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 12951 - 12960 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02307472 | PHL-OLANZAPINE (DISINTEGRATING TAB) 10MG | Standard Benefit for Eligible Clients |
02307480 | PHL-OLANZAPINE (DISINTEGRATING TAB) 15MG | Standard Benefit for Eligible Clients |
02307634 | DOM-PIOGLITAZONE TAB 15MG | This is not a Standard Benefit. Special Authorization is required. |
02307642 | DOM-PIOGLITAZONE TAB 30MG | This is not a Standard Benefit. Special Authorization is required. |
02307650 | DOM-PIOGLITAZONE TAB 45MG | This is not a Standard Benefit. Special Authorization is required. |
02307669 | PHL-PIOGLITAZONE TAB 15MG | This is not a Standard Benefit. Special Authorization is required. |
02307677 | PHL-PIOGLITAZONE TAB 30MG | This is not a Standard Benefit. Special Authorization is required. |
02307723 | PHL-PIOGLITAZONE TAB 45MG | This is not a Standard Benefit. Special Authorization is required. |
02307731 | PHL-ISMN EXTENDED RELEASE TAB 60MG | Standard Benefit for Eligible Clients |
02307758 | DOM-ISMN EXTENDED RELEASE TAB 60MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 12951 - 12960 of 24215