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 13451 - 13460 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02320681 | STELARA 90MG/1ML | This is not a Standard Benefit. Special Authorization is required. |
02320738 | PMS-ANASTROZOLE TAB 1MG | Standard Benefit for Eligible Clients |
02320754 | ZYM-PIOGLITAZONE TAB 15MG | This is not a Standard Benefit. Special Authorization is required. |
02320762 | ZYM-PIOGLITAZONE TAB 30MG | This is not a Standard Benefit. Special Authorization is required. |
02320770 | ZYM-PIOGLITAZONE TAB 45MG | This is not a Standard Benefit. Special Authorization is required. |
02320843 | PMS-OMEPRAZOLE DELAYED RELEASE CAP 10MG | Standard Benefit for Eligible Clients |
02320851 | PMS-OMEPRAZOLE DELAYED RELEASE CAP 20MG | Standard Benefit for Eligible Clients |
02321092 | PRISTIQ EXTENDED RELEASE TAB 50MG | Standard Benefit for Eligible Clients |
02321106 | PRISTIQ EXTENDED RELEASE TAB 100MG | Standard Benefit for Eligible Clients |
02321149 | MYLAN-NIFEDIPINE EXTENDED RELEASE TAB 60MG | Standard Benefit for Eligible Clients |
Displaying 13451 - 13460 of 24215