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 13071 - 13080 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02310600 | PRO-AZITHROMYCIN TAB 250MG | Standard Benefit for Eligible Clients |
| 02310619 | PRO-AZITHROMYCIN TAB 600MG | Standard Benefit for Eligible Clients |
| 02310627 | PRO-CARVEDILOL-3.125 TAB 3.125MG | This is not a Standard Benefit. Special Authorization is required. |
| 02310635 | PRO-CARVEDILOL-6.25 TAB 6.25MG | This is not a Standard Benefit. Special Authorization is required. |
| 02310643 | PRO-CARVEDILOL-12.5 TAB 12.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02310651 | PRO-CARVEDILOL-25 TAB 25MG | This is not a Standard Benefit. Special Authorization is required. |
| 02310686 | PRO-FLUCONAZOLE TAB 100MG | Standard Benefit for Eligible Clients |
| 02310694 | PRO-FLUCONAZOLE CAP 150MG | This is not a Standard Benefit. Special Authorization is required. |
| 02310724 | NOVO-LEVETIRACETAM TAB 750MG | This is not a Standard Benefit. Special Authorization is required. |
| 02310805 | PMS-RABEPRAZOLE EC TAB 10MG | Standard Benefit for Eligible Clients |
Displaying 13071 - 13080 of 24215