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 12601 - 12610 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02298600 | ZELDOX CAP 40MG | Standard Benefit for Eligible Clients |
| 02298619 | ZELDOX CAP 60MG | Standard Benefit for Eligible Clients |
| 02298627 | ZELDOX CAP 80MG | Standard Benefit for Eligible Clients |
| 02298635 | SANDOZ LEVOFLOXACIN TAB 250MG | Standard Benefit for Eligible Clients |
| 02298643 | SANDOZ LEVOFLOXACIN TAB 500MG | Standard Benefit for Eligible Clients |
| 02298651 | SANDOZ LEVOFLOXACIN TAB 750MG | Standard Benefit for Eligible Clients |
| 02298791 | EMEND CAP 80MG | This is not a Standard Benefit. Special Authorization is required. |
| 02298805 | EMEND CAP 125MG | This is not a Standard Benefit. Special Authorization is required. |
| 02298813 | EMEND TRI-PACK CAP 285MG | This is not a Standard Benefit. Special Authorization is required. |
| 02298929 | ONDANSETRON INJ 2 MG/ML | This is not a Standard Benefit. Special Authorization is required. |
Displaying 12601 - 12610 of 24215