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.
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Identification Number | Trade Name | Benefit Category |
---|---|---|
80106651 | RIVA-D 1000 GELCAP 1000UNIT | Standard Benefit for Eligible Clients |
80106657 | AG-CALCIUM CITRATE LIQUID D1000IU | Standard Benefit for Eligible Clients |
80106713 | AG-K20 TAB 1500MG | Standard Benefit for Eligible Clients |
80106826 | AG-K8 TAB 600MG | Standard Benefit for Eligible Clients |
80107241 | KLEANLYTE LIQ | Standard Benefit for Eligible Clients |
80107417 | AG-MAGNESIUM GLUCONATE TAB 500 MG | This is not a Standard Benefit. Special Authorization is required. If you are a pharmacist or physician you may call 1-888-822-2884. |
80107649 | PRZ-K20 TAB 1500MG | Standard Benefit for Eligible Clients |
80108074 | WOMEN OVER 40 ONE DAILY 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. |
80108537 | GAVISCON ADVANCED CHEWABLE TABLETS | Standard Benefit for Eligible Clients |
80109337 | FERAMAX PD POWDER | Standard Benefit for Eligible Clients |
Displaying 61 - 70 of 18216