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 12541 - 12550 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02297329 | ACT PRAMIPEXOLE TAB 1MG | Standard Benefit for Eligible Clients |
| 02297337 | ACT PRAMIPEXOLE TAB 1.5MG | Standard Benefit for Eligible Clients |
| 02297353 | PHL-LEVETIRACETAM TAB 250MG | This is not a Standard Benefit. Special Authorization is required. |
| 02297361 | PHL-LEVETIRACETAM TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02297388 | PHL-LEVETIRACETAM TAB 750MG | This is not a Standard Benefit. Special Authorization is required. |
| 02297396 | DOM-LEVETIRACETAM TAB 250MG | This is not a Standard Benefit. Special Authorization is required. |
| 02297418 | DOM-LEVETIRACETAM TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02297426 | DOM-LEVETIRACETAM TAB 750MG | This is not a Standard Benefit. Special Authorization is required. |
| 02297477 | ACT AMLODIPINE TAB 2.5MG | Standard Benefit for Eligible Clients |
| 02297485 | ACT AMLODIPINE TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 12541 - 12550 of 24215