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 12581 - 12590 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02298201 | PHL-LORAZEPAM TAB 0.5MG | Standard Benefit for Eligible Clients |
| 02298228 | PHL-LORAZEPAM TAB 1MG | Standard Benefit for Eligible Clients |
| 02298236 | PHL-LORAZEPAM TAB 2MG | Standard Benefit for Eligible Clients |
| 02298252 | ONDANSETRON INJ (PRESERVATIVE FREE) 2MG/ML | Standard Benefit for Eligible Clients |
| 02298260 | SANDOZ CLARITHROMYCIN XL TAB 500MG | Standard Benefit for Eligible Clients |
| 02298279 | MYLAN-PIOGLITAZONE TAB 15MG | This is not a Standard Benefit. Special Authorization is required. |
| 02298287 | MYLAN-PIOGLITAZONE TAB 30MG | This is not a Standard Benefit. Special Authorization is required. |
| 02298295 | MYLAN-PIOGLITAZONE TAB 45MG | This is not a Standard Benefit. Special Authorization is required. |
| 02298309 | CHAMPIX INITIAL DOSING PACK (0.5MG + 1MG) | Standard Benefit for Eligible Clients |
| 02298376 | TEVA-RISEDRONATE TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 12581 - 12590 of 24215