Insulin or Substitutes

CRA last updated: 2026-01-20Last reviewed: 2026-03-20
Eligible

Prescribed insulin and insulin substitutes for managing diabetes

: Required

Is insulin or substitutes CRA eligible in Canada?

Yes. Insulin and insulin substitutes are CRA-eligible medical expenses and are reimbursable through a Health Spending Account. A prescription from a medical practitioner is required. Insulin substitutes also require recording by a pharmacist.

What Qualifies

  • Insulin prescribed by a physician for Type 1 or Type 2 diabetes (under paragraph 118.2(2)(k) — prescription required, pharmacist recording not required)
  • Insulin substitutes and analogues prescribed by a physician and recorded by a pharmacist (under paragraph 118.2(2)(n) — both prescription and pharmacist recording required)
  • Other prescribed insulin substitutes approved by Health Canada

What Does Not Qualify

  • Insulin or insulin substitutes obtained without a prescription from a medical practitioner
  • Insulin substitutes that were prescribed but not recorded by a pharmacist (since they fall under 118.2(2)(n), pharmacist recording is required)
  • Over-the-counter blood sugar supplements or non-prescription products marketed for diabetes management

Frequently Asked Questions

Is insulin CRA eligible?

Yes. Insulin qualifies under paragraph 118.2(2)(k) of the Income Tax Act with a prescription. Insulin substitutes qualify separately under paragraph 118.2(2)(n) but require both a prescription and recording by a pharmacist.

Can I claim insulin through my HSA?

Yes. Insulin and prescribed insulin substitutes are reimbursable through a Health Spending Account, provided the applicable requirements for each provision are met.

Source

Based on the CRA's official eligible medical expenses list and Income Tax Folio S1-F1-C1, "Oxygen, insulin and injections for pernicious anaemia".

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Insulin or Substitutes

This information is sourced from the Canada Revenue Agency's official Medical Expense Tax Credit (METC) reference guide (lines 33099 and 33199). This is not tax advice. For the most current rulings, consult the CRA directly or speak with a qualified tax professional.

Based on CRA data last updated 2026-01-20. Page last reviewed 2026-03-20.