Common FSA Eligible/Ineligible Expenses

Using a flexible spending account (FSA) is a great way to pay for eligible expenses with income tax-free dollars.

The following lists are not all-inclusive but will highlight some common eligible expenses for your health care FSA, limited purpose FSA or dependent care FSA. The Internal Revenue Service (IRS) decides which expenses can be paid from an FSA, and they can modify the list at any time. Be sure to review your benefit plan documents to learn what expenses are eligible for reimbursement under your specific plan

If you are currently participating in a high-deductible health plan (HDHP) and are contributing to a health savings account (HSA), you may also participate in a limited purpose FSA. Expenses are limited to dental and vision expenses identified with an atrerisk (*) in the list below.

Common eligible health care expenses

  • Artificial limbs
  • Artificial teeth*
  • Birth control treatment
  • Blood sugar test kits for diabetics
  • Breast pumps and lactation supplies
  • Contact lenses and solutions*
  • Crutches
  • Drug prescriptions
  • Eyeglasses (Rx and reading)*
  • Fluoride treatments*
  • Flu shots
  • Hearing aids and batteries
  • Infertility treatment
  • Laboratory fees
  • Medical alert bracelet
  • Medical records charges
  • Occlusal guards to prevent teeth grinding
  • Orthotic Inserts (custom or off the shelf)
  • (Certain) over-the-counter drugs and medications
  • Stop-smoking programs (including nicotine gum or patches, if prescribed)
  • Vaccines
  • Walker, cane
  • Wheelchair


Common over-the-counter (OTC) medicines

Many over-the-counter medicines and drugs as well as medical supplies may be eligible for reimbursement with a health care FSA. Examples include but are not limited to:

  • Acid controllers
  • Acne medicine
  • Anti-gas products
  • Allergy and sinus medicine
  • Anti-diarrheal medicine
  • Baby rash ointments/creams
  • Bandages, adhesive or elastic
  • Braces and supports
  • Breast pumps
  • Blood pressure monitors
  • Catheters
  • Cold and flu medicine
  • Cold packs/hot packs
  • Contact lens solution and supplies*
  • Contraceptives
  • Crutches
  • Denture adhesives*
  • Diagnostic tests and monitors (such as blood glucose monitors)
  • Elastic bandages and wraps
  • Eye care*
  • Feminine antifungal or anti-itch products
  • First-aid supplies
  • Hemorrhoid treatments
  • Laxatives or stool softeners
  • Menstrual care products
  • Motion sickness medicines
  • Nasal sprays or drops
  • Ointments for cuts, burns or rashes
  • Ostomy products
  • Pain relievers, such as aspirin or ibuprofen
  • Pregnancy test kits
  • Sleep aids
  • Stomach remedies
  • Sunscreen
  • Thermometers
  • Walkers, wheelchairs and canes


Services that may be eligible with a letter of medical necessity form completed

This list is not all-inclusive:

  • Compression hosiery/socks, anti-embolism socks or hose
  • Improvements or special equipment added to a home or other capital expenditures for a physically handicapped person
  • Toothbrushes (including electric) and toothpaste


Ineligible expenses

Listed below are some services and expenses that are not qualified for FSA reimbursement. This is not all-inclusive:

  • Aromatherapy
  • Baby bottles and cups
  • Baby oil
  • Baby wipes
  • Breast enhancement
  • Cosmetics and skin care
  • Cotton swabs
  • Dental floss
  • Deodorants
  • Hair re-growth supplies and/or services
  • Health club membership dues
  • Humidifier
  • Lotion
  • Low-calorie foods
  • Mouthwash
  • Petroleum jelly
  • Shampoo and conditioner
  • Spa salts


The IRS publishes information on FSAs and eligible medical expenses. Visit irs.gov and search for Publication 502 or 969 to learn more.