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 12561 - 12570 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02297752 | MYLAN-LISINOPRIL HCTZ TAB 20-25MG | Standard Benefit for Eligible Clients |
02297787 | ACTONEL 75MG TAB | This is not a Standard Benefit. Special Authorization is required. |
02297795 | APO-GLICLAZIDE MR EXTENDED RELEASE TAB 30MG | Standard Benefit for Eligible Clients |
02297809 | METROGEL 1% | Standard Benefit for Eligible Clients |
02297841 | HYZAAR TAB 100MG/12.5MG | Standard Benefit for Eligible Clients |
02297868 | MYLAN-ONDANSETRON TAB 4MG | Standard Benefit for Eligible Clients |
02297876 | MYLAN-ONDANSETRON TAB 8MG | Standard Benefit for Eligible Clients |
02297906 | SANDOZ PIOGLITAZONE TAB 15MG | This is not a Standard Benefit. Special Authorization is required. |
02297914 | SANDOZ PIOGLITAZONE TAB 30MG | This is not a Standard Benefit. Special Authorization is required. |
02297922 | SANDOZ PIOGLITAZONE TAB 45MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 12561 - 12570 of 24215