Anti-Bacterial Hand Sanitizer: HSA Eligibility

Anti-bacterial hand sanitizer is an over-the-counter (OTC) item that is eligible for reimbursement with a prescription from a doctor with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Anti-bacterial hand sanitizer is not eligible for reimbursement with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

What is anti-bacterial hand sanitizer?

Anti-bacterial hand sanitizer is an antiseptic that typically contains ethyl alcohol as a primary ingredient to kill viruses and bacteria that a person can come into contact with over the course of the day and may still linger on their extremities. While the most effective means of cleaning one's hands is still warm water and soap, anti-bacterial hand sanitizer was invented in 1966 as a means of preventing the spread of pathogens and disease when traditional means weren't available.

While ethyl alcohol is the primary ingredient found in most commercial anti-bacterial hand sanitizers, they may also contain water, fragrance and glycerin as well. However, as more products come to market and some individuals opt for homemade remedies, it's vital to remember that the alcohol concentration found in these products is pivotal for their germ-killing abilities. When shopping for anti-bacterial hand sanitizer, pay particular attention to the ingredient lists, and in particular, the product's overall alcohol concentration. Ethyl alcohol, ethanol, isopropanol or other variations are acceptable, but anti-bacterial hand sanitizer must contain an alcohol concentration between 60 and 95 percent to truly eliminate viruses and bacteria (Center for Disease Control and Prevention).

Anti-bacterial hand sanitizer and FSA/HSA/HRA reimbursement

Anti-bacterial hand sanitizer falls under the status of an OTC product that is used to prevent the contraction of diseases, so it is covered by flexible spending accounts, health savings accounts and health reimbursement arrangements, but it will require a prescription from a physician for reimbursement.

For more information, please consult the Prescription Process page to learn more about the purchase process regarding OTC products and medications to see how easy it can be to be quickly reimbursed for products to support continued good health and wellness.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)


Eligible with Rx

Eligible with LMN

Not Eligible

Legal Information / Regulations

Information Letter 2009-0209


AZ-PROD-WEB01 6/22/2018 9:09:05 PM