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 12921 - 12930 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02306212 | ONDANSETRON-ODAN TAB 4MG | This is not a Standard Benefit. Special Authorization is required. |
| 02306220 | ONDANSETRON-ODAN TAB 8MG | This is not a Standard Benefit. Special Authorization is required. |
| 02306239 | CITALOPRAM-ODAN TAB 20MG | Standard Benefit for Eligible Clients |
| 02306247 | CITALOPRAM-ODAN TAB 40MG | Standard Benefit for Eligible Clients |
| 02306727 | PANTOPRAZOLE SODIUM FOR INJ PWS IV 40MG | Standard Benefit for Eligible Clients |
| 02306735 | DOM-LEVOFLOXACIN TAB 750MG | This is not a Standard Benefit. Special Authorization is required. |
| 02306891 | PHL-LEVOFLOXACIN TAB 750MG | Standard Benefit for Eligible Clients |
| 02306905 | RATIO-FINASTERIDE TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02306999 | PRO-BISOPROLOL-5 TAB 5MG | Standard Benefit for Eligible Clients |
| 02307006 | PRO-BISOPROLOL-10 TAB 10MG | Standard Benefit for Eligible Clients |
Displaying 12921 - 12930 of 24215