Division of Energy Employees Occupational Illness Compensation (DEEOIC)
On January 23, 2023, DEEOIC published EEOICPA Circular No. 23-01, DEEOIC NDC Exclusion List. This circular provides notice that the Division of Energy Employees Occupational Illness Compensation (DEEOIC) has instituted a NDC exclusion list for certain medications, medical supplies, and durable medical equipment (DME) under the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).
DEEOIC provides to an individual eligible to receive medical benefits under the DEEOIC payment for the services, appliances, and supplies prescribed or recommended by a qualified physician for that illness, which are considered likely to cure, give relief, or reduce the degree or the period of that illness. The Office of Workers’ Compensation Programs’ (OWCP) Division of Administrative Operations (DAO) conducts an ongoing examination of medications, medical supplies, and DME to determine their efficacy and safety in treating diagnosed medical conditions. During the review, DAO and DEEOIC may certify the exclusion of products. When this occurs, DEEOIC will publish on its website a listing of excluded products for which the DEEOIC will not pay and set the corresponding NDC to deny. You can find the list below.
DEEOIC will continuously and regularly review and evaluate NDCs in accordance with the policy. As DEEOIC adds new NDCs, we will update the list. We expect providers to review this list prior to dispensing products to determine if the NDC will be covered for payment.
The DEEOIC will not authorize or reimburse pharmacies, medical providers, or claimants for items on the NDC exclusion list, unless DEEOIC grants a case specific exception.
Name of Item | NDC | Effective Date of Exclusion |
---|---|---|
Resveratrol Powder 98 % | 38779286302 | 8/1/2024 |
Resveratrol Powder 98 % | 38779286303 | 8/1/2024 |
Resveratrol Powder 98 % | 38779286304 | 8/1/2024 |
Resveratrol Powder 98 % | 38779286305 | 8/1/2024 |
Resveratrol Powder 98 % | 38779286309 | 8/1/2024 |
Resveratrol Powder 98 % | 38779304902 | 8/1/2024 |
Resveratrol Powder 98 % | 46144016101 | 8/1/2024 |
Resveratrol Powder 98 % | 75839009901 | 8/1/2024 |
Resveratrol Powder | 49452628201 | 8/1/2024 |
Resveratrol Powder | 49452628202 | 8/1/2024 |
Resveratrol Powder | 49452628203 | 8/1/2024 |
Resveratrol Powder | 49452628204 | 8/1/2024 |
Resveratrol Powder | 51552151602 | 8/1/2024 |
Resveratrol Powder | 51552151604 | 8/1/2024 |
Resveratrol Powder | 51552151605 | 8/1/2024 |
Resveratrol Powder | 51927436700 | 8/1/2024 |
Resveratrol Powder | 62991309701 | 8/1/2024 |
Resveratrol Powder | 62991309702 | 8/1/2024 |
Resveratrol Powder | 62991309703 | 8/1/2024 |
Resveratrol Powder | 63275990504 | 8/1/2024 |
Resveratrol Powder | 63275990505 | 8/1/2024 |
Resveratrol Powder | 63275990508 | 8/1/2024 |
Resveratrol Powder | 63275990509 | 8/1/2024 |
Xyzbac Oral Tablet | 69597031430 | 8/1/2024 |
Diclofenac Potassium Oral Tablet 25 MG | 24470092460 | 8/1/2024 |
Diclofenac Potassium Oral Tablet 25 MG | 73352008660 | 8/1/2024 |
Diclofenac Potassium Oral Tablet 25 MG | 74157000760 | 8/1/2024 |
Lofena Oral Tablet 25 MG | 15370018060 | 8/26/2024 |
Diclofenac Potassium Oral Tablet 25 MG | 15370018530 | 8/26/2024 |
Diclofenac Potassium Oral Tablet 25 MG | 69292054830 | 8/26/2024 |
Diclofenac Potassium Oral Tablet 25 MG | 72888008630 | 8/26/2024 |
Diclofenac Potassium Oral Tablet 25 MG | 73352008630 | 8/26/2024 |
DermacinRx Multitam Oral Tablet | 59088052554 | 8/26/2024 |
DermacinRX Davimet Oral Tablet Chewable | 59088069554 | 10/11/2024 |
FolaMax Oral Tablet | 71741008630 | 10/11/2024 |
Imubolic Oral Capsule | 73308035530 | 10/11/2024 |
DermacinRx Lexitral PharmaPak External Therapy Pack 1.5 & 0.025 % | 59088034300 | 12/26/2024 |
Lexitral PharmaPak II External Therapy Pack 1.5 & 0.025 % | 59088078400 | 12/26/2024 |
Lextol External Therapy Pack 1.5 & 0.025 % | 59088080100 | 12/26/2024 |
Ziclocin External Therapy Pack 1.5 & 0.025 % | 82461055057 | 12/26/2024 |
Diclareal External Therapy Pack 2 & 0.025 % | 81877064512 | 12/26/2024 |
Xrylix External Therapy Pack 1.5 % | 59088036500 | 12/26/2024 |
Xrylix II External Therapy Pack 1.5 % | 59088078300 | 12/26/2024 |
Diclotrex External Therapy Pack 1.5 & 4-10 % | 59088071600 | 12/26/2024 |
Diclotrex II External Therapy Pack 1.5 & 4-10 % | 59088078500 | 12/26/2024 |
Fenovar External Kit 1.5-10-15 % | 72835020202 | 12/26/2024 |
Roaoxia External Gel 3-4 % | 72934133802 | 12/26/2024 |
Diclofenac-Na Hyaluron-Niacin External Gel 3-2-4 % | 72934107202 | 12/26/2024 |
Pliaglis External Cream 7-7 % | 51672530502 | 12/26/2024 |
Pliaglis External Cream 7-7 % | 73575000902 | 12/26/2024 |
Pliaglis External Cream 7-7 % | 73575000904 | 12/26/2024 |
Pliaglis External Cream 7-7 % | 73575000909 | 12/26/2024 |
Lidocaine-Tetracaine External Cream 7-7 % | 69420307701 | 12/26/2024 |
Tetri-AG External Ointment 1.9 % | 83035712003 | 12/26/2024 |
Zilacaine Patch External Therapy Pack 5 % | 59088071400 | 12/26/2024 |
Lidorex External Gel 2.8 % | 59088047507 | 12/26/2024 |
DermacinRx Lidogel External Gel 2.8 % | 59088046607 | 12/26/2024 |
DermacinRx Lidogel External Gel 2.8 % | 80425037201 | 12/26/2024 |
Astero External Gel 4 % | 35781250009 | 12/26/2024 |
Astero External Gel 4 % | 60760050090 | 12/26/2024 |
Lidopin External Cream 3.25 % | 69054023101 | 12/26/2024 |
Lidotral External Cream 3.88 % | 59088037107 | 12/26/2024 |
Lidotral External Cream 3.88 % | 59088048307 | 12/26/2024 |
Lidtopic External Cream 7.5 % | 71300667602 | 12/26/2024 |
NuLido External Gel 4-1 % | 53149210004 | 12/26/2024 |
LidozenGel External Gel 4-1 % | 63187089264 | 12/26/2024 |
Lidocaine HCl External Cream 3 % | 13925015903 | 12/26/2024 |
Lidocaine HCl External Cream 3 % | 69367020285 | 12/26/2024 |
Lidocaine HCl External Cream 3 % | 59088099707 | 12/26/2024 |
Qutenza (2 Patch) External Kit 8 % | 72512092901 | 12/26/2024 |
Qutenza (4 Patch) External Kit 8 % | 72512093001 | 12/26/2024 |
Qutenza External Kit 8 % | 72512092801 | 12/26/2024 |
NEOVite Oral Tablet | 70898022109 | 12/26/2024 |
Altrixa Oral Tablet | 28595071530 | 12/26/2024 |
Amladex Oral Tablet | 00276070930 | 12/26/2024 |
Vitalee Oral Tablet | 76420029930 | 12/26/2024 |
True Daily Vite Oral Tablet | 83035121809 | 12/26/2024 |
OneVite Oral Tablet | 70898019809 | 12/26/2024 |
FolaPrime Oral Tablet | 71741038230 | 12/26/2024 |
Florravite Oral Tablet | 84460090130 | 12/26/2024 |
HylaZinc Oral Tablet | 72287065101 | 12/26/2024 |
LidoHeal-90 External Kit 4 % | 81877050390 | 12/26/2024 |
Lidocream External Kit 4 % | 66870040207 | 12/26/2024 |
LMX 4 Plus External Kit 4 % | 00496088207 | 12/26/2024 |
LMX 4 Plus External Kit 4 % | 00496088271 | 12/26/2024 |
AneCream External Kit 4 % | 24357070107 | 12/26/2024 |
Aprizio Pak External Kit 2.5-2.5 % | 59088071100 | 12/26/2024 |
Lidotor External Kit 2.5-2.5 % | 59088071500 | 12/26/2024 |
Empricaine-II External Kit 2.5-2.5 % | 59088075900 | 12/26/2024 |
Prizopak II External Kit 2.5-2.5 % | 59088076000 | 12/26/2024 |
Aprizio Pak II External Kit 2.5-2.5 % | 59088076300 | 12/26/2024 |
Prilovixil External Kit 2.5-2.5 % | 72275072577 | 12/26/2024 |
SkyaDerm-LP External Kit 2.5-2.5 % | 73086090799 | 12/26/2024 |
Real Heal-I External Kit 2.5-2.5 % | 81877050090 | 12/26/2024 |
Priloheal Plus 30 External Kit 2.5-2.5 % | 81877050730 | 12/26/2024 |
VallaDerm-90 External Kit 2.5-2.5 % | 82226001090 | 12/26/2024 |
NuLido External Patch 4-1 % | 53149220001 | 12/26/2024 |
LidoPro External Patch 4-1 % | 53225112301 | 12/26/2024 |
Prolida External Patch 4-1 % | 06755517000 | 12/26/2024 |
LidoPro External Patch 4-1 % | 68788863001 | 12/26/2024 |
Zeruvia External Patch 4-1 % | 69054050015 | 12/26/2024 |
MTX Topical Pain External Patch 4-1 % | 06988902615 | 12/26/2024 |
LidozenPatch External Patch 4-1 % | 71205034815 | 12/26/2024 |
LidozenPatch External Patch 4-1 % | 71205074515 | 12/26/2024 |
Zylotrol External Patch 4-1 % | 72189047415 | 12/26/2024 |
Lidothol External Patch 4-1 % | 72189055315 | 12/26/2024 |
Lidocaine Plus Menthol External Patch 4-1 % | 73317686305 | 12/26/2024 |
NuLido External Patch 4-1 % | 76420014115 | 12/26/2024 |
Zylotrol External Patch 4-1 % | 76420014415 | 12/26/2024 |
Zylotrol External Patch 4-1 % | 76420058115 | 12/26/2024 |
LidoPro External Patch 4-1 % | 80425038001 | 12/26/2024 |
Lidothol External Patch 4-1 % | 80425038501 | 12/26/2024 |
Zims Max-Freeze Pain Relief External Patch 4-1 % | 08148526103 | 12/26/2024 |
LidoReal External Patch 4-1 % | 81877072515 | 12/26/2024 |
Zylotrol External Patch 4-1 % | 81902010115 | 12/26/2024 |
Zylotrol External Patch 4-1 % | 81902010415 | 12/26/2024 |
Lidothol External Patch 4-1 % | 83881044115 | 12/26/2024 |
Livixil Pak External Kit 2.5-2.5 % | 15455950401 | 12/26/2024 |
AgonEaze External Kit 2.5-2.5 % | 15455952801 | 12/26/2024 |
Nuvakaan External Kit 2.5-2.5 % | 59088070600 | 12/26/2024 |
DermacinRx Empricaine External Kit 2.5-2.5 % | 59088081000 | 12/26/2024 |
DermacinRx Prizopak External Kit 2.5-2.5 % | 59088087300 | 12/26/2024 |
Relador Pak External Kit 2.5-2.5 % | 69166010590 | 12/26/2024 |
Vexatrol External Kit 2.5-2.5 % | 69336082401 | 12/26/2024 |
Prilovix External Kit 2.5-2.5 % | 72275070177 | 12/26/2024 |
Prilovix Plus External Kit 2.5-2.5 % | 72275070377 | 12/26/2024 |
Prilovix Lite External Kit 2.5-2.5 % | 72275071077 | 12/26/2024 |
Prilovix Lite Plus External Kit 2.5-2.5 % | 72275071177 | 12/26/2024 |
Prilovix Ultralite External Kit 2.5-2.5 % | 72275071277 | 12/26/2024 |
Prilovix Ultralite Plus External Kit 2.5-2.5 % | 72275071377 | 12/26/2024 |
Lido BDK External Kit 2.5-2.5 % | 76420064101 | 12/26/2024 |
Bruselix External Gel 3.88 % | 59088023305 | 12/26/2024 |
Bruselix External Cream 3.88 % | 59088023405 | 12/26/2024 |
Bruselix Oral Tablet | 59088000381 | 12/26/2024 |