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 12731 - 12740 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02301504 | RIVA-NORFLOXACIN TAB 400MG | Standard Benefit for Eligible Clients |
| 02301512 | ONDANSETRON INJECTION USP LIQ 2MG/ML | Standard Benefit for Eligible Clients |
| 02301571 | NEUTROGENA ULTRA SHEER BODY MIST SUNSCREEN SPF 45 | This is not a Standard Benefit. Special Authorization is required. |
| 02301601 | PAL-PRAVASTATIN-ASA TAB 10/325MG | Standard Benefit for Eligible Clients |
| 02301628 | PAL-PRAVASTATIN-ASA TAB 20/325MG | Standard Benefit for Eligible Clients |
| 02301636 | PAL-PRAVASTATIN-ASA TAB 40/325MG | Standard Benefit for Eligible Clients |
| 02301733 | ALEVE TAB 220MG | Standard Benefit for Eligible Clients |
| 02301768 | TEVA-LISINOPRIL HCTZ (TYPE Z) TAB 10MG-12.5MG | Standard Benefit for Eligible Clients |
| 02301776 | TEVA-LISINOPRIL HCTZ (TYPE Z) TAB 20MG-12.5MG | Standard Benefit for Eligible Clients |
| 02301784 | TEVA-LISINOPRIL HCTZ (TYPE Z) TAB 20MG-25MG | Standard Benefit for Eligible Clients |
Displaying 12731 - 12740 of 24215