
Membership or program fees not tied to a diagnosed condition are not eligible. The prescribed medication and the clinical visits are.
Food and meal-replacement products are never HSA-eligible, even when bundled with a prescription program. Pub 502 explicitly excludes food.
Typical Hims pricing: $199-$349/month for compounded GLP-1 plans
Mental health (anxiety/depression prescriptions, therapy)
HSA-eligible
Yes. Mental health services through Hims - therapy sessions and prescription medications like SSRIs for anxiety or depression - are HSA-eligible.
“You can include in medical expenses amounts you pay for psychiatric care. You can include in medical expenses amounts you pay to a psychologist for medical care.”
The IRS names psychiatric care and psychologist visits as qualified medical expenses outright. Telehealth therapy sessions and prescription anxiety/depression medications through Hims fall under both umbrellas. The prescription-medicine rule covers the drugs (SSRIs, SNRIs, bupropion, etc.) and the psychiatric-care rule covers the clinical sessions.
Watch out for
Therapy must be with a licensed clinician (LCSW, LMFT, LPC, or psychologist). Wellness coaching or general life coaching is not eligible.
Prescription medications require a valid prescription from a licensed clinician. Save the prescription record and the pharmacy receipt.
Higher YMYL surface - if you are mid-treatment, do not interrupt care to reorganize payment. Reimburse from your HSA after the fact using the receipt.
Typical Hims pricing: $85-$249/month for therapy plans, $25+/month for medications
Usually not, but it depends. The IRS cosmetic exclusion explicitly names hair transplants and hair removal. Prescription hair loss medication for a diagnosed condition can fall outside the exclusion, but the safe default is to treat it as not HSA-eligible without a Letter of Medical Necessity.
“Generally, you can't include in medical expenses the amount you pay for cosmetic surgery... cosmetic surgery includes any procedure that is directed at improving the patient's appearance and doesn't meaningfully promote the proper function of the body or prevent or treat illness or disease. Procedures such as face-lifts, hair transplants, hair removal (electrolysis), and liposuction generally aren't deductible.”
Pub 502 names hair transplants and hair removal as cosmetic and excluded. It does not explicitly address topical or oral hair loss medications. Androgenetic alopecia is a recognized medical condition and finasteride is FDA-approved for it, which is the argument for eligibility. But IRS audits historically lean toward the cosmetic-exclusion side for hair-loss treatment. The cautious position is: not eligible by default, eligible only with a Letter of Medical Necessity (LMN) from a treating clinician documenting that the treatment is for a diagnosed medical condition.
Watch out for
If you want to claim hair loss medications, get an LMN from your clinician that specifies the diagnosis (androgenetic alopecia or telogen effluvium) and states that the treatment is medically necessary. Keep it in your HSA receipt file.
Without an LMN, treat these expenses as out-of-pocket. The IRS audit risk is small at modest dollar amounts but the eligibility itself is uncertain.
Cosmetic add-ons in the same order (shampoos, supplements, packaging) are not eligible regardless of the LMN status of the medication.
Typical Hims pricing: $22-$45/month for medications
Primary care (Hims+ membership, sick visits)
HSA-eligible
Yes. Telehealth visits with licensed clinicians for diagnosis and treatment of medical conditions are HSA-eligible. Pure-membership fees that do not tie to a specific medical service may not be.
“You can include in medical expenses fees you pay to doctors, dentists, surgeons, chiropractors, psychiatrists, psychologists, and nonconventional medical practitioners.”
Telehealth visits for diagnosis and treatment of a specific condition fall under physician services and are HSA-eligible. The visit fee, any subsequent prescription, and lab work tied to the visit are all qualified medical expenses. Standalone membership fees that do not tie to medical service delivery are a separate matter - those follow the concierge-medicine guidance (eligible only for the medical services portion of the fee).
Watch out for
If Hims+ bundles a membership fee with actual visits, allocate the cost between the membership and the visits. Only the medical-services portion is eligible.
Cosmetic visits or general-wellness visits without a diagnosed condition are not eligible.
Skincare (prescription tretinoin for acne)
HSA-eligible (prescription required)
Yes when prescribed for a diagnosed skin condition like acne or rosacea. Cosmetic anti-aging use of the same prescription is not eligible.
“You can include in medical expenses amounts you pay for prescribed medicines and drugs.”
Prescription tretinoin, clindamycin, azelaic acid, and other Rx skincare medications are HSA-eligible when prescribed for diagnosed conditions (acne, rosacea, melasma). The same active ingredient prescribed for cosmetic anti-aging purposes falls under the cosmetic exclusion. The diagnosis on file with the prescribing clinician is what determines eligibility, not the active ingredient.
Watch out for
Save the prescription record. If audited, the diagnosis behind the prescription is the document that matters.
OTC skincare products (cleansers, moisturizers, sunscreens) are not HSA-eligible even when sold in the same order. The CARES Act expanded OTC drug eligibility but not OTC cosmetic skincare.
Cosmetic anti-aging use of the same Rx is not eligible. If your clinician prescribes tretinoin and the chart note says wrinkle treatment rather than acne, the IRS treats this as cosmetic.
Typical Hims pricing: $30-$85/month for prescription topical kits
How HSA payment works at Hims
1
Order through Hims as you normally would
Complete the telehealth intake. If the service requires a prescription (ED meds, weight loss meds, mental health Rx, prescription skincare), a licensed clinician issues it during the consultation.
2
Pay with your HSA debit card OR a regular card
Hims accepts HSA and FSA debit cards directly at checkout. If you pay with a regular card, save the receipt and reimburse yourself from your HSA later - the IRS does not require you to pay with the HSA card itself.
3
Save the itemized receipt
Hims sends an itemized receipt after each order. Line items distinguish the visit fee, the prescription medication, and any cosmetic or supplement add-ons. Only the medical portion is HSA-eligible.
4
Log the eligible portion
Record the HSA-eligible amount with the prescription category and date. You will need this if the IRS ever asks how you spent HSA dollars - especially for compounded medications or anything that sits near the cosmetic-exclusion line.
Edge cases worth knowing
Compounded GLP-1s and the FDA shortage list
Hims weight loss prescribes compounded semaglutide and tirzepatide. These are legal to compound while the underlying branded drugs remain on the FDA shortage list. When the FDA removes them from the list, compounding becomes restricted. The prescription medication itself remains HSA-eligible during the window it is legally available - but keep the prescription, pharmacy receipt, and obesity diagnosis on file.
Hair loss medication and the cosmetic exclusion
IRS Pub 502 explicitly names hair transplants and hair removal as cosmetic and excluded. Prescription finasteride and minoxidil are not named, but the cosmetic-exclusion language is broad. Most readers should treat hair loss medication as not HSA-eligible by default. If you want to claim it, ask your Hims clinician for a Letter of Medical Necessity (LMN) that names the diagnosis (typically androgenetic alopecia) and keep it in your receipt file alongside the prescription record.
Cosmetic add-ons in the same order
Hims often packages prescriptions with cosmetic products (shampoos, supplements, branded packaging). Those are not HSA-eligible even when they ship in the same order. The line-item receipt is what matters - only the visit fee and the prescription medication portions are qualified.
Primary source
IRS Publication 502 lists qualified medical expenses under IRC Section 213(d). Read it at irs.gov.
Frequently asked questions
Can I use my HSA at Hims?▼
Yes for prescription services like ED medication, mental health treatment, weight loss prescriptions, and prescription skincare. Cosmetic-only purchases without a prescription are not HSA-eligible. Hair loss medications are a gray area - the IRS cosmetic exclusion explicitly names hair transplants, and prescription hair loss meds without a Letter of Medical Necessity carry audit risk.
Does Hims accept HSA cards at checkout?▼
Yes. Hims accepts HSA and FSA debit cards as a direct payment method at checkout. You can also pay with a regular card and reimburse yourself from your HSA later using the itemized receipt Hims provides after each order.
What if my Hims order includes both prescription and cosmetic items?▼
Pay attention to the line items on your receipt. Prescription medications and the clinical visit fee are HSA-eligible. Cosmetic add-ons (shampoos, supplements, packaging upgrades) are not, even when they ship in the same order. Allocate the eligible portion separately when you record the expense.
Are Hims ED medications HSA-eligible?▼
Yes. Prescription sildenafil and tadalafil are HSA-eligible under the IRS prescription-medicines rule. The Hims telehealth visit issues the prescription as part of the consultation, so you do not need to bring an existing prescription. The visit fee and the medication are both eligible.
Are Hims weight loss medications (compounded GLP-1) HSA-eligible?▼
Yes when prescribed for a diagnosed condition like obesity (typically BMI 30+, or 27+ with comorbidity). Both IRS rules apply - the prescription-medicines rule covers the drug itself, and the weight-loss-as-disease-treatment rule covers the program. Keep your prescription, your pharmacy receipt, and a copy of the obesity diagnosis from your clinician. Compounded versions can shift legality when the FDA updates the drug shortage list - documentation matters more here than for branded GLP-1s.
Are Hims mental health services HSA-eligible?▼
Yes. The IRS names psychiatric care and psychologist visits as qualified medical expenses. Hims therapy sessions with licensed clinicians and prescription medications like SSRIs for diagnosed anxiety or depression are HSA-eligible.
Are Hims hair loss medications HSA-eligible?▼
Usually treat them as not eligible. IRS Publication 502 names hair transplants and hair removal as cosmetic and excluded from HSA reimbursement. The IRS does not explicitly address topical or oral hair loss medications, but audits historically lean toward the cosmetic-exclusion side. The safe position: not eligible by default, eligible only with a Letter of Medical Necessity (LMN) from your clinician documenting that finasteride or minoxidil is treating a diagnosed condition like androgenetic alopecia.
Is the Hims monthly subscription fee HSA-eligible?▼
The portion of the subscription that covers clinical visits and prescription medication is HSA-eligible. If the subscription bundles cosmetic products or general-wellness add-ons, allocate that portion to out-of-pocket. The itemized receipt Hims sends after each order is what you keep for the HSA paper trail.
Ready to start?
Telehealth for ED, hair loss, mental health, primary care, and weight loss. Accepts HSA/FSA cards at checkout.
The Hims HSA Reimbursement Calculator runs the federal + state + FICA math for any monthly subscription cost and tax bracket. Stacked chart shows your cumulative savings over time.
If you are deciding between Hims and a competing telehealth provider, these comparisons cover service overlap, HSA eligibility, and pricing differences.
