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 1051 - 1060 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
00362158 | DIAZEPAM TAB 5MG | Standard Benefit for Eligible Clients |
00362166 | APO-FUROSEMIDE TAB 40MG | Standard Benefit for Eligible Clients |
00363014 | PROCTOFOAM HC AER 1% | Standard Benefit for Eligible Clients |
00363154 | UNISOIL LIQ 95% | This is not a Standard Benefit. Special Authorization is required. |
00363596 | CHLORDIAZEPOXIDE CAP 5MG | Standard Benefit for Eligible Clients |
00363634 | NOVO-DOPARIL 25 TAB | Standard Benefit for Eligible Clients |
00363642 | NOVO-DOPARIL 15 TAB | Standard Benefit for Eligible Clients |
00363650 | TEVA-HALOPERIDOL TAB 5MG | Standard Benefit for Eligible Clients |
00363669 | TEVA-HALOPERIDOL TAB 2MG | Standard Benefit for Eligible Clients |
00363677 | TEVA-HALOPERIDOL TAB 1MG | Standard Benefit for Eligible Clients |
Displaying 1051 - 1060 of 24215