Eligible Product List Criteria

SIGIS: Special Interest Group for IIAS Standards™



   Eligible Product List Criteria (11/01/2015)

IMPORTANT NOTICE:

In August 2015, the Eligible List Committee conducted an additional review of compression hosiery.  The EPL Committee, with informal non-binding opinion from the IRS, determined there are certain levels of compression hosiery that would be strictly used for the medical purpose of treating venous conditions and are thus eligible.  The Eligible Product List has been updated with product types that fit the” but/for” criteria, and are of the highest medical compression level or are identified on the packaging as anti-embolism, lymphedema, ulcer care, etc. Although many packages mention tired/achy legs, their primary purpose is to prevent or treat venous conditions. They are often recommended by and used under doctor supervision. Since manufacturers are now producing high quality, aesthetically pleasing (not “ugly”, different colors, designs, etc.) hosiery indicated for the previously mentioned conditions, appearances can no longer be a reliable eligibility factor.  These include below the knee, above the knee, pantyhose and garments.  The medical indications combined with the high cost of the products denote that these are not used as “regular” socks/hosiery and would qualify as a medical expense.  Hosiery with lower compression levels and products that do not include specific mention of treat for anti-embolism, lymphedema and ulcer care remain ineligible.

 

SIGIS has developed a list of health care over-the-counter items and other services that are considered eligible under Internal Revenue Service (IRS) 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. 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.  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 physician 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)

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; drug, alcohol and body fat testers are dual-purpose.

Diapers – Juvenile Incontinence

GoodNites, Under Jams

Products marketed for juvenile incontinence only. Regular diapers and training paints 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.

Saline wound washes are eligible. Bandages impregnated or coated with a medicated product are eligible. Tapes and bandages indicated as "Athletic" or "Sport" are not eligible.

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.

Waist shapers, tummy supports, work-related, athletic/sports products are dual-purpose.

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, 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,  drug & alcohol tests are dual-purpose. General rule applies that these products may be used as part of the aging process which is not considered a medical condition. 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

Lip balms which are part of a sun care line and have an SPF15+ and state UVA/UVB are eligible. General moisturizers with SPF are dual-purpose.

Mouth Guards

Dentek, Night Guard

Night mouth guards are eligible. Sports guards are not eligible.

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.

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.

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).

Drug & Alcohol Testing Kits

First Check Drug Testing, Alcohawk Breathalyzer

Diagnostics of illegal activities are not eligible

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 or Work Related

ACE Work Belt, Curad Sports Tape

Any products with a primary purpose of sports or work/industrial 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: Bathroom safety, 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. Accessories not related to the actual function of equipment, such as cup holders, totes and baskets, are dual-purpose. Home Health Care is dual-purpose other than what is indicated in the Home Health Care eligibility section.

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

Lip Balms - Moisturizers

Aquaphor SPF, Dermatone SPF23

Those with a primary purpose of moisturizing but have an SPF of 15+ and state UVA/UVB. (Lip balms with sunscreen that are part of a sun care line are 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

Nasal Strips & Snore Relief

Breathe Right

To treat sleep apnea or improper breathing diagnosed by physician

Nutritional Foods

Ensure, Boost

To treat medical condition diagnosed by physician & not for general health

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

 

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 November 1, 2015

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