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 12901 - 12910 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02305623 | PIPERACILLIN/TAZOBACTAM PWS 2G/0.25G/VIAL | Standard Benefit for Eligible Clients |
| 02305631 | PIPERACILLIN/TAZOBACTAM PWS 3G/0.375G/VIAL | Standard Benefit for Eligible Clients |
| 02305658 | PIPERACILLIN/TAZOBACTAM INJ PWS 4G/0.5G/VIAL | Standard Benefit for Eligible Clients |
| 02305682 | ACT FAMCICLOVIR TAB 125MG | This is not a Standard Benefit. Special Authorization is required. |
| 02305690 | ACT FAMCICLOVIR TAB 250MG | This is not a Standard Benefit. Special Authorization is required. |
| 02305704 | ACT FAMCICLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02305933 | STALEVO 50MG TAB | This is not a Standard Benefit. Special Authorization is required. |
| 02305941 | STALEVO 100MG TAB | This is not a Standard Benefit. Special Authorization is required. |
| 02305968 | STALEVO 150MG TAB | This is not a Standard Benefit. Special Authorization is required. |
| 02305984 | NOVO-RIVASTIGMINE CAP 1.5MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 12901 - 12910 of 24215