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 12501 - 12510 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02296160 | APO-RANITIDINE TAB 150MG | Standard Benefit for Eligible Clients |
02296349 | TEVA-ONDANSETRON TAB 4MG | Standard Benefit for Eligible Clients |
02296357 | TEVA-ONDANSETRON TAB 8MG | Standard Benefit for Eligible Clients |
02296381 | TRIDURAL 100MG TAB | This is not a Standard Benefit. Special Authorization is required. |
02296403 | TRIDURAL 200MG TAB | This is not a Standard Benefit. Special Authorization is required. |
02296411 | TRIDURAL 300MG TAB | This is not a Standard Benefit. Special Authorization is required. |
02296438 | SANDOZ OMEPRAZOLE DELAYED RELEASE CAP 10MG | Standard Benefit for Eligible Clients |
02296446 | SANDOZ OMEPRAZOLE DELAYED RELEASE CAP 20MG | Standard Benefit for Eligible Clients |
02296462 | ADVAGRAF CAP .5MG | This is not a Standard Benefit. Special Authorization is required. |
02296470 | ADVAGRAF CAP 1MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 12501 - 12510 of 24215