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.
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Identification Number | Trade Name | Benefit Category |
---|---|---|
00429201 | ONE A DAY MULTIPLE VITAMINS PLUS IRON TAB | This is not a Standard Benefit. Special Authorization is required. |
00429597 | NATURFIBRE LIQUID 600MG | Standard Benefit for Eligible Clients |
00430919 | BISACODYLE TAB 5MG | Standard Benefit for Eligible Clients |
00431028 | DICYCLOMINE CAP 10MG | Standard Benefit for Eligible Clients |
00431044 | DIMENHYDRINATE TAB 50MG | Standard Benefit for Eligible Clients |
00431648 | PNEUMOVAX 23 LIQ INJ 100MCG/ML | Standard Benefit for Eligible Clients |
00432369 | CLINORIL TAB 200MG | Standard Benefit for Eligible Clients |
00432814 | SANDOZ FLUOROMETHOLONE OPH 0.1% | Standard Benefit for Eligible Clients |
00432938 | OXYDERM LOTION 10% | Standard Benefit for Eligible Clients |
00433497 | BACTIGRAS 0.5% DRESSING 7457 | Standard Benefit for Eligible Clients |
Displaying 1321 - 1330 of 24215