HSA/FSA-Eligible Vitamins & Supplements

Health savings accounts (HSA) and flexible spending accounts (FSA) are programs that allow you to set aside pre-tax dollars for eligible healthcare expenses. If you’re unsure whether or not you have an HSA or FSA account, check with your employer or insurance company.

Some supplements, like glucosamine and prenatals, are explicitly allowed by the IRS to be purchased by HSA/FSA without a Letter of Medical Necessity. To make it as simple as possible, we partnered with Truemed to empower users to pay for any of our products if they qualify for a Letter of Medical Necessity.

Only clients, guests, and consumers are eligible to use HSA and FSA cards. This removes the complexity of determining if the professional is using the card for professional use or other nuances.

Once you have decided what products you’d like to purchase, select “HSA/FSA” at checkout. You will fill out a quick, confidential health survey needed for a healthcare provider to determine if you have a medical condition that would make the supplement purchases medically necessary. Input your HSA/FSA card information and continue to the purchase. Until the Letter of Medical Necessity is issued successfully, we will hold your order ready for you. When a provider has issued you a Letter of Medical Necessity, we will process and ship your order to you.

At a high level, all products could be considered eligible with a Letter of Medical Necessity. Metagenics’ partnership with Truemed allows you to request a Letter of Medical Necessity to use your HSA or FSA card to pay. Select “HSA/FSA Card” at checkout, fill out our partner Truemed’s survey, and enter your card details. You will be charged if your Letter of Medical Necessity is approved.

Some supplements, like glucosamine and prenatals, are explicitly allowed by the IRS to be purchased by HSA/FSA without a Letter of Medical Necessity. For other products, you can work with our partner Truemed to see if you and your purchase qualify for a Letter of Medical Necessity.

Some vitamins, like glucosamine and prenatals, are explicitly allowed by the IRS to be purchased by HSA/FSA without a Letter of Medical Necessity. For other vitamins, minerals, and supplements, you can work with our partner Truemed to see if you and your purchase qualify for a Letter of Medical Necessity.

Yes, simply select Truemed as your payment option at checkout and use your FSA or HSA card as you would any other credit card. If you do not have sufficient HSA/FSA funds, you can split your payment between your credit card and HSA/FSA card.

Yes. If you’d like to use your regular credit card, simply select that in Truemed checkout. After your purchase, Truemed will email you instructions on how to submit the receipt to your HSA/FSA administrator for reimbursement.

The items in your Truemed Letter of Medical Necessity (“LMN”) are now qualified medical expenses in the same way a visit to the doctor’s office or pharmaceutical product is. There are thousands of studies showing food and exercise is often the best medicine to prevent and reverse disease. Exercise qualifies as a qualified medical expense with an LMN. Food, supplements, and other wellness purchases qualify as medical expenses if they treat or prevent an illness, and a doctor substantiates the need. Your Truemed LMN satisfies all IRS requirements to make your wellness spend fully reimbursable.

Generally, it takes 2-5 hours. In some cases, Truemed’s provider team will require additional time to issue a letter of medical necessity based on the needs associated with an individual qualification survey. If you aren’t seeing your letter in your inbox, check spam, then reach out to us at [email protected] for help.

HSA/FSA accounts were created so individuals could use pre-tax money to pay for expenses used to treat, mitigate, or prevent a diagnosed medical condition. Because HSA/FSAs use pre-tax money, you’re getting more purchasing power for your dollars. Rather than pay taxes on income and then spend it on health items, qualified customers can use pre-tax funds to invest in their health.

In 2026, an individual can contribute up to $4,400 pretax to their HSA per year, or $8,750 for a family (plus an additional $1,000 if you are at least 55 years old. Individuals can contribute up to $3,400 pretax to their FSA per year.

When you take the health survey through Truemed, if the purchase is approved for issuing a Letter of Medical Necessity, you will receive confirmation. If not, you will receive a notification that it was not accepted. You can try placing the order again with a regular credit or debit card.

No, unfortunately HSA/FSA cannot be used with subscriptions. You can place an order for subscriptions with a regular card or use your HSA/FSA card for a one-time purchase.

With a Letter of Medical Necessity, all of our products could be eligible. You can apply for a Letter of Medical Necessity by clicking on pay with HSA/FSA at checkout and filling out the survey from our partner Truemed.