Testosterone Replacement Therapy

Is testosterone replacement therapy CRA eligible in Canada?

Yes. Prescribed testosterone medications are CRA-eligible medical expenses, which means they're reimbursable through your HSA. The related costs of a TRT protocol -- needles, syringes, lab work, and doctor visits -- are also eligible. Over-the-counter testosterone supplements do not qualify.

What Qualifies

• Prescription testosterone medications — injections, gels (e.g., AndroGel), patches, or pellets — when prescribed by a medical practitioner and dispensed and recorded by a pharmacist
• Needles and syringes required for self-injection of testosterone, when prescribed
• Lab tests ordered by a physician to monitor testosterone levels, liver function, and related markers as part of a TRT protocol
• Physician, endocrinologist, or specialist visits for TRT management and monitoring

What Does Not Qualify

• Over-the-counter testosterone boosters, herbal supplements, or natural health products claiming to raise testosterone
• Anabolic steroids used for athletic performance enhancement without a valid medical prescription

Good to Know

• If you self-inject testosterone, needles and syringes are eligible with a prescription. Keep your prescription on file for claims.
• Lab tests to monitor testosterone levels and overall health are eligible when ordered by your doctor as part of your TRT protocol.

Frequently Asked Questions

Is testosterone replacement therapy CRA eligible?

Yes. Prescribed TRT medications qualify under paragraph 118.2(2)(n) of the Income Tax Act when prescribed by a physician and recorded by a pharmacist. Needles and syringes qualify under (m), lab tests under (o), and physician visits under (a).

Can I claim TRT through my HSA?

Yes. Prescribed TRT medications and related costs are CRA-eligible medical expenses and are reimbursable through a Health Spending Account.

Are over-the-counter testosterone supplements eligible?

No. Supplements purchased over the counter without a prescription and a pharmacist dispensing record do not meet the CRA's requirements under paragraph 118.2(2)(n).

Source

Based on the CRA's official eligible medical expenses list and Income Tax Folio S1-F1-C1, "Drugs, medicaments and other preparations or substances".