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 13021 - 13030 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02309432 | DOM-FLUCONAZOLE CAP 150MG | This is not a Standard Benefit. Special Authorization is required. |
| 02309467 | MYLAN-ESCITALOPRAM TAB 10MG | Standard Benefit for Eligible Clients |
| 02309475 | MYLAN-ESCITALOPRAM TAB 20MG | Standard Benefit for Eligible Clients |
| 02309521 | PMS-CLOBETASOL CRM 0.05% | Standard Benefit for Eligible Clients |
| 02309548 | PMS-CLOBETASOL ONT 0.05% | Standard Benefit for Eligible Clients |
| 02309556 | TEVA-CYPROTERONE/ETHINYL ESTRADIOL TAB 2MG | This is not a Standard Benefit. Special Authorization is required. |
| 02309661 | PRO-AMIODARONE-200 TAB 200MG | Standard Benefit for Eligible Clients |
| 02309750 | PMS-LOSARTAN TAB 25MG | Standard Benefit for Eligible Clients |
| 02309769 | PMS-LOSARTAN TAB 50MG | Standard Benefit for Eligible Clients |
| 02309777 | PMS-LOSARTAN TAB 100MG | Standard Benefit for Eligible Clients |
Displaying 13021 - 13030 of 24215