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 121 - 130 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00015075 | AUREOMYCIN ONT OPH 1% | Standard Benefit for Eligible Clients |
| 00015083 | ACHROMYCIN OPH ONT 1% | Standard Benefit for Eligible Clients |
| 00015202 | ILOSONE PULVULE 250MG CAP | Standard Benefit for Eligible Clients |
| 00015229 | AVENTYL CAP 10MG | Standard Benefit for Eligible Clients |
| 00015237 | AVENTYL CAP 25MG | Standard Benefit for Eligible Clients |
| 00015377 | GLUCAGON KIT 1MGVIAL WITH 1ML DILUENT | Standard Benefit for Eligible Clients |
| 00015423 | VANCOCIN IV AMPOULE PWS 500MG/10ML | This is not a Standard Benefit. Special Authorization is required. |
| 00015431 | VELBE INJ 1MG/ML IV | This is not a Standard Benefit. Special Authorization is required. |
| 00015547 | KEFLEX PWS 25MG/ML | Standard Benefit for Eligible Clients |
| 00015598 | DIMELOR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 121 - 130 of 24215