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 12851 - 12860 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02303922 | JANUVIA TAB 100MG | Standard Benefit for Eligible Clients |
| 02303930 | PMSC-ESCITALOPRAM TAB 5MG | Standard Benefit for Eligible Clients |
| 02303949 | PMSC-ESCITALOPRAM TAB 10MG | Standard Benefit for Eligible Clients |
| 02303965 | PMSC-ESCITALOPRAM TAB 20MG | Standard Benefit for Eligible Clients |
| 02304007 | ZOLEDRONIC ACID CONCENTRATE INJ 4MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
| 02304082 | PHENOBARBITAL SODIUM LIQ INJ 30MG/ML | Standard Benefit for Eligible Clients |
| 02304090 | PHENOBARBITAL SODIUM LIQ INJ 120MG/ML | Standard Benefit for Eligible Clients |
| 02304120 | FENTANYL PATCH SRD 25MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
| 02304139 | FENTANYL PATCH SRD 50MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
| 02304147 | FENTANYL PATCH SRD 75MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
Displaying 12851 - 12860 of 24215