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 13381 - 13390 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02318091 | NOVO-URSODIOL TAB 250MG | This is not a Standard Benefit. Special Authorization is required. |
02318105 | NOVO-URSODIOL TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
02318164 | RESTORALAX | Standard Benefit for Eligible Clients |
02318180 | TEVA-ESCITALOPRAM TAB 10MG | Standard Benefit for Eligible Clients |
02318202 | TEVA-ESCITALOPRAM TAB 20MG | Standard Benefit for Eligible Clients |
02318253 | REBIF LIQ INJ 66MCG/1.5ML | Standard Benefit for Eligible Clients |
02318261 | REBIF LIQ INJ 132MCG/1.5ML | Standard Benefit for Eligible Clients |
02318288 | REBIF LIQ INJ INITIATION PACK 132MCG/1.5ML | Standard Benefit for Eligible Clients |
02318466 | AZITHROMYCIN PWS FOR INJ IV 500MG/VIAL | Standard Benefit for Eligible Clients |
02318555 | ARCOSYL PLUS TAB 5/1.25MG | Standard Benefit for Eligible Clients |
Displaying 13381 - 13390 of 24215