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 1341 - 1350 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
00439320 | MANDOL INJ 1GM/AMP PWS | This is not a Standard Benefit. Special Authorization is required. |
00439487 | MINERAL OIL HEAVY USP LIQ 100% | Standard Benefit for Eligible Clients |
00439770 | DILANTIN W PHENOBARBITAL CAP | Standard Benefit for Eligible Clients |
00439819 | LOXAPAC LIQ INJ 50MG/ML | This is not a Standard Benefit. Special Authorization is required. |
00440809 | ROUNOX AVEC CODEINE TAB | Standard Benefit for Eligible Clients |
00441295 | ORTHO DIENESTROL VAGINAL CRM 0.01% | Standard Benefit for Eligible Clients |
00441619 | APO-HYDRALAZINE TAB 10MG | Standard Benefit for Eligible Clients |
00441627 | APO-HYDRALAZINE TAB 25MG | Standard Benefit for Eligible Clients |
00441635 | APO-HYDRALAZINE TAB 50MG | Standard Benefit for Eligible Clients |
00441643 | APO-IBUPROFEN CAP 200MG | Standard Benefit for Eligible Clients |
Displaying 1341 - 1350 of 24215