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 13271 - 13280 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02315122 | METOPROLOL-L TAB 100MG | Standard Benefit for Eligible Clients |
| 02315157 | NOVO-AZITHROMYCIN PEDIATRIC PWS 100MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
| 02315165 | NOVO-AZITHROMYCIN PEDIATRIC PWS 200MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
| 02315173 | PRO-VALACYCLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02315181 | PRO-RABEPRAZOLE ENTERIC COATED TAB 10MG | Standard Benefit for Eligible Clients |
| 02315203 | PRO-RABEPRAZOLE ENTERIC COATED TAB 20MG | Standard Benefit for Eligible Clients |
| 02315211 | PURIFYING CLEANSER 2.5% | Standard Benefit for Eligible Clients |
| 02315262 | SANDOZ PRAMIPEXOLE TAB 0.25MG | Standard Benefit for Eligible Clients |
| 02315270 | SANDOZ PRAMIPEXOLE TAB 0.5MG | Standard Benefit for Eligible Clients |
| 02315289 | SANDOZ PRAMIPEXOLE TAB 1MG | Standard Benefit for Eligible Clients |
Displaying 13271 - 13280 of 24215