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 13251 - 13260 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02314630 | APO-FENTANYL MATRIX PATCH SRD 25MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
| 02314649 | APO-FENTANYL MATRIX PATCH SRD 50MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
| 02314657 | APO-FENTANYL MATRIX PATCH SRD 75MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
| 02314665 | APO-FENTANYL MATRIX PATCH SRD 100MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
| 02314703 | COPPERTONE GENERAL PROTECTION SUNSCREEN SPF 60 | This is not a Standard Benefit. Special Authorization is required. |
| 02314754 | IBUPROFEN TAB 200MG | Standard Benefit for Eligible Clients |
| 02314762 | IBUPROFEN CAP 200MG | Standard Benefit for Eligible Clients |
| 02314770 | EXTRA STRENGTH IBUPROFEN TAB 400MG | Standard Benefit for Eligible Clients |
| 02314894 | PRO-METFORMIN TAB 850MG | Standard Benefit for Eligible Clients |
| 02314908 | PRO-METFORMIN TAB 500MG | Standard Benefit for Eligible Clients |
Displaying 13251 - 13260 of 24215