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.

DEEOIC National Drug Codes (NDCs) That Will Deny
Name of ItemNDCEffective Date of Exclusion
Resveratrol Powder 98 %387792863028/1/2024
Resveratrol Powder 98 %387792863038/1/2024
Resveratrol Powder 98 %387792863048/1/2024
Resveratrol Powder 98 %387792863058/1/2024
Resveratrol Powder 98 %387792863098/1/2024
Resveratrol Powder 98 %387793049028/1/2024
Resveratrol Powder 98 %461440161018/1/2024
Resveratrol Powder 98 %758390099018/1/2024
Resveratrol Powder494526282018/1/2024
Resveratrol Powder494526282028/1/2024
Resveratrol Powder494526282038/1/2024
Resveratrol Powder494526282048/1/2024
Resveratrol Powder515521516028/1/2024
Resveratrol Powder515521516048/1/2024
Resveratrol Powder515521516058/1/2024
Resveratrol Powder519274367008/1/2024
Resveratrol Powder629913097018/1/2024
Resveratrol Powder629913097028/1/2024
Resveratrol Powder629913097038/1/2024
Resveratrol Powder632759905048/1/2024
Resveratrol Powder632759905058/1/2024
Resveratrol Powder632759905088/1/2024
Resveratrol Powder632759905098/1/2024
Xyzbac Oral Tablet695970314308/1/2024
Diclofenac Potassium Oral Tablet 25 MG244700924608/1/2024
Diclofenac Potassium Oral Tablet 25 MG733520086608/1/2024
Diclofenac Potassium Oral Tablet 25 MG741570007608/1/2024
Lofena Oral Tablet 25 MG153700180608/26/2024
Diclofenac Potassium Oral Tablet 25 MG153700185308/26/2024
Diclofenac Potassium Oral Tablet 25 MG692920548308/26/2024
Diclofenac Potassium Oral Tablet 25 MG728880086308/26/2024
Diclofenac Potassium Oral Tablet 25 MG733520086308/26/2024
DermacinRx Multitam Oral Tablet590880525548/26/2024
DermacinRX Davimet Oral Tablet Chewable5908806955410/11/2024
FolaMax Oral Tablet7174100863010/11/2024
Imubolic Oral Capsule7330803553010/11/2024
DermacinRx Lexitral PharmaPak External Therapy Pack 1.5 & 0.025 %5908803430012/26/2024
Lexitral PharmaPak II External Therapy Pack 1.5 & 0.025 %5908807840012/26/2024
Lextol External Therapy Pack 1.5 & 0.025 %5908808010012/26/2024
Ziclocin External Therapy Pack 1.5 & 0.025 %8246105505712/26/2024
Diclareal External Therapy Pack 2 & 0.025 %8187706451212/26/2024
Xrylix External Therapy Pack 1.5 %5908803650012/26/2024
Xrylix II External Therapy Pack 1.5 %5908807830012/26/2024
Diclotrex External Therapy Pack 1.5 & 4-10 %5908807160012/26/2024
Diclotrex II External Therapy Pack 1.5 & 4-10 %5908807850012/26/2024
Fenovar External Kit 1.5-10-15 %7283502020212/26/2024
Roaoxia External Gel 3-4 %7293413380212/26/2024
Diclofenac-Na Hyaluron-Niacin External Gel 3-2-4 %7293410720212/26/2024
Pliaglis External Cream 7-7 %5167253050212/26/2024
Pliaglis External Cream 7-7 %7357500090212/26/2024
Pliaglis External Cream 7-7 %7357500090412/26/2024
Pliaglis External Cream 7-7 %7357500090912/26/2024
Lidocaine-Tetracaine External Cream 7-7 %6942030770112/26/2024
Tetri-AG External Ointment 1.9 %8303571200312/26/2024
Zilacaine Patch External Therapy Pack 5 %5908807140012/26/2024
Lidorex External Gel 2.8 %5908804750712/26/2024
DermacinRx Lidogel External Gel 2.8 %5908804660712/26/2024
DermacinRx Lidogel External Gel 2.8 %8042503720112/26/2024
Astero External Gel 4 %3578125000912/26/2024
Astero External Gel 4 %6076005009012/26/2024
Lidopin External Cream 3.25 %6905402310112/26/2024
Lidotral External Cream 3.88 %5908803710712/26/2024
Lidotral External Cream 3.88 %5908804830712/26/2024
Lidtopic External Cream 7.5 %7130066760212/26/2024
NuLido External Gel 4-1 %5314921000412/26/2024
LidozenGel External Gel 4-1 %6318708926412/26/2024
Lidocaine HCl External Cream 3 %1392501590312/26/2024
Lidocaine HCl External Cream 3 %6936702028512/26/2024
Lidocaine HCl External Cream 3 %5908809970712/26/2024
Qutenza (2 Patch) External Kit 8 %7251209290112/26/2024
Qutenza (4 Patch) External Kit 8 %7251209300112/26/2024
Qutenza External Kit 8 %7251209280112/26/2024
NEOVite Oral Tablet7089802210912/26/2024
Altrixa Oral Tablet2859507153012/26/2024
Amladex Oral Tablet0027607093012/26/2024
Vitalee Oral Tablet7642002993012/26/2024
True Daily Vite Oral Tablet8303512180912/26/2024
OneVite Oral Tablet7089801980912/26/2024
FolaPrime Oral Tablet7174103823012/26/2024
Florravite Oral Tablet8446009013012/26/2024
HylaZinc Oral Tablet7228706510112/26/2024
LidoHeal-90 External Kit 4 %8187705039012/26/2024
Lidocream External Kit 4 %6687004020712/26/2024
LMX 4 Plus External Kit 4 %0049608820712/26/2024
LMX 4 Plus External Kit 4 %0049608827112/26/2024
AneCream External Kit 4 %2435707010712/26/2024
Aprizio Pak External Kit 2.5-2.5 %5908807110012/26/2024
Lidotor External Kit 2.5-2.5 %5908807150012/26/2024
Empricaine-II External Kit 2.5-2.5 %5908807590012/26/2024
Prizopak II External Kit 2.5-2.5 %5908807600012/26/2024
Aprizio Pak II External Kit 2.5-2.5 %5908807630012/26/2024
Prilovixil External Kit 2.5-2.5 %7227507257712/26/2024
SkyaDerm-LP External Kit 2.5-2.5 %7308609079912/26/2024
Real Heal-I External Kit 2.5-2.5 %8187705009012/26/2024
Priloheal Plus 30 External Kit 2.5-2.5 %8187705073012/26/2024
VallaDerm-90 External Kit 2.5-2.5 %8222600109012/26/2024
NuLido External Patch 4-1 %5314922000112/26/2024
LidoPro External Patch 4-1 %5322511230112/26/2024
Prolida External Patch 4-1 %0675551700012/26/2024
LidoPro External Patch 4-1 %6878886300112/26/2024
Zeruvia External Patch 4-1 %6905405001512/26/2024
MTX Topical Pain External Patch 4-1 %0698890261512/26/2024
LidozenPatch External Patch 4-1 %7120503481512/26/2024
LidozenPatch External Patch 4-1 %7120507451512/26/2024
Zylotrol External Patch 4-1 %7218904741512/26/2024
Lidothol External Patch 4-1 %7218905531512/26/2024
Lidocaine Plus Menthol External Patch 4-1 %7331768630512/26/2024
NuLido External Patch 4-1 %7642001411512/26/2024
Zylotrol External Patch 4-1 %7642001441512/26/2024
Zylotrol External Patch 4-1 %7642005811512/26/2024
LidoPro External Patch 4-1 %8042503800112/26/2024
Lidothol External Patch 4-1 %8042503850112/26/2024
Zims Max-Freeze Pain Relief External Patch 4-1 %0814852610312/26/2024
LidoReal External Patch 4-1 %8187707251512/26/2024
Zylotrol External Patch 4-1 %8190201011512/26/2024
Zylotrol External Patch 4-1 %8190201041512/26/2024
Lidothol External Patch 4-1 %8388104411512/26/2024
Livixil Pak External Kit 2.5-2.5 %1545595040112/26/2024
AgonEaze External Kit 2.5-2.5 %1545595280112/26/2024
Nuvakaan External Kit 2.5-2.5 %5908807060012/26/2024
DermacinRx Empricaine External Kit 2.5-2.5 %5908808100012/26/2024
DermacinRx Prizopak External Kit 2.5-2.5 %5908808730012/26/2024
Relador Pak External Kit 2.5-2.5 %6916601059012/26/2024
Vexatrol External Kit 2.5-2.5 %6933608240112/26/2024
Prilovix External Kit 2.5-2.5 %7227507017712/26/2024
Prilovix Plus External Kit 2.5-2.5 %7227507037712/26/2024
Prilovix Lite External Kit 2.5-2.5 %7227507107712/26/2024
Prilovix Lite Plus External Kit 2.5-2.5 %7227507117712/26/2024
Prilovix Ultralite External Kit 2.5-2.5 %7227507127712/26/2024
Prilovix Ultralite Plus External Kit 2.5-2.5 %7227507137712/26/2024
Lido BDK External Kit 2.5-2.5 %7642006410112/26/2024
Bruselix External Gel 3.88 %5908802330512/26/2024
Bruselix External Cream 3.88 %5908802340512/26/2024
Bruselix Oral Tablet5908800038112/26/2024
Zalvit Oral Tablet 13-01 MG726780018013/12/2025
Azesco Oral Tablet 13-1 MG694990344303/12/2025
Ziphex Oral Tabet 13-1 MG733080344303/12/2025
Coxanto Oral Capsule 300 MG694990403603/12/2025
LidoPro External Ointment 4-.0325-10-27.5%532251020013/12/2025
Metanx Oral Capsule 3-90.314-2-35 MG5258049903/12/2025
Foltanx RF Oral Capsule 3-90.314-2-35 MG519910913333/12/2025
Zolpidem Tartrate Oral Capsule 7.5 MG524270775303/12/2025
VennGel Two External Kit 1%590880224003/12/2025
Cerefolin NAC Oral Tablet 6-90.314-2-600 MG5250555903/28/2025
Foltanx RF Oral Capsule 3-90.314-2-35 MG519910913903/28/2025
L-Methyl-MC Oral Tablet 6-1-50-5 MG764390360903/28/2025
Vasculera Oral Tablet680400610143/28/2025
Konvomep Oral Suspension Reconstituted 2-84 MG/ML656280270033/28/2025
Konvomep Oral Suspension Reconstituted 2-84 MG/ML656280270053/28/2025
Konvomep Oral Suspension Reconstituted 2-84 MG/ML656280270103/28/2025
Konvomep Oral Suspension Reconstituted 2-84 MG/ML656280272033/28/2025
Konvomep Oral Suspension Reconstituted 2-84 MG/ML656280272053/28/2025
Konvomep Oral Suspension Reconstituted 2-84 MG/ML656280272103/28/2025
Veozah Oral Tablet 45 MG4692660303/28/2025
PCCA Spira-Wash Base Gel519274678003/28/2025
PEG External Ointment119401607063/28/2025
PEG Blend External Ointment515520008053/28/2025
PEG Blend External Ointment515520008063/28/2025
PEG Blend External Ointment515520008073/28/2025
Lip Balm Base External Ointment515520318093/28/2025
PEG Ointment Base External Ointment515520527063/28/2025
PCCA Polypeg Base External Ointment519272883003/28/2025
AlpaWash External Ointment387792953013/28/2025
AlpaWash External Ointment387792953053/28/2025
AlpaWash External Ointment387792953083/28/2025
VersaPro External Cream387792529013/28/2025
VersaPro External Cream387792529033/28/2025
VersaPro External Cream387792529053/28/2025
VersaPro External Cream387792529063/28/2025
VersaPro External Cream387792529073/28/2025
VersaPro External Cream387792529083/28/2025
VersaPro Gel387792636013/28/2025
VersaPro Gel387792636033/28/2025
VersaPro Gel387792636053/28/2025
VersaPro Gel387792636083/28/2025
VersaPro External Cream387792879053/28/2025
VersaPro External Cream387792879063/28/2025
VersaPro Lotion387792903013/28/2025
VersaPro Lotion387792903033/28/2025
VersaPro Lotion387792903053/28/2025
VersaPro Lotion387792903073/28/2025
VersaPro Lotion387792903083/28/2025
VersaPro Foam387793028083/28/2025
VersaPro Foam387793028093/28/2025
VersaPro External Shampoo387793029083/28/2025
VersaPro External Shampoo387793029093/28/2025
VersaPro External Cream387793050083/28/2025
VersaPro Anhydrous Base Gel387793220013/28/2025
VersaPro Anhydrous Base Gel387793220033/28/2025
VersaPro Anhydrous Base Gel387793220053/28/2025
VersaPro Anhydrous Base Gel387793220073/28/2025
VersaPro Anhydrous Base Gel387793220083/28/2025
LidoPro External Ointment 4-.0325-10-27.5 %838810001353/28/2025
LidoPro External Ointment 4-.0325-10-27.5 %804250332013/28/2025
LidoPro External Ointment 4-.0325-10-27.5 %804250452013/28/2025
PCCA Custom Lipo-Max External Cream519274482003/28/2025
FeRiva 21/7 Oral Tablet 75-1 MG758540318283/28/2025
Dexifol Oral Tablet 5 MG708771002013/28/2025
Lidocaine External Cream 4 %393280024153/28/2025
Aciphex Oral Tablet Delayed Release 20 MG697840243303/28/2025
LidoPro External Ointment 4-.0325-10-27.5 %532251020013/28/2025
Veozah Oral Tablet 45 MG4692460073/28/2025
Veozah Oral Tablet 45 MG4692460283/28/2025