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AMPLIFICATION OF THE MINIMAL STANDARDS OF FITNESS FOR 

DEPLOYMENT TO THE SOUTHCOM AOR

1. General. This attachment accompanies USSOUTHCOM Regulation 40-501and provides amplification

of the minimal standards of fitness for deployment to the SOUTHCOM area of responsibility (AOR).

Individuals possessing a disqualifying medical condition must obtain an exception to policy in the form of

a medical waiver prior to being medically cleared for deployment. The list of deployment-limiting

conditions is not comprehensive; there are many other conditions that may result in denial of medical

clearance for deployment based upon the totality of individual medical conditions and the medical

capabilities present at that individual’s deployed location. “Medical conditions” as used here also include

those health conditions usually referred to as dental, psychological, and/or emotional.

A. Uniformed Service Members must meet Service standards of fitness according to Service

regulations and policies, in addition to the guidance below.

B. DoD civilian personnel with disqualifying medical conditions could still possibly deploy based

upon an individualized medical assessment and approved medical waiver from the

appropriate SOUTHCOM waiver authority (which shall be consistent with subparagraph

4.g.(3)(c) of DoDD 1404.10 and The Rehabilitation Act of 1973, as amended).

C. DoD Contract personnel will be evaluated for fitness according to DoDI 3020.41.

D. Regardless of underlying diagnosis, waivers for disqualifying medical conditions will be

considered only if all the following general conditions are met:

1. The condition is not of such a nature or duration that an unexpected worsening or

physical trauma is likely to have a grave medical outcome or negative impact on

mission execution.

2. The condition is stable and reasonably anticipated not to worsen during the

deployment in light of the physical, physiological, psychological, and nutritional effects

of assigned duties and location.

3. The condition does not require frequent clinical visits (more than quarterly), ancillary

tests, or significant physical limitations, and does not constitute an increased risk of

illness, injury, or infection.

4. There is no anticipated need for routine evacuation out of theater for continuing

diagnostics or evaluations.

5. Any required, ongoing health care or medications anticipated to be needed for the

duration of the deployment are available to the applicant in theater within the Military

Health System or equivalent. Medication must have no special handling, storage, or

other requirements (e.g., refrigeration, cold chain, or electrical power requirements).

Medication must be well tolerated within harsh environmental conditions (e.g. heat or

cold stress, sunlight) and should not cause significant side effects in the setting of

moderate dehydration.
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6. Individuals must be able to perform all essential functions of the position in the

deployed environment, with or without reasonable accommodation, without causing

undue hardship. In evaluating undue hardship, the nature of the accommodation and

the location of the deployment must be considered. Further, the member’s medical

condition must not pose a significant risk of substantial harm to the member or others

taking into account the condition of the relevant deployed environment, with particular

consideration of areas of armed conflict in the AOR.

7. The medical condition does not prevent the wear of personal protective equipment,

including protective mask, ballistic helmet, body armor, and chemical/biological

protective garments.

8. The medical condition does not prohibit required theater immunizations or

medications.

9. The medical condition is not anticipated to significantly impair one’s duty performance

during the duration of the deployment.

2. Evaluating providers must consider that in addition to the individual’s assigned duties, severe

environmental conditions, extremes of temperature, high physiologic demands (water, mineral, salt, and

heat management), poor air quality (especially particulates), limited dietary options, sleep

deprivation/disruption, and emotional stress may all impact the individual’s health. If maintaining an

individual’s health requires avoidance of these extremes or conditions, they should not deploy.

3. Evaluation of functional capacity to determine fitness in conditions of physiologic demand is

encouraged for conditions which may impair normal functionality. This includes such things as a

complete cardiac evaluation, to include stress imaging, when there is coronary artery disease or an

official functional capacity exam (FCE) for orthopedic issues. The evaluating provider should pay special

attention to any conditions which may present a hazard to the individual or others and/or preclude

performing functional requirements in the deployed setting. Also, the type, amount, suitability, and

availability of medications in the theater environment must be considered as potential limitations. Predeployment processing centers may vary in medical examination/screening procedures; individuals

should contact their respective mobilization site for availability of a processing checklist.

4. The guidance in this document should not be construed as authorizing use of defense health program

or military health system resources for health evaluations unless otherwise authorized. Generally,

Defense Health Agency and Military Health System resources are not authorized for the purpose of predeployment or travel medicine evaluations for contractor employees. Local command, legal, contracting 

and resource management authorities should be consulted for questions on this matter.

5. Shipboard operations which are not anticipated to involve operations ashore are exempt from the

deployment-limiting medical conditions listed below and will generally follow Service specific guidance.

However, sovereign laws of some nations within the SOUTHCOM AOR may prohibit entry of individuals

with certain medical conditions. Contingency plans for emergency evacuation of individuals with

diagnoses that could result in or complicate medical care in theater following evacuation should be

coordinated with and approved by the SOUTHCOM Surgeon prior to entering the AOR.

6. The general guidance from SOUTHCOM Reg 40-501applies to:

A. All personnel (uniformed service members, government civilian employees, volunteers, and

DoD contractor employees) deploying to theater must be medically, dentally and psychologically
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fit for deployment and possess a current Periodic Health Assessment (PHA) or physical. Fitness 

specifically includes the ability to accomplish tasks and duties unique to a particular operation and 

the ability to tolerate environmental and operational conditions of the deployed location. 

B. The existence of a chronic medical condition may not necessarily require a waiver to deploy.

Personnel with existing conditions, other than those outlined in this document, may deploy if

either:

1. An approved medical waiver is documented in the medical record.

OR 

2. The conditions in Para. 1.D.1-1.D.9 are met. To determine stability and assess need

for further care, for most conditions 90 days is considered a reasonable timeframe,

subject to the examining provider’s judgment. The exception to this is noted in paragraph

7.G. Psychiatric Conditions.

7. Documented medical conditions precluding medical clearance. A list of all possible diagnoses and their

severity that may cause an individual to be non-deployable would be too expansive. The medical

evaluator must carefully consider whether the climate, altitude, nature of available food and housing,

availability of medical, behavioral health, dental, surgical, and laboratory services, or whether other

environmental and operational factors may be hazardous to the deploying person’s health. The following

list of conditions should not be considered exhaustive. Other conditions may render an individual

medically non-deployable (see paragraph 6). Medical clearance to deploy with any of the following

documented medical conditions may be granted, except where otherwise noted. If an individual is found 

deployed with a pre-existing non-deployable condition and without a waiver for that condition, a waiver 

request to remain deployed should be submitted to the respective Component Surgeon. If the waiver 

request is denied, the individual will be redeployed out of the SOUTHCOM AOR. Individuals with the 

following conditions will not deploy without an approved waiver:

A. Specific Medical Conditions / Restrictions:

1. Asthma or other respiratory conditions that have a Forced Expiratory Volume-1 < 50%

of predicted despite appropriate therapy, that have required hospitalization in the past 12

months, or that requires daily systemic (not inhaled) steroids. Respiratory conditions that

have been well controlled for 6 months and are evaluated to pose no risk of deterioration

in the deployed environment may be considered for waiver.

2. Seizure disorder, either within the last year or currently on anticonvulsant medication

for prior seizure disorder/activity. Persons on a stable anticonvulsant regimen, who have

been seizure-free for one year, may be considered for waiver.

3. Diabetes mellitus, type 1 or 2, on pharmacotherapy or with HgA1C > 7.0.

a. Type 1 diabetes or insulin-requiring type 2 diabetes.

b. Type 2 diabetes, on oral agents only, with no change in medication within the

last 90 days and HgA1C ≤ 7.0 does not require a waiver if a calculated 10-year

coronary heart disease risk percentage (see paragraph 7.B.7) is less than 15%. If 

the calculated 10-year risk is 15% or greater, further evaluation is required prior to 

waiver submission. See B.8. for more detailed instructions.

c. Newly diagnosed diabetics will require 90 days of stability, either on oral

medications or with lifestyle changes, before a waiver will be considered. They
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should also have documentation of a complete initial diabetic evaluation (eye 

exam, foot exam, nutrition counseling, etc.). 

4. History of heat stroke. Those with no multiple episodes, persistent sequelae, or organ

damage, and no episode within the last 24 months, may be considered for waiver.

5. Meniere’s disease or other vertiginous/motion sickness disorder, unless well controlled

on medications available in theater.

6. Recurrent syncope for any reason. Waiver request should include the etiology and

diagnosis of the condition.

7. Endocrine conditions requiring replacement or adjustment therapies must be stable,

require no laboratory monitoring or specialty consultation, and require only routine followup which must be available in the deployed location or by specific arrangement.

Hormonal preparations must be administered by oral or transdermal routes, be within

clinically appropriate dose parameters, have no special storage requirements, and not

produce side effects which interfere with the normal performance of duties or require

additional medications to manage.

8. Any musculoskeletal condition that significantly impairs performance of duties in a

deployed environment. If there are concerns, an official functional capacity exam (FCE)

should be performed and results included with the waiver request.

9. Migraine headache, when frequent or severe enough to disrupt normal performance of

duties. Waiver submission should note history, frequency, severity, and functional impact

of headaches, as well previous and current treatment regimens. Neurology evaluation

and endorsement encouraged.

10. Nephrolithiasis, recurrent or currently symptomatic.

11. Pregnancy.

12. Obstructive sleep apnea (OSA). The OSA is diagnosed with an attended, inlaboratory polysomnography (PSG) with a minimum of 2 hours of total sleep time, that

yields an apnea-hypopnea index (AHI), and/or respiratory disturbance index (RDI), of

greater than 5 / hour. Unattended, home PSG is not acceptable for deployment

purposes. For individuals previously diagnosed with OSA, updated or repeat PSG is not

required unless clinically indicated (i.e. significant change in body habitus, corrective

surgery or return of OSA symptoms). Individuals treated with an oral appliance require

PSG documentation that OSA is controlled with its use. Individuals who are treated with

automatic positive airway pressure (APAP), continuous positive airway pressure (CPAP)

and bi-level positive airway pressure (BPAP) are acceptable as long as the condition

being treated is OSA and not a more complex respiratory disorder. Complex OSA,

central sleep apnea or OSA that requires advanced modes of ventilation such as

adaptive servo-ventilation (ASV) or average volume assured pressure support (AVAPS) is

generally non-deployable. Individuals using PAP therapy should deploy with a machine

that has rechargeable battery back-up and sufficient supplies (air filters, tubing and

interfaces/masks) for the duration of the deployment. Individuals deploying with PAP

therapy to a location where the sleep environment has unfiltered air will typically not be

granted waivers if a waiver is otherwise required per the guidance below. The following

guidelines are designed to ensure that individuals with OSA are adequately treated and

that their condition is not of the severity that would pose a safety risk should they be

required to go without their PAP therapy for a significant length of time.

a. Symptomatic OSA (i.e. excessive daytime sleepiness) of any severity, with or

without any treatment.

b. Asymptomatic mild OSA (diagnostic AHI and RDI < 15/hr): Deployable with or

without treatment (PAP or otherwise). No waiver required.
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c. Moderate OSA (diagnostic AHI or RDI ≥15/hr and < 30/hr): No waiver

required to deploy if successfully treated (CPAP or otherwise), except to

Afghanistan, Iraq, or Yemen.

d. Severe OSA (AHI or RDI ≥ 30/hr): Once successfully treated (PAP or

otherwise), requires a waiver for deployment to any location in the AOR.

e. For moderate and severe OSA, adherence to positive airway pressure (PAP)

therapy must be documented prior to deployment. Adherence is defined as PAP

machine data download (i.e. compliance report) that reveals the machine is being

used for at least 4 hours per night for greater than 70% of nights over the

previous 30-day period.

13. History of clinically diagnosed traumatic brain injury (mTBI/TBI) of any severity,

including mild. Waiver may not be required, but pre-deployment evaluation, which may

include both neurological and psychological components, is needed per ref HH.

a. Individuals who have a history of a single mild Traumatic Brain Injury may

deploy once released by a medical provider after 24-hours symptom free.

b. Individuals who have sustained a second mTBI within a 12-month period, may

deploy after seven days symptom free and release by a medical provider.

c. Individuals who have had three clinically diagnosed TBIs (of any severity,

including mild) since their last full neurological and psychological evaluation are

required to have such an evaluation completed prior to deployability

determination.

14. BMI > 35 with or without any significant comorbidity. Military personnel in

compliance with Service body fat guidelines do not require a waiver. Morbid obesity (BMI

> 40 or weight greater than 300 pounds) can generally not be supported. Civilians and

contractors should submit a body fat worksheet with the waiver request. A BMI calculator

is located at http://www.nhlbi.nih.gov/guidelines/obesity/BMI/bmicalc.htm

15. Any medical conditions (except OSA-see 10 above) that require certain durable

medical equipment or appliances (e.g., nebulizers, catheters, spinal cord stimulators) or

that requires periodic evaluation/treatment by medical specialists not readily available in

theater.

B. Cardiovascular Conditions:

1. Symptomatic coronary artery disease. Also, see B.8.

2. Myocardial infarction within one year of deployment. Also, see B.8.

3. Coronary artery bypass graft, coronary artery angioplasty, carotid endarterectomy,

other arterial stenting, or aneurysm repair within one year of deployment. Also, see B.8.

4. Cardiac dysrhythmias or arrhythmias, either symptomatic or requiring medication,

electro-physiologic control, or automatic implantable cardiac defibrillator or other

implantable cardiac devices.

5. Hypertension if controlled with a medication or lifestyle regimen that has been stable

for 90 days and requires no changes does not require a waiver. Single episode

hypertension found on predeployment physical should be accompanied by serial blood

pressure checks (3 day BP checks) to ensure hypertension is not persistent.

6. Heart failure or history of heart failure.

7. Civilian personnel who are 40 years of age or older must have a 10-year CHD risk

percentage calculated (online calculator is available at http://tools.acc.org/ASCVD-RiskEstimator/). If the individual’s calculated 10-year CHD risk is 15% or greater, the

individual should be referred for further cardiology work-up and evaluation, to include at
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least one of the following: graded exercise stress test with a myocardial perfusion 

scintigraphy (SPECT scan) or stress echocardiography as determined by the evaluating 

cardiologist. Results of the evaluation (physical exam, Framingham results, etc.) and 

testing, along with the evaluating cardiologist’s recommendation regarding suitability for 

deployment, should be included in a waiver request to deploy. 

8. Uncontrolled hyperlipidemia. Lipid screening should be accomplished IAW Service

specific guidelines for lipid assessment. All others (e.g. civilians, contractors) ≥35 years

old should have a lipid screening profile performed prior to deployment. While

hyperlipidemia should be addressed IAW clinical treatment guidelines, hyperlipidemia

values that are outside any of the following (Total Cholesterol > 260, LDL > 190,

Triglycerides > 500), either treated or untreated, requires a waiver to be submitted.

C. Infectious Disease:

1. Blood-borne diseases (Hepatitis B, Hepatitis C, HTLV) that may be transmitted to

others in a deployed environment. Waiver requests for persons testing positive for a blood 

borne disease should include a full test panel for the disease, including all antigens,

antibodies, viral load, and appropriate tests for affected organ systems.

2. Confirmed HIV infection is disqualifying for deployment, service specific policies, and

agreements with host nations. Note that some nations within the SOUTHCOM AOR have

legal prohibitions against entering their country(ies) with this diagnosis.

3. Latent tuberculosis (LTBI). Individuals who are newly diagnosed with LTBI by either

TST or IGRA testing will be evaluated for TB disease with at least a symptom screen and

chest x-ray, and will have documented LTBI evaluation and counseling for consideration of 

treatment. Those with untreated or incompletely treated LTBI, including those with newly 

diagnosed LTBI, previously diagnosed LTBI, and those currently under treatment for LTBI 

will be provided information regarding the risks and benefits of LTBI treatment during 

deployment. Individuals meeting the above criteria do not require a waiver for

deployment. Active duty TST convertors who have documented completion of public

health nursing evaluation for TB disease and counseling for LTBI treatment described

above may deploy without a waiver as long as all Service specific requirements are met.

4. History of active tuberculosis (TB). Must have documented completion of full treatment

course prior to deployment. Those currently on treatment for TB disease may not deploy.

5. A SOUTHCOM waiver cannot override host or transit nation infectious disease or

immunization restrictions. Active duty must comply with status of forces agreements;

civilian deployers should contact the nation's embassy for up-to-date information.

CI. Eye, Ear, Nose, Throat, Dental Conditions:

1. Vision loss. Best corrected visual acuity which does not meet minimum occupational

requirements to safely perform duties. Bilateral blindness or visual acuity that is unsafe for

the combat environment per the examining provider.

2. Refractive eye surgery. Personnel who have had laser refractive surgery must have a

satisfactory period for post-surgical recovery before deployment. There is a large degree

of patient variability which prevents establishing a set timeframe for full recovery. The

attending ophthalmologist or optometrist will determine when recovery is complete.

a. Personnel are non-deployable while still using ophthalmic steroid drops post- 
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procedure. 

b. Personnel are non-deployable for three months following uncomplicated

photorefractive keratectomy (PRK) or laser epithelial keratomileusis (LASEK), or

one month for laser-assisted in situ keratomileusis (LASIK) unless a waiver is

granted.

c. Waiver request should include clearance from treating ophthalmologist or

optometrist.

3. Hearing loss. Service members must meet all Service-specific requirements.

Individuals must have sufficient unaided hearing to perform duties safely, hear and wake

up to emergency alarms unaided, and hear instructions in the absence of visual cues

such as lip reading. If there is any safety question, Speech Recognition In Noise Test

(SPRINT) or equivalent is a recommended adjunct.

4. Tracheostomy or aphonia.

5. Patients without a dental exam within 12 months of deployment, or those who are

likely to require evaluation or treatment during the period of deployment for oral

conditions that are likely to result in a dental emergency.

a. Individuals being evaluated by a non-DoD civilian dentist should use a DD

Form 2813, or equivalent, as proof of dental examination.

b. Individuals with orthodontic equipment require a waiver to deploy. Waiver

requests to deploy should include a current evaluation by their treating

orthodontic provider and include a statement that wires with neutral force are in

place.

E. Cancer:

1. Cancer for which the individual is receiving continuing treatment or which requires

frequent subspecialist examination and/or laboratory testing during the anticipated

duration of the deployment.

2. Precancerous lesions that have not been treated and/or evaluated and that require

treatment/evaluation during the anticipated duration of the deployment.

3. All cancers should be in complete remission for at least a year before a waiver is

submitted.

F. Surgery:

1. Any medical condition that requires surgery (e.g., unrepaired hernia) or for which

surgery has been performed and the patient requires ongoing treatment, rehabilitation or

additional surgery to remove devices (e.g., external fixator placement).

2. Individuals who have had surgery requiring follow up during the deployment period or

who have not been cleared/released by their surgeon (excludes minor procedures).

3. Individuals who have had surgery (open or laparoscopic) within 6 weeks of

deployment.

4. Cosmetic, bariatric, or gender reassignment procedures are disqualifying until fully

recovered with all follow-up and revisions complete, to include adjuvant counselling,

medical treatment, and Service requirements. Special dietary and hygienic requirements

cannot be reliably accommodated and may be independently disqualifying.

G. Psychiatric Conditions: Diagnostic criteria and treatment plans should adhere to

Diagnostic and Statistical Manual of Mental Disorders, Fourth or Fifth edition (DSM-
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IV/5) and current professional standards of care. Waiver submission should include 

information on applicant condition, including history and baseline symptoms of known

disorders, severity of symptoms with and without treatment, and likelihood to recur or 

deteriorate in theater if exposed to operational activity. Waiver required for all 

conditions listed below (list is not inclusive). 

1. Psychotic and bipolar-spectrum disorders are strictly disqualifying.

2. Any DSM IV/5-diagnosed psychiatric disorder with residual symptoms, or medication

side effects, which impair social and/or occupational performance.

3. Any behavioral health condition that poses a substantial risk for deterioration and/or

recurrence of impairing symptoms in the deployed environment.

4. Any behavioral health condition which requires periodic (beyond quarterly) counselling

or therapy.

5. Chronic insomnia that requires regular or long-term use of sedative hypnotics /

amnestics, benzodiazepines, and/or antipsychotics.

6. Anxiety disorders requiring use of benzodiazepines for management, or featuring

symptoms of panic or phobia.

7. Post-Traumatic Stress Disorder, when not completely treated or when therapy

includes use of benzodiazepines without additional anxiety diagnosis. Waiver submission

should note if condition is combat-related, and, if so, comment on impact that return to

theater could have on applicant well-being and performance.

8. Gender dysphoria, while not intrinsically disqualifying, does require underlying

psychiatric, endocrine, and/or surgical issues (as applicable) to be stable and resolved,

and all Service requirements must be met. Due to complex needs, those actively

undergoing gender transition are generally disqualified until the process, including all

necessary follow-up and stabilization, is completed.

9. Bulimia and anorexia nervosa.

10. Attention Deficit Disorder(ADD)/Attention Deficit Hyperactivity Disorder (ADHD).

Evaluation and diagnosis should be appropriate per DSM IV/5 criteria, particularly if Class

II stimulants are used for treatment. Specific clinical features or objective testing results

should be included in waiver application for stimulant use. Dosages for medications

should likewise be appropriate and justified by clinical presentation.

11. Psychiatric hospitalization within the last 12 months.

12. Suicidal Ideation or Suicide Attempt with the last 12 months.

13. Enrollment in a substance abuse program (inpatient, service specific substance

abuse program or outpatient) within the last 12 months measured from time of discharge

/ completion of the program.

a. A post-treatment period of demonstrated stability is required, the length of

which will depend on individual patient factors.

b. Substance abuse disorders (not in remission), actively enrolled in Service

Specific substance abuse programs are not eligible for waiver.

14. Use of antipsychotics or anticonvulsants for stabilization of DSM IV or DSM-5

diagnoses.

15. Use of 3 or more psychotropics (e.g. antidepressants, anticonvulsants,

antipsychotics, benzodiazepines) for stabilization, particularly if used to offset side-effects

of other BH therapy.

16. Psychiatric disorders with fewer than three months of demonstrated stability from the

last change in treatment regimen, including discontinuation.
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17. Psychiatric disorders newly diagnosed during deployment do not immediately require

a waiver or redeployment. Disorders that are deemed treatable, stable, and having no

impairment of performance or safety by a credentialed mental health provider do not

require a waiver to remain in theater.

a. Exceptions include diagnoses featuring bipolar, psychotic, or suicidal features.

These individuals should be redeployed at soonest opportunity via medical

evacuation with appropriate escorts and per TRANSCOM guidelines.

b. Diagnoses requiring the prescription of CSA-scheduled controlled substances

will require an approved waiver to obtain routine refills of medication.

H. Medications – although not exhaustive, use of any of the following medications

(specific medication or class of medication) is disqualifying for deployment, unless a

waiver is granted:

1. Any medication which, if lost, misplaced, stolen, or destroyed, would result in

significant worsening or grave outcome for the affected individual before the medication

could be reasonably replaced.

2. Any medication which requires periodic laboratory monitoring, titrated dosing, or

special handling/storage requirements, or which has documented side effects, when used

alone or in combination with other required therapy, which are significantly impairing or

which impose an undue risk to the individual or operational objectives.

3. Blood modifiers:

a. Therapeutic Anticoagulants: warfarin (Coumadin), rivaroxaban (Xarelto).

b. Platelet Aggregation Inhibitors or Reducing Agents: clopidogrel (Plavix),

anagrelide (Agrylin), Dabigatran (Pradaxa), Aggrenox, Ticlid (Ticlopidine),

Prasugrel (Effient), Pentoxifylline (Trental), Cilostazol (Pletal). Note: Aspirin use

in theater is to be limited to individuals who have been advised to continue use

by their healthcare provider for medical reasons; such use must be documented

in the medical record.

c. Hematopoietics: filgrastim (Neupogen), sargramostim (Leukine),

erythropoietin (Epogen, Procrit).

d. Antihemophilics: Factor VIII, Factor IX.

4. Antineoplastics (oncologic or non-oncologic use): e.g., antimetabolites (methotrexate,

hydroxyurea, mercaptopurine, etc.), alkylators (cyclophosphamide, melphalan,

chlorambucil, etc.), antiestrogens (tamoxifen, etc.), aromatase inhibitors (anastrozole,

examestane, etc.), medroxyprogesterone (except use for contraception), interferons,

etoposide, bicalutamide, bexarotene, oral tretinoin (Vesanoid).

5. Immunosuppressants: e.g., chronic systemic steroids.

6. Biologic Response Modifiers (immunomodulators): e.g., abatacept (Orencia),

adalimumab (Humira), anakinra (Kineret), etanercept (Enbrel), infliximab (Remicade),

leflunomide (Arava), etc.

7. Antiretrovirals used for Pre-Exposure Prophylaxis (PrEP): e.g. tenofovir disoproxil

fumarate/emtricitabine (Truvada), tenofovir alafenamide (Vemlidy)

8. Any CSA Schedule I-V controlled substance, including but not limited to the following:

a. Benzodiazepines: lorazepam (Ativan), alprazolam (Xanax), diazepam

(Valium), flurazepam (Dalmane), clonazepam (Klonopin), etc.

b. Stimulants: methylphenidate (Ritalin, Concerta),

amphetamine/dextroamphetamine (Adderall), dextroamphetamine (Dexedrine),
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dexmethylphenidate (Focalin XR), lisdexamfetamine (Vyvanse), modafinil 

(Provigil), armodafinil (Nuvigil), etc. 

c. Sedative Hypnotics/Amnestics: zolpidem (Ambien, Ambien CR), eszopiclone

(Lunesta), zaleplon (Sonata), estazolam (Prosom), triazolam (Halcion),

temazepam (Restoril), etc. Note: single pill-count issuances for operational

transition do not generally require a waiver.

d. Narcotics/narcotic combinations: oxycodone (Oxycontin, Percocet, Roxicet),

hydrocodone (Lortab, Norco, Vicodin), hydromorphone (Dilaudid), meperidine

(Demerol), tramadol (Ultram), etc.

e. Cannabinoids: marijuana, tetrahydrocannabinol (THC), dronabinol (Marinol),

etc. Note that possession or use may be a criminal offense in the SOUTHCOM

AOR.

f. Anorexiants: phendimetrazine (Adipost), phentermine (Zantryl), etc.

g. Androgens and Anabolic Steroids: testosterone (Axiron, AndroGel, Fortesta,

Testim), oxymetholone (Anadrol-50), methyltestosterone (Methitest), etc.

Preparations used in accordance with standards outlined in 7.A.7 above do not

require separate waiver. All injected preparations require waiver.

9. Antipsychotics, including atypical antipsychotics: haloperidol (Haldol), fluphenazine

(Prolixin), quetiapine (Seroquel), aripiprazole (Abilify), etc.

10. Antimanic (bipolar) agents: e.g., lithium.

11. Anticonvulsants, used for seizure control or psychiatric diagnoses.

a. Anticonvulsants (except those listed below) which are used for non-psychiatric

diagnoses, such as migraine, chronic pain, neuropathic pain, and post-herpetic

neuralgia, are not intrinsically deployment-limiting as long as treated conditions

meet the criteria set forth in this document and accompanying MOD THIRTEEN.

No waiver required. Exceptions include:

b. Valproic acid (Depakote, Depakote ER, Depacon, divalproex, etc.).

c. Carbamazepine (Tegretol, Tegretol XR, etc.).

d. Lamotrigine (Lamictal)

12. Varenicline (Chantix).

13. Botulinum toxin (Botox): Current or recent use to control severe pain.

14. Insulin and exenatide (Byetta).

15. Injectable medications of any type, excluding epinephrine (Epipen), though

underlying allergy may require separate waiver.