A hospital system in Arkansas is making it a bit more difficult for staff to receive a religious exemption from its COVID-19 vaccine mandate. The hospital is now requiring staff to also swear off extremely common medicines, such as Tylenol, Tums, and even Preparation H, to get the exemption.

The move was prompted when Conway Regional Health System noted an unusual uptick in vaccine exemption requests that cited the use of fetal cell lines in the development and testing of the vaccines.

"This was significantly disproportionate to what we've seen with the influenza vaccine," Matt Troup, president and CEO of Conway Regional Health System, told Becker's Hospital Review in an interview Wednesday.

"Thus," Troup went on, "we provided a religious attestation form for those individuals requesting a religious exemption," he said. The form includes a list of 30 commonly used medicines that "fall into the same category as the COVID-19 vaccine in their use of fetal cell lines," Conway Regional said.

The list includes Tylenol, Pepto Bismol, aspirin, Tums, Lipitor, Senokot, Motrin, ibuprofen, Maalox, Ex-Lax, Benadryl, Sudafed, albuterol, Preparation H, MMR vaccine, Claritin, Zoloft, Prilosec OTC, and azithromycin.

Conway Regional notes that the list includes commonly used and available drugs but that it is not an all-inclusive list of such medicines.

Employees are asked to attest that they "truthfully acknowledge and affirm that my sincerely held religious belief is consistent and true" and that they do not and will not use the medications and any others like them.

The intent of the form is twofold, Troup says. First, the hospital wants to ensure that staff members are sincere in their stated beliefs, he said, and second, it wants to "educate staff who might have requested an exemption without understanding the full scope of how fetal cells are used in testing and development in common medicines."