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 12931 - 12940 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02307065 | VOLIBRIS TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02307073 | VOLIBRIS TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
| 02307162 | PHL-MOXIFLOXACIN TAB 400MG | Standard Benefit for Eligible Clients |
| 02307200 | LEVOFLOXACIN TAB 250MG | Standard Benefit for Eligible Clients |
| 02307219 | LEVOFLOXACIN TAB 500MG | Standard Benefit for Eligible Clients |
| 02307227 | LEVOFLOXACIN TAB 750MG | Standard Benefit for Eligible Clients |
| 02307324 | DOM-OLANZAPINE TAB 2.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02307332 | DOM-OLANZAPINE TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02307340 | DOM-OLANZAPINE TAB 7.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02307359 | DOM-OLANZAPINE TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 12931 - 12940 of 24215