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 12531 - 12540 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02296772 | RISPERIDONE-1 TAB 1MG | Standard Benefit for Eligible Clients |
| 02296780 | RISPERIDONE-2 TAB 2MG | Standard Benefit for Eligible Clients |
| 02296799 | RISPERIDONE-3 TAB 3MG | Standard Benefit for Eligible Clients |
| 02296802 | RISPERIDONE-4 TAB 4MG | Standard Benefit for Eligible Clients |
| 02296810 | LUCENTIS LIQ 10MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 02297191 | CEFAZOLIN FOR IV INJ PWS 500MG | Standard Benefit for Eligible Clients |
| 02297205 | CEFAZOLIN FOR INJ PWS 1GM/VIAL | Standard Benefit for Eligible Clients |
| 02297256 | MIRAPEX TAB 0.125MG | Standard Benefit for Eligible Clients |
| 02297302 | ACT PRAMIPEXOLE TAB 0.25MG | Standard Benefit for Eligible Clients |
| 02297310 | ACT PRAMIPEXOLE TAB 0.50MG | Standard Benefit for Eligible Clients |
Displaying 12531 - 12540 of 24215