Important: The following data is for information purposes only. Please note that access to VAC drug benefits will vary depending upon an individual's eligibility and specific health needs. More Details
This information was posted August 29, 2012. Additions or revisions to the Formulary may have subsequently occurred.
Displaying 18091 - 18100 of 18216
Identification Number | Trade Name | Benefit Category |
---|---|---|
80045950 | ONE A DAY MEN TAB | This is not a Standard Benefit. Special Authorization is required. If you are a pharmacist or physician you may call 1-888-822-2884. |
80046427 | PRESERVISION AREDS 2 CAPS | This is not a Standard Benefit. Special Authorization is required. If you are a pharmacist or physician you may call 1-888-822-2884. |
80046696 | ODAN-SODIUM CHLORIDE OPHTHALMIC OINTMENT 5% | Standard Benefit for Eligible Clients |
80046737 | ODAN-SODIUM CHLORIDE OPH SOLUTION 5% | Standard Benefit for Eligible Clients |
80046782 | ODAN POTASSIUM CHLORIDE LIQ 1500MG (20MEQ) | Standard Benefit for Eligible Clients |
80047136 | JAMP-IRON POLYPEPTIDE TAB 11MG | Standard Benefit for Eligible Clients |
80047137 | CALCIUM 250MG + D 400IU GUMMIES | Standard Benefit for Eligible Clients |
80047308 | ONE A DAY WOMEN'S GUMMIES | This is not a Standard Benefit. Special Authorization is required. If you are a pharmacist or physician you may call 1-888-822-2884. |
80047493 | EQUATE CALCIUM TAB 500MG | Standard Benefit for Eligible Clients |
80047569 | JAMP-FERROUS POLYSACCHARIDE CAP 150MG | Standard Benefit for Eligible Clients |
Displaying 18091 - 18100 of 18216