Electrolyte Replacements: FSA Eligibility

Electrolyte replacements are over-the-counter (OTC) medical products eligible for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Electrolyte replacement reimbursement is not eligible with a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What are Electrolyte Replacements?

Electrolyte replacements are provided to address electrolyte imbalances in the body. Electrolyte replacements are used when ordinary food and drink consumption is insufficient, or not available as an option for maintaining healthy levels of electrolytes. Other reasons for imbalances that require electrolyte replacements include medication side effects, vomiting, diarrhea, excess sweating, and kidney problems (LIVESTRONG).

What are Electrolytes?

Electrolytes are minerals in the human body that are necessary for maintaining healthy hydration, blood chemistry, acidity/pH, and muscle function. Water doesn’t contain any electrolytes, and electrolytes are lost through sweating and physical activity. Common electrolytes are minerals such as calcium, chloride, magnesium, phosphorous, potassium, and sodium. Electrolytes are normally replaced through regular consumption of food and beverages, but there are various reasons why an electrolyte imbalance might require the use of electrolyte replacements (Medical News Today).

Why are Electrolytes Necessary?

Without a proper balance of electrolytes in the body, several types of bodily functions can be adversely affected. Symptoms can include cramps, headaches, heart palpitations, fatigue, dizziness, joint pain, thirst, and more. Electrolytes carry an electric charge that help stimulate nerves and other processes in the body that are necessary for basic function. Electrolyte levels are normally maintained through a healthy diet, but a variety of medical conditions and other activities can lead to electrolyte imbalances, which must be resolved through the use of electrolyte replacements (Health.com).

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

Additional Information

FSAstore.com's Prescription Process can help. Click Here to learn more.

Legal Information / Regulations

Prescription Required. Information Letter (IL) 2009-0209; Notice 2010-59.