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 13011 - 13020 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02309130 | PRAMIPEXOLE TAB 0.50MG | Standard Benefit for Eligible Clients |
| 02309173 | RAN-ISOTRETINOIN CAP 10MG | Standard Benefit for Eligible Clients |
| 02309343 | DOM-LEFLUNOMIDE TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
| 02309351 | DOM-LEFLUNOMIDE TAB 20MG | This is not a Standard Benefit. Special Authorization is required. |
| 02309378 | PHL-CILAZAPRIL TAB 1MG | Standard Benefit for Eligible Clients |
| 02309386 | PHL-CILAZAPRIL TAB 2.5MG | Standard Benefit for Eligible Clients |
| 02309394 | PHL-CILAZAPRIL TAB 5MG | Standard Benefit for Eligible Clients |
| 02309408 | DOM-CILAZAPRIL TAB 1MG | This is not a Standard Benefit. Special Authorization is required. |
| 02309416 | DOM-CILAZAPRIL TAB 2.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02309424 | DOM-CILAZAPRIL TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 13011 - 13020 of 24215