Eligible Product List Criteria

SIGIS: Special Interest Group for IIAS Standards™

Eligible Product List Criteria (01/15/2020)

IMPORTANT NOTICE:

In December 2019, the Eligible List Committee conducted an additional review of products considered over-the-counter items.

SIGIS has developed a list of health care over-the-counter items and other services that are considered eligible under Internal Revenue Code Section 213 rules. The list originates from a database of more than 70,000 health and beauty aid items that is continually being updated with new product introductions and discontinuations. Using the criteria in this document, SIGIS determines whether a product or service qualifies or does not qualify as a medical expense under IRS Code Section 213(d) and applicable IRS guidance. This list is reviewed monthly by the SIGIS List Committee, a group of benefit plan administrators, to assure the accuracy and integrity of the list. Additions and suggested eliminations from the list are to be referred to the Committee for monthly discussion and appropriate action.

The Eligible Product List and regular updates may be downloaded and used by all SIGIS members. Merchants certified by SIGIS or planning to be certified by SIGIS must use the Eligible Product List as a basis for identifying the items in their product database that would be eligible for submission as a SIGIS qualified healthcare product in a debit card authorization request. Benefit plan administrators may find the Eligible Product List and this List Criteria helpful in ensuring consistency between substantiation of card transactions at SIGIS merchants and other substantiation requests.

Information provided in this document is subject to change as new information becomes available and as rules and definitions change.

1. Eligibility Status Definitions

Eligible Services for IIAS Approval

Eligible services for inclusion in the IIAS total include the provision of health care services including diagnostic tests, flu shots and other vacinations and urgent care or primary care office visits including services provided at pharmacies or stores.

Eligible Products for IIAS Approval

Eligible OTC: Eligible products include OTC products that are for medical care and are primarily for a medical purpose. They include products (other than OTC medicines or drugs) that diagnose, alleviate or treat existing or imminent injuries, illnesses or medical conditions, or used for the prevention of disease. As a general rule, most of these products are of short-term use but some do treat chronic medical conditions. Qualified medical expenses include those over-the-counter items compliant with federal tax rules under IRS Code Section 213(d) as outlined by the Internal Revenue Service. In these cases, the expense would not have been paid “but for” the disease or illness. An expense is not deductible as medical care if the taxpayer would have paid the expense even in absence of a medical condition. The user does not need to provide a statement from a medical provider or indicate a diagnosis in order to receive reimbursement as long as the item is on the Eligible Product List for IIAS Approval. Taxes, shipping and surcharge / convenience fees (as permitted by law and card brand / network regulations) directly associated with the purchase of an eligible product can be included.

Prescribed Drugs and Medicines, including Prescribed OTC: Drugs and medicines prescribed by a licensed medical professional and dispensed in accordance with state laws including the generation of an Rx Number are considered Eligible by the IRS. This includes OTC Drugs and Medicines other than dual-purpose. Since the prescription serves as determination of medical eligibility in a merchant location with a properly configured Pharmacy and IIAS POS System, no additional checks are required. These items will not be listed on the Eligible Products list due to their separate processing rules.

Not Included as Eligible Products for IIAS Approval

All OTC Medicines and Drugs without a Prescription: OTC drugs and medicines can only be reimbursed with a valid physicians' prescription. FSA and HRA debit cards can be used only if the OTC drug or medicine is filled by the pharmacist and an Rx number has been assigned. As such, they have been removed from the Eligible Products List as the list only covers items where a prescription is not required by IRS regulations.

Dual-purpose: Some products are considered dual-purpose. These products may have both a medical purpose and a personal hygiene, cosmetic or general health purpose. In order to be considered eligible, they must be used to treat a medical condition and cannot be used to improve or maintain general health unless prescribed by a licensed health care professional to treat a specific illness, condition or injury. These products may be eligible for reimbursement, but require a letter of medical necessity from a licensed healthcare professional stating the specific diagnosis or medical condition, the specific OTC medicine recommendation to treat the condition, and documentation of the product and cost. Dual-purpose items will not be included in the SIGIS List.

Ineligible: Products that are used for general health, cosmetic, or personal hygiene purposes are not reimbursable. Typically, these are not referred to as medicines or drugs and are not recognized to treat a medical condition. Expenses that are not reimbursable under IRS Code Section 213(d) of the federal tax code are ineligible. These include food supplements, toiletries, lotions and soaps, shampoos, vitamins and most herbal supplements.

The source of the list includes most nationally-distributed, regularly-stocked items. As such, the following types of items will generally not be included: items specially created for an individual retailer (including but not limited to private label items); a local, regional, or specialty item; bonus items (e.g. 2 oz free); BOGOS (buy one, get one), or other in-and-out types of packaging with limited availability or distribution. Although these items will not be included in the data, they may in fact be eligible. If such circumstances exist or if one feels other items meet the eligibility criteria then they can be submitted through the add process on the SIGIS website. These will be reviewed by the SIGIS List Committee and qualifying items will be added to the eligible product listing.

Because the source of the list is nationally-distributed, regularly-stocked products, private label and store branded products will generally not be available for inclusion on the standard list produced by SIGIS. It is understood that some of these private label and/or store brand items are, in fact, eligible under IRS Code Section 213(d), and therefore, can be processed through a certified SIGIS IIAS merchant. Merchants that choose to supplement their inventory of SIGIS identified eligible items with their own private label items are free to do so by following the process detailed in the Private Label Eligibility Criteria document. That document can be found at www.sig-is.org.

2. Classifications and Examples

The following are types of products that typically would be included under each designation. These are strictly guidelines and do not represent an all-inclusive listing.

Eligible:

Category	Example	Comment
Acupressure Treatments	Sea Band, Flents EZ Travel Wrist Band	Products that treat a medical condition are eligible. Weight-loss products are dual-purpose.
Breast Pumps and Breast-Feeding Supplies	Breast Pump (cost or rental fee), Breast Pump Parts (pump valve, replacement tubing, piston unit, diaphragms, pump body, flange, shield), Storage Bottles, Storage Bags, Gel Pads, Nursing Pads, Nipple Shields, Conversion Kits, Areola Stimulator, Car Adapter	Products that directly aid lactation are eligible. Items not eligible include: Bottle Stands, Bottle Nipples, Cleaners, Freezer Blocks, Bra Shields and Nursing Pillow and Covers, Nursing Bras and Milk Coolers
Compression Hosiery	Medical Compression 30-40 and above; Any compression of Anti-Embolism Stockings, Ulcer Care Compression or Lymphedema	Treats condition-specific medical conditions such as anti-embolism, ulcer care or lymphedema
Contraceptives	Condoms (with and without spermicide) – Trojan, Durex, Lifestyle.	Excludes drugs and medicines which require a prescription (ie. birth control pills) Spermicide-only products are not eligible.
Cotton Balls, Rolled Cotton, Cotton Applicators	US Cotton Sterile Cotton Balls and Rolls	Only Sterile cotton products are eligible. Non-sterile products are dual-purpose.
Dental Repair	Dentek, Temparin, DOC Recapit	Temporary dental repair products are eligible.
Denture Adhesives, Repair, and Cleansers	PoliGrip, Benzodent, Plate Weld, Efferdent	Denture cleaners and maintenance products are eligible. Medicated pain relief is not eligible.
Diabetes Care	Ascensia Meters & Strips, One Touch Meters & Strips, Softclix Lancets & Device, Monoject insulin syringes; Dex 4 glucose products	Testing (meters, strips, lancets, alcohol swabs), dosing (syringes, pens, etc.), glucose are eligible. OTC medicines and personal care are ineligible or dual purpose.
Diagnostic Products (Includes thermometers, blood pressure monitors, cholesterol testing, pulse oximeters, drug, alcohol, and body fat testers)	Braun Forehead Thermometer, Nexcare Thermometer, Lifescan BP Monitor, Cholestrak, Azo UTI Test Strips, Quest Pulse Oximeter	Includes devices that monitor, screen or test for the presence of disease, dysfunction of the body or for other medical conditions.
Diapers – Juvenile Incontinence	GoodNites, Under Jams	Products marketed for juvenile incontinence only. Regular diapers and training paints are not eligible.
Downloadable Apps with Medical Function for tablets and smartphones		App cost could be a medical expense if used for medical purpose only (i.e. track heart rhythm). Apps that include function for general health general wellness are not eligible.
Durable Medical Equipment	Wheel Chairs, Crutches, Oxygen Machines	Can be included when manufacturer provides UPC, merchants can mark non-UPC tagged items as private label items. See Home Health Care for additional criteria.
Ear Care	Sweet oil, Bionix Oto Clear, Select Nutrition Ear Wax Candle, Provent Hearing Aid Dryer	Un-medicated ear drops (sweet oil) ear syringes, ear wax removal devices, ear candles, hearing aid cleaners and dryers.
Enemas	Bags, Syringes, prefilled saline enemas - Fleet	Devices are eligible. Prefilled saline-only enemas are eligible.
Eye Care	Contact lens care, eyeglass repair kits	Products used to maintain corrective lenses and frames are eligible. Post-surgical eye protection is eligible.
Family Planning	EPT, Answer Quick & Simple Ovulation Test, ClearBlue Fertility Monitor	Pregnancy, ovulation and fertility kits are eligible. Dietary supplement-only products are not eligible.
First Aid Dressings & Supplies	Band Aid, 3M Nexcare, J&J First Aid, non-sport tapes, Simply Saline Wound Wash.	If the main purpose is for medical care and there is no "normal" use that is not medical, it could automatically qualify as eligible. Saline wound washes are eligible. Bandages impregnated or coated with a medicated product are eligible. Tapes and bandages indicated as "Athletic" or "Sport" are eligible unless marketed as performance enhancing.
Foot Care Treatment	Un-medicated corn & callus cushions & pads, corn & callus remover implements; therapeutic insoles, orthotic inserts, arch supports, heel cups	Products that have a primary purpose to treat specific ailments are eligible; products for general use or comfort are dual-purpose.
Glucosamine &/or Chondroitin	Osteo-Bi-Flex, Cosamin D, Flex-a-min Nutritional Supplements	Glucosamine-only or main ingredient glucosamine products are eligible.
Head Lice Products	Nix Lice Comb, Rid Lice Comb	Combs, electronic devices are eligible. Preparations are not eligible.
Health Care Services	Urgent Care or Primary Care services provided by a licensed practitioner at an IIAS merchant
Health Supports	ACE, Futuro, braces, elastic bandages, hot/cold therapy, orthopedic supports, rib belts, back braces, etc.	If the main purpose is for medical care and there is no "normal" use that is not medical, it could automatically qualify as eligible. Athletic tape - Typically used on existing injuries or as prevention against further injury, similar to a brace or wrap; not a performance enhancement product will be eligible. Work/industrial back braces belts used to prevent or treat back injury will be eligible. Items eligible if not marketed solely for performance enhancements.
Hearing Aid/Medical Batteries	Duracell, Energizer Hearing Aid Batteries	Multi-purpose batteries not eligible
Home Health Care (limited segments)	Elevated toilets, commodes, limb/joint protectors, medical/nutritional IV products, shower grab bar, bath transfer benches, shower stools, urinals/bedpans, traction, specialized braces & supports, ostomy, mastectomy products, urological, respiratory (excluding general air filters), electrotherapy, mobility (canes, walkers, rollators, wheelchairs), wound care, incontinence, diagnostics (stethoscopes, thermometers, bp monitors), medication dosers/organizers and medical alerts (jewelry, alarms, etc.) are eligible.	Bathroom safety, nutritional foods/liquids, positioning & support (backrests, pillows, etc.), patient room supplies, physical therapy, aids for daily living. General rule applies that these products may be used as part of the aging process which is not considered a medical condition, however equipment that assists daily functions like mobility qualify even if impairment is due to aging. Accessories not related to the actual function of equipment, such as cup holders, totes and baskets, are dual-purpose. See Dual-Purpose Home Health Care section.
Hot & Cold Therapy	ACE Hot/Cold Compress, Cara Ice Bag, Bed Buddy Back Wrap, Kaz Heating Pad, ThermaCare Heat Wrap	Freezer or instant cold packs, microwave or instant hot packs/pads, ice bags and electric heating pads are eligible. Medicated pads are not eligible.
Incontinence Protection	Attends, Depend, Prevail, GoodNites, UnderJams	Skin care, cleansing products and diapers/training pants are dual-purpose.
Lip Balms - Sun Care	Banana Boat SPF 50, Bullfrog Water Armor SPF30	Primary use must be for protection against skin cancer and premature skin aging with indication of UVA and UVB protection (broad spectrum) and 15 and above (15+). Products that are primarily moisturizers/cosmetic with a sunscreen are dual-purpose.
Mouth Guards	Dentek, Night Guard	Night mouth guards are eligible. Mouth guards used in sports to prevent mouth injury and reduce risks of concussions will be eligible if not marketed solely for performance enhancements.
Nasal Moisturizers & Washes	Neilmed Neti Pot & solutions, Ocean Saline Spray, Simply Saline	Products that are saline and primarily for moisturizing but may contain added aloe, menthol or eucalyptus, etc. are eligible. Decongestants & homeopathics are not eligible.
Nasal Strips & Snore Relief	Breathe Right	To treat sleep apnea or improper breathing. Excludes medicated strips which will require a prescription and strips marked solely for performance enhancements.
Prenatal Vitamins	Stuart Prenatal, Nature's Bounty Prenatal Vitamins
Reading glasses and maintenance accessories	Foster Grant Reading Glasses, Apex Eye Glass Repair Kit, BL Sight Saver Lens Cloths	Accessories used to maintain corrective lenses and frames are eligible. Chains, cases, etc. are not eligible.
Sun Protection (SPF 15 & above) and “Broad Spectrum”)	Coppertone SPF15+, Banana Boat SPF 15+, Cerave SPF 30, No-Add Sport Stick SPF50	Primary use must be for protection against skin cancer and premature skin aging with indication of UVA and UVB protection (broad spectrum) and 15 and above (15+). Products that are primarily moisturizers/cosmetic with a sun screen are dual-purpose.
TENS	Homedics Rapid+Relief, Icy Hot Smart Relief, Zewa Spa Buddy	TENS units and supplies are eligible.
Wart Removers – Cryo Products	Compound W Freeze Off, Dr Scholl’s Freeze Away, Wartner	Only non-medicated, freeze-method products are eligible.
Vaccinations	Flu Shots, Pneumonia Vaccinations

Dual-purpose (Not Included in Eligible Product List):

Personal care and treatments are not eligible.

Category	Example	Reimbursement Use
Allergy Pillows, Mattress Covers, Air Purifiers, Filters, etc.	Allerease Pillow Cover, Allergy Control Bedding, Honeywell HEPA Allergan Remover Air Purifier	To treat allergies diagnosed by physician
Anti-bacterial Hand Sanitizers	Purell, Nexcare, Germ-X	Personal use component; but/for test must be established
Baby Diapers	Huggies, Pampers, Pullups	To treat juvenile incontinence or medical condition
Baby Formulas/Nutritionals	Pediasure, Progestimi, Enfamil RTFl	Only specialty formulas/nutritionals are covered if medically necessary and authorized by medical practitioner. Only the excess cost between regular formula and the specialized formula may be eligible under an employer's plan.
Compression Hosiery and Accessories	Jobst, TED, Futuro – 20-30 or below, garters, care kits, fixatives, etc.	Most of these products primary purpose is for general health or mild medical treatments at compressions 20-30 or below. They are dual-purpose/ineligible but may be reimbursed for the cost over “regular” socks/hosiery if a LOMN is submitted.
Cosmetics/Beauty Products with Sunscreen	Colorscience Powders & Mousse, Bare Minerals Powders, Neutrogena Healthy Skin Glow Sheers	The primary purpose of these products is not sun protection and would not pass the “but for” test. The manufacturer’s identity is cosmetic; product is marketed as cosmetic in nature (improves or enhances appearance, tints/colors) and usually found in cosmetic departments or outlets.
Cough, Cold & Flu dietary supplements	Airborne, Hall's Defense, Germ Defense Alka Seltzer Immunity	Products that are merely dietary supplements and marketed as such, including those claiming to "support the immune system" (i.e. Airborne), are not covered (dual-purpose). Cold preventative products which are "proven to lessen the severity" or "reduce the duration" of colds or flu are covered. These include homeopathic, natural products, some herbals and some forms of zinc.
Diabetes Nutritionals	Glucerna, Boost Glucose	To treat symptoms of diabetes when recommended by physician
Diabetes Personal Care & Supplies (includes diabetes skin care, cough & cold and socks)	Diabet-X Therapeutic Body Lotion, Diaderm Foot Cream, Diabetic Tussin, Dr. Comfort Diabetes Socks, Jobst Sensifit Socks	Personal care is generally not covered; must test or treat a specific symptom or condition of Diabetes. Diabetes socks are dual-purpose/ineligible but may be reimbursed for the cost over “regular” socks/hosiery if a LOMN is submitted.
Dietary Supplements	All dietary supplements including multiple vitamins, minerals, essential fatty acids (fish oil), oy, enzymes, amino acids, etc.	Dietary supplements, including herbals & botanicals are dual-purpose (exception: glucosamine & prenatal vitamins).
Ear plugs	Mack's, Flents	To treat medical condition (presence of middle/inner ear tubes) diagnosed by physician
Exercise Equipment	Treadmill, exercise bike, pedalers, weights, hand exercisers	Exercise equipment is dual purpose in support of general health or a medical condition
Face/Respiratory Masks - medical grade or commercial/consumer	3M Cold weather, pollen/dust filtering masks	Products used for, cold weather, dust/pollen may also be used for work/general health needs.
Feminine Moisturizing	Replens, Rephresh	To treat vaginal dryness caused by medical condition
Feminine Protection (Pads & Liners)	Kotex, Always, Stayfree	They are ordinarily considered as being used to maintain general health and for personal care. They are dual-purpose if used for post-surgery or child birth
First Aid Burn & Scar Treatments & Skin Protectants (petroleum jelly)	Aloe, Mederma, Neosporin Scar Solution, Vaseline Jelly	Most are cosmetic in nature or have general use purposes
Fluoride Treatments	Gel-Kam	To treat medical condition diagnosed by physician & not for general oral care
Food Thickeners	Thick-It	Personal use component; but/for test must be established
Foot Insoles and Cushioning	Insoles, Heel & Arch, Dr. Scholl's Air Pillo, Odor Eaters	General use or comfort products are dual-purpose. Products must treat specific ailment to be eligible.
Gloves (Rubber & Cotton)	Cara Cotton Gloves, Curad Vinyl Gloves, Tronex Latex Gloves	Protective gloves of any type & cotton beauty gloves are dual-purpose.
Hair Growth Products	Rogaine	To treat symptom of medical condition diagnosed by physician
Health Supports – Athletic, Sports	Sports Compression Sleeve, Compression Garments, etc.	Any products with a primary purpose of performance enhancement are dual-purpose.
Herbals & Botanicals	Echinacea, ginkgo biloba, garlic	Dietary supplements, including herbals & botanicals are dual-purpose (exception: glucosamine & prenatal vitamins).
Home Health Care (limited segments)	Including but not limited to: Nutritional foods/liquids, positioning & support (backrests, pillows, etc.), patient room supplies, physical therapy, aids for daily living, drug & alcohol tests.	General rule applies that these products may be used as part of the aging process which is not considered a medical condition, however equipment that assists daily functions like mobility qualify even if impairment is due to aging. Accessories not related to the actual function of equipment, such as cup holders, totes and baskets, are dual-purpose. Large expenditures like walk-in bath tub are dual purpose and may fall under capital expenditures. Home Health Care is dual-purpose other than what is indicated in the Home Health Care eligibility section (i.e. some patient room supplies like urinals/commodes and patient lifting and some aides for daily living like med dosers/organizers and medical alerts are eligible exceptions.
Incontinence Personal Care (Including perineal cleansers, moisturizers and general skin protectants)	Aloe Vesta 2n1, Ca-Rezz Wash, Sween Cream	Personal care and treatments are not eligible
Inversion Table		May be used to treat medical conditions or used for general health. Inversion tables are considered dual-purpose expenses.
Lip Balms - Moisturizers	Aquaphor SPF, Dermatone SPF23	Those with a primary purpose of moisturizing but have an SPF of 15+ and state UVA/UVB are dual-purpose. (Lip balms with sunscreen that are part of a sun care line are eligible). Cosmetics with SPF are not eligible.
Magnifying Glasses	BL Sight Saver Magnifying Glass, Flents Wallet Size Magnifying Glass
Medical Nutritionals	Resource, Peptamen, Nutren	Satisfies normal nutritional needs and does not treat a specific condition
Medicated & Specialty Soaps	Basis Bar, Cetaphil Cleansing Bar	To treat skin condition diagnosed by physician
Minerals	Calcium Carbonate, Ferrous Sulfate, etc.	Under narrow circumstances, they will be eligible if used to treat medical condition or at-risk for illness diagnosed by physician
Nutritional Foods	Ensure, Boost	To treat medical condition diagnosed by physician & not for general health
Personal Amplification Devices		Can be used for enhancing sound for those not hearing impaired for personal benefit and not as a hearing aid. Items are dual-purpose.
Probiotics and Prebiotics	Culturelle, Florastor	To treat digestive condition and recommended by physician & not for general digestive health
Skin Care - Therapeutic Hand & Body	Eucerin, Aquaphor, Amlactin	To treat or remedy a skin condition diagnosed by physician. Lotions with SPF are primarily used as moisturizers and are dual-purpose.
Therapeutic Shampoo & Scalp Treatments (Medicated)	Nizoral, Neutrogena T-Gel	To treat skin/scalp condition for short duration diagnosed by physician
Vaporizers & Humidifiers and Accessories	Vicks, Sunbeam, Kaz	Covered if used to treat illness; not covered for normal household use
Vitamins	Vitamin A, C, D, E, multivitamin, lutein eye vitamin	Under narrow circumstances, they will be eligible if used to treat medical condition or at-risk for illness diagnosed by physician
Weight Control Supplements	Alli, Slim Fast	To treat obesity diagnosed by physician

OTC Medicines and Drugs (Not Included in Eligible Product List):

Category	Example	Comment
Acid Controllers	Pepcid AC, Zantac, Prilosec
Acne Medications	Clearasil, OXY
Allergy & Sinus	Alavert, Benadryl, Claritin, Sudafed
Antibiotic Products	Bacitracin, Neosporin, triple antibiotic ointment
Anti-Diarrheals	Imodium, Kaopectate
Anti-Gas	Gas-X, Phazyme	Dietary Supplement gas products/enzymes are dual-purpose
Antifungal (Foot)	Lamisil, Lotrimin
Anti-Itch & Insect Bite Remedies	Caladryl, Lanacane, Sarna, hydrocortisone
Antiparasitic Treatments	Nix, Rid, lice treatments
Antiseptics & wound cleansers	Rubbing alcohol, peroxide, epsom salt, Betadine, Hibiclens	Saline-only wound cleaners are eligible.
Baby Electrolytes and dehydtration	Pedialyte, Enfalyte	Baby Electrolytes and dehydration
Baby Rash Ointments & Creams	Desitin, Aveeno Baby	Includes petroleum jelly merchandised and marketed for baby rash
Baby Teething Pain	Baby Orajel, Anbesol Baby Oral Gel
Cold Sore Remedies	Abreva, Herpecin, Orajel	Only medicated products are covered
Contraceptives (non-condom products)	Encare Inserts, VCF Film, Plan B Tablet	OTC drugs or medicated spermicide-only products are not eligible. Condoms (male or female) with spermicide are eligible.
Cough, Cold & Flu	Robitussin, Theraflu, Vicks, Halls, Cepacol, Zicam, Cold-Eeze	Cold preventative products which are "proven to lessen the severity" or "reduce the duration" of colds or flu are covered. These include homeopathic, natural products, some herbals and some forms of zinc. Products that are merely dietary supplements and marketed as such, including those claiming to "support the immune system" (i.e. Airborne), are not covered. Hand sanitizers in cold not covered.
Denture Pain Relief	Orajel Denture Pain Relief Gel, Benzodent Cream
Digestive Aids	Lactaid, Lactase, Beano,	Digestive aids that are Dietary Supplements are dual purpose.
Ear Care	Medicated ear drops, Debrox, Similasin
Eye Care	Visine, Refresh Tears
Feminine Antifungal and Anti-itch	Monistat, Gyne-Lotrimin, Vagisil, Soothing Care
Fiber Laxatives (bulk forming)	Benefiber, Fibercon, Metamucil (powder or pills)	Covered when used to treat a medical condition for short duration; bars and drinks that are "nutritional foods" for help with regularity are not covered (dual-purpose)
First Aid Burn Remedies	Dermoplast, Solarcaine	Must contain an antiseptic or pain reliever, 100% aloe is not covered (dual-purpose)
Foot Care Treatment	Corn & callus treatments, wart removers	Products that treat specific ailments are eligible; products for general use or comfort are not eligible (dual-purpose)
Hemorrhoidal Preparations	Preparation H, Tucks
Homeopathic Remedies	Boiron and Hyland products	Homeopathic products are classified as drugs under the Food, Drug & Cosmetic Act and fall under the same criteria as other OTC Medicines.
Incontinence Protection & Treatment Products (Includes anti-fungals)	Calmoseptine, Baza Anti-fungal Cream	Skin and cleansing products not covered (dual-purpose)
Laxatives (non-fiber)	Dulcolax, Ex-Lax, Miralax	Stimulant, saline, lubricant, etc (non-fiber)
Motion Sickness	Dramamine, Bonine	Acupressure products are eligible.
Medicated Nasal Sprays, Drops & Inhalers	Afrin Spray
Medicate Nasal Strips
Oral Remedies or Treatments (Includes Saliva substitutes, mouth sore treatments, dental repair)	Salivart, Anbesol, Orajel, Dentemp	Only dry mouth remedies that are saliva substitutes are covered (gels, sprays, etc. not mouthwash, rinses, toothpaste)
Pain Relief Oral & Topical	Tylenol, Advil, Midol, Bayer Aspirin, Aspercreme, Ben-Gay, Icy Hot	Medicated topical pain relievers that contain menthol, eucalyptus, capsaicin, trolamine salicylate, etc. are not covered. (Air-activated heat patches are covered.)
Medicated Respiratory Treatments and Vapor Products	Primatene, Bronkaid, medicated Vics Vapor Rub	Includes asthma medications; vaporizers and humidifiers are dual-purpose.
Skin treatments	Psoriasin, MG217, Dermarest Eczema	Medical expense as long as intended purpose is to treat existing skin conditions like eczema, psoriasis, rosacea, etc. (as opposed to mere prevention)
Sleep Aids & Sedatives	Unisom, Nytol, Sominex
Smoking Deterrents	Nicoderm, Nicorette
Stomach Remedies	Mylanta, Maalox, Tums

Other Ineligible Products:

Category	Example	Comment
Baby Toiletries, Baby Oil, Powder, Lotions & Creams	Johnson's Baby oil/Powder, Aveeno Baby Lotion
Beauty Shampoos, Conditioners, Hair Treatments& Hair Coloring	Pantene, Suave, Dove, Aveeno Nourishing Treatment, Clairol Hair Color
Cosmetics	Revlon, CoverGirl
Deodorants	Speed Stick, Degree
Facial Cleansers	Neutrogena Deep Clean, Dove Facial Cleanser
Feminine Cleansing Products	Massengill, Summer's Eve
Foot Grooming (Includes Implements, beauty & comfort, moisturizers, odor & wetness)	Pedifix Foot File, O’Keefe’s Foot Cream, Desenex Foot/Sneaker Spray	Non-medicated
Hair Removal & Bleaches	Nair, Veet
Hand & Body Cleansing	Dove, Dial soap
Lip Preparations	ChapStick, lip balm
Oral Care (Includes toothpaste, toothbrush, mouthwash, breath remedies)	Crest, Colgate, Scope, Listerine, Binaca	Will not qualify even if a dentist recommends a special product to treat a medical condition like gingivitis. These are primarily used to maintain general health.
Shaving & Men's Grooming	Gillette, Schick
Skin Care (Includes moisturizers, hand & body, bath products)	Aquaphor Ointment, Cococare Lotion, Dr Teal Bath Salt
Sport Energy Liquids, Bars, etc.	Gatorade, EAS drinks/bars
Sugar & Salt Substitutes	Equal, Splenda
Sun Tanning	Banana Boat Deep Tan Oil SPF4, Coppertone SPF 10,	Sun tan lotion, after sun products that are less than SPF 15 and/or that do not offer “Broad Spectrum” coverage, do not meet the minimum FDA standard for prevention of skin cancer or premature aging

3. Reporting items to include or delete

SIGIS members can use the Missing Product Form to request items to be added or deleted. Incomplete information will not be considered.

4. List Availability

The list is available by the 15th day of each month. Item deletions or additions must be submitted by the 20th day of each month to be considered by the Eligible Product List Committee for the next month’s updates.

5. Notes:

It has been reported that some merchants are unable to include a SIGIS eligible healthcare product that may also be eligible for purchase via the Food Stamp program. Should this present a problem for any merchants, it is recommended that they should eliminate it from the SIGIS data and classify it for Food Stamp eligibility, as the consumer may submit the item for manual reimbursement from their flexible spending or health reimbursement arrangement account.

Updated January 15, 2020

Recipients of this document may copy, distribute, publish, or display this document so long as this copyright notice, license and disclaimer are retained with all copies of the document. No license is granted to modify this document.

THIS DOCUMENT IS PROVIDED "AS IS," AND THE CORPORATION AND ITS MEMBERS AND THEIR AFFILIATES, MAKE NO REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO, WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, NON-INFRINGEMENT, OR TITLE; THAT THE CONTENTS OF THIS DOCUMENT ARE SUITABLE FOR ANY PURPOSE INCLUDING BUT NOT LIMITED TO COMPLIANCE WITH ANY IRS REQUIREMENTS; OR THAT THE IMPLEMENTATION OF SUCH CONTENTS WILL NOT INFRINGE ANY PATENTS, COPYRIGHTS, TRADEMARKS OR OTHER RIGHTS. IN NO EVENT WILL THE CORPORATION OR ITS MEMBERS OR THEIR AFFILIATES BE LIABLE FOR ANY DIRECT, INDIRECT, SPECIAL, INCIDENTAL, PUNITIVE OR CONSEQUENTIAL DAMAGES, ARISING OUT OF OR RELATING TO ANY USE OR DISTRIBUTION OF THIS DOCUMENT, WHETHER OR NOT (1) THE CORPORATION, MEMBERS OR THEIR AFFILIATES HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, OR (2) SUCH DAMAGES WERE REASONABLY FORESEEABLE, AND ARISING OUT OF OR RELATING TO ANY USE OR DISTRIBUTION OF THIS DOCUMENT. THE FOREGOING DISCLAIMER AND LIMITATION ON LIABILITY DO NOT APPLY TO, INVALIDATE, OR LIMIT REPRESENTATIONS AND WARRANTIES MADE BY THE MEMBERS AND THEIR RESPECTIVE AFFILIATES TO THE CORPORATION AND OTHER MEMBERS IN CERTAIN WRITTEN POLICIES OF THE CORPORATION.