OTC medications can be used if on the approved OTC list in consultation with whom?

• A. Pharmacist
• B. Unit Commander
• C. Medical Records Clerk
• D. Aeromedical Provider/ Flight Surgeon

Answer: (D)

OTC medications can be used in flight only if they are on the approved OTC list and you obtain approval from the Aeromedical Provider/Flight Surgeon. The flight surgeon reviews each medication for how it might affect flight performance—such as causing drowsiness, dizziness, or impaired reaction time—and checks for interactions with other medications and any mission-specific restrictions. They provide the official clearance and ensure you remain safe to fly, documenting the decision as part of your aircrew medical readiness. Pharmacists can give drug information, but they don’t determine aeromedical eligibility; unit commanders or medical records clerks do not assess or approve medications for flight safety.