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 1331 - 1340 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00433519 | ALBALON A OPH DPS | Standard Benefit for Eligible Clients |
| 00433608 | XERAC BP 10% GEL | Standard Benefit for Eligible Clients |
| 00434388 | DIAZEPAM 10 TAB 10MG | Standard Benefit for Eligible Clients |
| 00434396 | DIAZEPAM 2 TAB 2MG | Standard Benefit for Eligible Clients |
| 00434426 | CHLORDIAZEPOXYDE HCL CAP 25MG | Standard Benefit for Eligible Clients |
| 00436771 | ALCOMICIN OPH DPS 3MG/ML | Standard Benefit for Eligible Clients |
| 00436895 | BALMINIL DM SYRUP 15MG/5ML | Standard Benefit for Eligible Clients |
| 00437727 | ISOPROPYL ALCOHOL 99% LIQ | Standard Benefit for Eligible Clients |
| 00438650 | SOPAMYCETIN OPH ONT 0.2% | Standard Benefit for Eligible Clients |
| 00439312 | MANDOL INJ 2GM/AMP PWS IV | This is not a Standard Benefit. Special Authorization is required. |
Displaying 1331 - 1340 of 24215