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 13311 - 13320 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02316366 | PHL-LETROZOLE TAB 2.5MG | Standard Benefit for Eligible Clients |
02316374 | DOM-LETROZOLE TAB 2.5MG | This is not a Standard Benefit. Special Authorization is required. |
02316390 | TEVA-IRBESARTAN TAB 75MG | Standard Benefit for Eligible Clients |
02316404 | TEVA-IRBESARTAN TAB 150MG | Standard Benefit for Eligible Clients |
02316412 | TEVA-IRBESARTAN TAB 300MG | Standard Benefit for Eligible Clients |
02316447 | RIVA-VALACYCLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
02316455 | RIVA-PANTOPRAZOLE DELAYED RELEASE TAB 20MG | Standard Benefit for Eligible Clients |
02316463 | RIVA-PANTOPRAZOLE DELAYED RELEASE TAB 40MG | Standard Benefit for Eligible Clients |
02316528 | PRO-SOTALOL TAB 80MG | Standard Benefit for Eligible Clients |
02316536 | PRO-SOTALOL TAB 160MG | Standard Benefit for Eligible Clients |
Displaying 13311 - 13320 of 24215