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 12981 - 12990 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02308339 | PHL-BISOPROLOL TAB 5MG | Standard Benefit for Eligible Clients |
02308347 | PHL-BISOPROLOL TAB 10MG | Standard Benefit for Eligible Clients |
02308363 | RAMIPRIL CAP 1.25MG | Standard Benefit for Eligible Clients |
02308371 | DOM-RAMIPRIL CAP 1.25MG | This is not a Standard Benefit. Special Authorization is required. |
02308398 | DOM-ALENDRONATE FC TAB 70MG | This is not a Standard Benefit. Special Authorization is required. |
02308444 | PIPERACILLIN & TAZOBACTAM FOR INJ PWS IV 2G/0.25G | Standard Benefit for Eligible Clients |
02308452 | PIPERACILLIN & TAZOBACTAM PWS FOR INJ 3G/0.375G | Standard Benefit for Eligible Clients |
02308460 | PIPERACILLIN & TAZOBACTAM FOR INJ PWS IV 4G/0.5G | Standard Benefit for Eligible Clients |
02308487 | VECTIBIX 100MG/5ML LIQ I.V. | Standard Benefit for Eligible Clients |
02308509 | VECTIBIX 400MG/20ML LIQ I.V. | Standard Benefit for Eligible Clients |
Displaying 12981 - 12990 of 24215