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Digestive enzymes

The eligibility of digestive enzymes for HSA, FSA, or HRA depends on whether they are used to treat a specific diagnosed medical condition or for general health.

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Eligibility Matrix

Eligibility status for all account types

Account TypeStatus
HSANot Eligible
FSANot Eligible
HRANot Eligible

Quick Reference

The IRS distinguishes between items for general health and those used to treat a specific medical condition. While vitamins and supplements for general health are not eligible, expenses incurred primarily for the prevention or alleviation of a physical or mental defect or illness can be qualified medical expenses.

When It Qualifies

  • If the digestive enzymes are recommended by a medical professional to treat a specific diagnosed medical condition (e.g., exocrine pancreatic insufficiency, severe malabsorption due to a diagnosed illness), they may be eligible with a Letter of Medical Necessity (LMN) or a prescription.

When It Doesn't

  • Digestive enzymes purchased for general digestive health, wellness, or preventative purposes without a specific diagnosed medical condition are not considered eligible medical expenses.

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Important Notice

  • Your specific plan may have different rules
  • Keep all receipts and documentation
  • This is informational only, not tax or legal advice

Eligibility can vary by plan. Always keep detailed receipts and consult your plan administrator for confirmation. This information is for educational purposes only and not tax or legal advice.