Note: (1) Members requiring MEB IAW AFI 48-123 must be “returned to duty” by MEB/PEB prior to waiver submission
(2) Members pending waiver action must remain DNIF until waiver has been granted
(3) Medications not on this list, singly or in combination, require review by AFMSA/SG3PF (rated officers) and MAJCOM/SG (non-rated personnel)
(4) Verbal waivers are NOT authorized
Approved by AF/SG3P on 14 May 2019
7700 Arlington Blvd, Falls Church, VA 22042
Official Air Force Aerospace Medicine Approved Medications
Over the Counter (OTC) Medications Aircrew Are Allowed to Take Without Flight Surgeon Approval.
The following is a list of medications that may be used by aircrew for minor conditions that do not interfere with flight duties. “Occasional OTC use”, as referenced in this
medication list, is defined as a maximum of 72 hours of continuous use unless specifically stated otherwise. All medication must be taken in accordance with the directions
on the package. No other medications may be taken without consultation with a flight surgeon. All medications and immunizations used by flying and special operational
duty personnel must be FDA approved.
Effective: 14 May 2019
(Note: This list supersedes the medication list dated 9 January 2014 . Updates are highlighted in yellow.)
Category
Medication
Diagnosis
No
DNIF
(No Waiver Required)
DNIF
(Waiver Required)
Not
Notes
Delegation
Generic Name (Oral
Preparation Unless
Specified
Otherwise)
Trade Name
(Not
Inclusive)
or
Utilization
DNIF
For
Ground
Trial
Symptoms
Controlled
(No Side
Effect)
Flying
I/II
Flying III
Waiverable
(For
MAJCOM
Use)
Gen
Acetaminophen
Tylenol
Acute Pain
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting
conditions.
Ophtho
Artificial tears
Hypotears,
Murine Tears
Mild cases of
dry eyes not
associated with
infection or post-
op corneal
refractive surgery
X
DNIF not required when used for OTC use for
mild conditions. Stop use and contact flight
surgeon if changes in vision, eye pain, continued
redness or irritation occur, or if the condition
worsens or persists for more than 72 hours. To
avoid contamination, do not touch tip of
container to any surface. Replace cap after using.
GI
Antacids
(calcium carbonate,
magnesium and
aluminum
hydroxides, sodium
bicarbonate)
Mylanta
Maalox
Tums
Rolaids
Mild Isolated
Episodes of
Indigestion
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting
conditions.
Derm
Antifungals (topical)
(terbinafine
hydrochloride 1%,
clotrimazole 1%)
Tinactin
Cruex
Lamisil
Lotrimin
Athlete’s Foot
Jock Itch
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
Derm
Antiinfectives
(topical)
(polymyxin,
bacitracin, neomycin,
povidone-iodine)
Neosporin
Polysporin
Betadine
Burns, Abrasions
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
Note: (1) Members requiring MEB IAW AFI 48-123 must be “returned to duty” by MEB/PEB prior to waiver submission
(2) Members pending waiver action must remain DNIF until waiver has been granted
(3) Medications not on this list, singly or in combination, require review by AFMSA/SG3PF (rated officers) and MAJCOM/SG (non-rated personnel)
(4) Verbal waivers are NOT authorized
Approved by AF/SG3P on 14 May 2019
7700 Arlington Blvd, Falls Church, VA 22042
Category
Medication
Diagnosis
No
DNIF
(No Waiver Required)
DNIF
(Waiver Required)
Not
Notes
Delegation
Generic Name (Oral
Preparation Unless
Specified
Otherwise)
Trade Name
(Not
Inclusive)
or
Utilization
DNIF
For
Ground
Trial
Symptoms
Controlled
(No Side
Effect)
Flying
I/II
Flying III
Waiverable
(For
MAJCOM
Use)
Gen
Analgesics (topical)
(methyl salicylate,
menthol, camphor)
Bengay
Icyhot
Aspercreme
Capzasin
Acute Pain
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
Gen
Aspirin
Ecotrin
Bayer
Acute Pain
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting
conditions.
Dental
Benzocaine 10%-
20% (oral topical),
gel or liquid form
only
Anbesol
Minor mouth and
gum irritation
DNIF is not required for temporary relief of
minor mouth and gum irritation (apthous ulcers).
Not for chronic use
Derm
Benzoyl Peroxide
(topical)
Clearasil
Acne
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
GI
Bismuth
Subsalicylate
Pepto-Bismol
Mild Isolated
Episodes of
Indigestion and
Mild Afebrile
Diarrhea
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting
conditions.
ENT
Carbamide Peroxide
Otic
Debrox
Ear wax removal
X
DNIF not required for occasional use. Do not use
if ear drainage or discharge, ear pain, irritation,
or rash in ear. Should not be used for longer than
4 days.
Dental
Chlorhexidine
gluconate
Peridex
Gingivitis
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
GI
Docusate
Colace
Constipation
X
For mild, occasional constipation alone.
GI
Famotidine
Pepcid
Heartburn,
Gastrointestinal
Reflux (GERD)
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting conditions
(no more than 2 dosages per week and/or
symptoms lasting beyond 48 hrs). Usage beyond
this level requires waiver.
Gen
Fiber
(psyllium husk,
calcium
polycarbophil,
methylcellulose)
Metamucil
Citrucel
Fibercon
Constipation
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
GI
Hemorrhoidal
Suppositories/
Medications
(Witch Hazel,
phenylephrine HCl)
Preparation H
Tucks
Nupercainal
Hemorrhoids
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting
conditions.
Note: (1) Members requiring MEB IAW AFI 48-123 must be “returned to duty” by MEB/PEB prior to waiver submission
(2) Members pending waiver action must remain DNIF until waiver has been granted
(3) Medications not on this list, singly or in combination, require review by AFMSA/SG3PF (rated officers) and MAJCOM/SG (non-rated personnel)
(4) Verbal waivers are NOT authorized
Approved by AF/SG3P on 14 May 2019
7700 Arlington Blvd, Falls Church, VA 22042
Category
Medication
Diagnosis
No
DNIF
(No Waiver Required)
DNIF
(Waiver Required)
Not
Notes
Delegation
Generic Name (Oral
Preparation Unless
Specified
Otherwise)
Trade Name
(Not
Inclusive)
or
Utilization
DNIF
For
Ground
Trial
Symptoms
Controlled
(No Side
Effect)
Flying
I/II
Flying III
Waiverable
(For
MAJCOM
Use)
Gen
Ibuprofen
Motrin
Advil
Acute Pain
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting
conditions.
Immuno
Immunization
(injectable)
Exception : JE
Vaccination
Wellness
X
Adverse reactions are rare. Access to medical
care on the ground is recommended for a period
of 4 hours for all personnel, unless operational
needs dictate otherwise.
GI
Loperamide
Imodium
Bowel Movement
Prevention
X
For prophylactic use in operational sorties longer
than 4 hours, no more than 2 doses in 24 hours.
Should be used in conjunction with operational
diet modification.
Use to treat acute diarrhea requires DNIF for
underlying condition.
Gen
Multivitamin
One-A-Day
Centrum
Wellness
X
Limited to one tablet per day. NOTE: Dietary,
herbal, and nutritional supplements (other
than a daily multivitamin) can only be used
with the approval of a flight surgeon. The
flight surgeon should consider aeromedical
implications of the supplement as well as the
probability the supplement would actually
enhance performance.
Nutritional Supplement
Policy Letter; Ephedra Policy Letter; SF 600
Overprint (optional tool for convenience).
Gen
Naproxen
Naprosyn
Aleve
Acute Pain
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting
conditions.
Gen
Nicotine Gum
Nicorette
Tobacco
Addiction
X
Recommend attending smoking cessation classes
(HAWC) to increase likelihood of successful
abstinence.
Gen
Nicotine Lozenges
Committ,
Nicorette
Tobacco
Addiction
X
Recommend attending smoking cessation classes
(HAWC) to increase likelihood of successful
abstinence.
Gen
Nicotine Patch
NicoDerm
Tobacco
Addiction
X
Recommend attending smoking cessation classes
(HAWC) to increase likelihood of successful
abstinence
GI
Omeprazole
Prilosec
Heartburn,
Gastroesophageal
Reflux (GERD)
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting conditions
(no more than 2 dosages per week and/or
symptoms lasting beyond 48 hrs). Usage beyond
this level requires waiver.
Note: (1) Members requiring MEB IAW AFI 48-123 must be “returned to duty” by MEB/PEB prior to waiver submission
(2) Members pending waiver action must remain DNIF until waiver has been granted
(3) Medications not on this list, singly or in combination, require review by AFMSA/SG3PF (rated officers) and MAJCOM/SG (non-rated personnel)
(4) Verbal waivers are NOT authorized
Approved by AF/SG3P on 14 May 2019
7700 Arlington Blvd, Falls Church, VA 22042
Category
Medication
Diagnosis
No
DNIF
(No Waiver Required)
DNIF
(Waiver Required)
Not
Notes
Delegation
Generic Name (Oral
Preparation Unless
Specified
Otherwise)
Trade Name
(Not
Inclusive)
or
Utilization
DNIF
For
Ground
Trial
Symptoms
Controlled
(No Side
Effect)
Flying
I/II
Flying III
Waiverable
(For
MAJCOM
Use)
GI
Ranitidine
Zantac
Heartburn,
Gastroesophageal
Reflux (GERD)
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting conditions
(no more than 2 dosages per week and/or
symptoms lasting beyond 48 hrs). Usage beyond
this level requires waiver.
Derm
Salicylic Acid
(topical)
Duofilm
Warts
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
ENT
Saline, nasal
Ocean
Nasal mucosa
dryness
X
DNIF is not required for occasional OTC use to
provide relief from nasal mucosa dryness due to
self-limiting conditions. Not for chronic use
without approval of the Flight Surgeon.
GI
Simethicone
Gas-X
Bloating, Excess
Gas
X
DNIF is not required for occasional OTC use to
provide relief from minor self-limiting conditions
(no more than 2 dosages per week and/or
symptoms lasting beyond 48 hrs). Usage beyond
this level requires discussion with flight surgeon.
Derm
1% Hydrocortisone
(topical)
Cortaid
Cortizone-10
Rash (Occasional
Usage)
X
DNIF not required unless condition or
medication interferes with life support gear or
flying duties.
GU
Vaginal Preparations
(cream and
suppositories)
Monistat 7
Vagisil
Vaginitis/Yeast
Infection
X
DNIF not required for use to provide relief form
minor self-limiting conditions unless underlying
condition is symptomatic, interferes with life
support gear or flying duties.
