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 12721 - 12730 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02301237 | ACETAMINOPHEN 8 HOUR EXTENDED RELEASE TAB 650MG | Standard Benefit for Eligible Clients |
| 02301288 | PMS-ISMN EXTENDED RELEASE TAB 60MG | Standard Benefit for Eligible Clients |
| 02301296 | CIPROFLOXACIN I.V. MINIBAG 2MG/ML | Standard Benefit for Eligible Clients |
| 02301334 | BRIMONIDINE P OPH SOL 0.15% | Standard Benefit for Eligible Clients |
| 02301407 | ACT CABERGOLINE TAB 0.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02301423 | RATIO-PIOGLITAZONE 15MG TAB | This is not a Standard Benefit. Special Authorization is required. |
| 02301431 | RATIO-PIOGLITAZONE 30MG TAB | This is not a Standard Benefit. Special Authorization is required. |
| 02301458 | RATIO-PIOGLITAZONE 45MG TAB | This is not a Standard Benefit. Special Authorization is required. |
| 02301482 | CYMBALTA CAP 30MG | Standard Benefit for Eligible Clients |
| 02301490 | CYMBALTA CAP 60MG | Standard Benefit for Eligible Clients |
Displaying 12721 - 12730 of 24215