No, Liquid IV is not a universally eligible FSA/HSA expense. It contains added electrolytes, vitamins, and minerals that go beyond basic medical rehydration. These additional ingredients transform Liquid IV from a purely medical treatment to a product that also supports general wellness and nutrition.
Why is Liquid IV Not FSA/HSA Eligible?
Liquid IV is categorized as an oral rehydration solution (ORS). While ORS products intended for the prevention or treatment of dehydration can qualify as eligible medical expenses, products that contain added supplements or vitamins marketed for general wellness purposes are considered dual-purpose.
Dual-purpose items require a letter of medical necessity from a healthcare provider to qualify for reimbursement. Since Liquid IV includes additional ingredients that promote general health beyond rehydration, it is generally not automatically eligible for FSA/HSA reimbursement.
What Oral Hydration Solutions Are FSA/HSA Eligible?
Oral hydration solutions (ORS) are FSA/HSA eligible if they meet the criteria outlined in IRS Code Section 213(d). To qualify, the primary purpose of the solution must be to treat or prevent dehydration caused by medical conditions, illness, or strenuous physical activity. Examples include products designed for electrolyte replenishment and hydration therapy.
Eligible ORS products typically include:
Solutions used for medical conditions like severe dehydration, heat exhaustion, or illnesses that cause fluid loss (e.g., diarrhea or vomiting).
Products like Pedialyte, Hydralyte, or Normalyte, which are specifically formulated to replenish electrolytes and fluids without additional supplements marketed for general wellness.
Caveats to Eligibility:
Products with added supplements, vitamins, or marketing claims for general wellness or immune support (e.g., Liquid IV, Emergen-C Hydration Plus) are typically classified as dual-purpose and may require a letter of medical necessity for reimbursement.
Sports drinks and flavored water products are generally not eligible unless explicitly formulated for medical rehydration purposes.
To ensure eligibility, always check the product labeling and consult your FSA/HSA administrator.
Shop Electrolytes & Hydration Supplements on buyFSA
All products sold on buyFSA are FSA/HSA eligible. Browse some of our FSA/HSA approved oral hydration products below:
