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 1161 - 1170 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
00392545 | SAB-DIMENHYDRINATE SUPP 100MG | Standard Benefit for Eligible Clients |
00392553 | SAB-DIMENHYDRINATE SUP 50MG | Standard Benefit for Eligible Clients |
00392561 | MORPHINE SULFATE LIQ INJ USP 15MG/ML | Standard Benefit for Eligible Clients |
00392588 | MORPHINE SULFATE LIQ INJ USP 10MG/ML | Standard Benefit for Eligible Clients |
00392650 | DEMERIDINE LIQ IV INJ 75MG/ML | This is not a Standard Benefit. Special Authorization is required. |
00392669 | DEMERIDINE LIQ IV INJ 100MG/ML | This is not a Standard Benefit. Special Authorization is required. |
00392693 | ATROPINE SULFATE LIQ INJ USP 0.6MG/ML | Standard Benefit for Eligible Clients |
00392731 | DIMENHYDRINATE LIQ IV INJ 10MG/ML | Standard Benefit for Eligible Clients |
00392782 | ATROPINE SULFATE IV INJ USP 0.4MG/ML LIQ | Standard Benefit for Eligible Clients |
00392820 | DICYCLOMINE HCL CAP USP 10MG | Standard Benefit for Eligible Clients |
Displaying 1161 - 1170 of 24215