Is Capsaicin Nerve Pain Cream 0.025% for Diabetic Neuropathy HSA or FSA Eligible?

Yes โ€” Capsaicin Nerve Pain Cream 0.025% for Diabetic Neuropathy is HSA and FSA eligible. No prescription or LMN required.

Eligibility status

HSA + FSA Eligible

HSA

Eligible

FSA

Eligible

LMN required

No

Last verified May 2026

๐Ÿงด

Zostrix

Capsaicin Nerve Pain Cream 0.025% for Diabetic Neuropathy

OTC capsaicin cream for temporary relief of diabetic peripheral neuropathy pain, applied topically to affected areas.

$16

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Eligibility verified May 2026 ยท IRS Pub 502

Why this eligibility status?

OTC pain relief treatments for diabetic neuropathy are qualified medical expenses under the CARES Act 2020 and IRS Publication 502.

The full list of qualified medical expenses is defined in IRS Publication 502, updated annually. The CARES Act of 2020 expanded eligibility to include all OTC medicines and menstrual care products.

How to use HSA/FSA for this product

  1. Purchase Capsaicin Nerve Pain Cream 0.025% for Diabetic Neuropathy directly with your HSA or FSA debit card โ€” no pre-approval needed.
  2. Alternatively, pay out of pocket and submit the receipt for reimbursement through your plan's portal or app.
  3. Keep your receipt. If your card is declined (auto-substantiation failure), you can manually submit the receipt.
  4. Save receipts for 7 years in case of an IRS audit.

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