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 |
---|---|---|
80110453 | ANGITA VITAMIN D - 2000 IU | Standard Benefit for Eligible Clients |
80110688 | SENNA TAB 8.6MG | Standard Benefit for Eligible Clients |
80110950 | ONE A DAY WOMEN 50+ 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. |
88123418 | OSTOMY POUCH DRAINABLE | Standard Benefit for Eligible Clients |
88123420 | OSTOMY POUCH CLOSED | Standard Benefit for Eligible Clients |
88123431 | UROSTOMY POUCH | Standard Benefit for Eligible Clients |
88123443 | STOMA CAP/COLOSTOCAP/AM PATCH | Standard Benefit for Eligible Clients |
88123455 | OSTOMY FLANGES/CONVEX INSERTS | Standard Benefit for Eligible Clients |
88123467 | COLOSTOMY IRRIGATION SETS | Standard Benefit for Eligible Clients |
88123479 | IRR CONE/TIP/FACEPLATE/SLEEVE | Standard Benefit for Eligible Clients |
Displaying 71 - 80 of 18216