Yes, many gut health supplements are FSA- and HSA-eligible when they contain an active medicinal ingredient and are intended to treat or manage a specific digestive health condition.
Why Are Gut Health Supplements FSA/HSA Eligible?
According to the SIGIS Eligible Product List Criteria , over-the-counter digestive health products are eligible if they are intended to treat a medical condition and contain a recognized active ingredient. These products are considered eligible under IRS Code Section 213(d) because they serve a medical purpose—such as relieving constipation, indigestion, heartburn, gas, or diarrhea.
Many gut health items available at buyFSA.com are clearly labeled for medical use and can be purchased directly with an FSA or HSA card.
FSA- and HSA-eligible digestive health products may include:
Antacids (e.g., calcium carbonate, famotidine, omeprazole)
Laxatives and stool softeners (e.g., polyethylene glycol, senna, bisacodyl)
Anti-diarrheal medications (e.g., loperamide)
Gas relief products (e.g., simethicone)
Acid reducers and PPIs
Electrolyte replacement products for gastrointestinal illness
These items qualify because they contain active medicinal ingredients and are marketed as treatments for a recognized medical issue.
What’s Not Covered?
The following products are not eligible unless you have a Letter of Medical Necessity:
Probiotics, prebiotics, or digestive enzyme blends marketed purely as dietary supplements
Herbal gut health products that do not contain a recognized active medicinal ingredient
Supplements intended for general wellness or immune support rather than a diagnosed digestive issue
To be eligible, the product must contain a medical active ingredient and be labeled for treatment or symptom relief.
How to Buy Gut Health Products with Your FSA or HSA
You can shop for eligible digestive health products at buyFSA.com, where everything listed is FSA- and HSA-approved. Use your FSA or HSA card at checkout and skip the need for reimbursement paperwork.
If purchasing elsewhere:
Confirm the product contains a listed active medical ingredient
Use your FSA or HSA card at checkout (in-store or online)
Save your receipt in case your plan administrator requests documentation
For more details on what qualifies, consult the SIGIS Eligible Product List Criteria.
