Is CoQ10 FSA/HSA Eligible?

No, CoQ10 (Coenzyme Q10) is not universally eligible for Flexible Spending Account (FSA) or Health Savings Account (HSA) funds. However, if you have a Letter of Medical Necessity (LMN) from your doctor, it may be approved.

Why Is CoQ10 Not FSA/HSA Eligible? What Exceptions Exist?

CoQ10 (Coenzyme Q10) is generally not eligible for reimbursement through a Flexible Spending Account (FSA) or Health Savings Account (HSA) because it is categorized as a dietary supplement. According to IRS guidelines, FSA and HSA funds can only be used for products that are medically necessary to treat, diagnose, or manage a specific health condition. CoQ10, while beneficial for general health and wellness, is not typically prescribed to treat a recognized medical condition, which excludes it from eligibility under these rules.


CoQ10 may qualify for FSA or HSA reimbursement if it is recommended by a healthcare provider for the treatment of a CoQ10 deficiency, cardiovascular issues, or other diagnosed conditions. In such cases, a Letter of Medical Necessity (LMN) from your doctor would be required to substantiate its medical purpose and need.

How to Purchase CoQ10 With an FSA/HSA

If your doctor provides a Letter of Medical Necessity (LMN) for CoQ10, you may use your FSA or HSA funds to purchase it. Follow these steps to ensure proper reimbursement:

  1. Obtain an LMN:

    • Consult your doctor to confirm that CoQ10 is necessary for managing a diagnosed medical condition.

    • Request an LMN specifying the condition it will treat and why it is medically necessary.

  2. Verify with Your FSA/HSA Provider:

    • Submit the LMN to your FSA or HSA administrator to confirm eligibility before making the purchase.

  3. Purchase CoQ10:

    • Use your FSA or HSA card to buy CoQ10 directly from an eligible retailer, or pay with a personal credit card or PayPal if your provider requires reimbursement after the purchase.

  4. Submit Reimbursement Documentation:

    • If paying out of pocket, include the following when submitting a reimbursement claim:

      • A copy of the LMN

      • The receipt or invoice showing:

        • Name of the provider

        • Date of purchase or service rendered (must fall within the FSA plan year)

        • Description of the product purchased

        • Itemized list of products, including UPCs if applicable

        • Total amount of the purchase

By ensuring that you follow these steps and provide all necessary documentation, you can streamline the reimbursement process for CoQ10 if approved by your FSA or HSA provider.

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