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 13531 - 13540 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02324202 | GEMCITABINE FOR INJECTION 200MG IV | Standard Benefit for Eligible Clients |
02324210 | GEMCITABINE FOR INJECTION 1G IV | Standard Benefit for Eligible Clients |
02324229 | PMS-ZOLMITRIPTAN TAB 2.5MG | Standard Benefit for Eligible Clients |
02324253 | PMS-HYDROCODONE SYR 1MG/ML | Standard Benefit for Eligible Clients |
02324326 | MELOXICAM TAB 7.5MG | Standard Benefit for Eligible Clients |
02324334 | MELOXICAM TAB 15MG | Standard Benefit for Eligible Clients |
02324482 | CLARITHROMYCIN TAB 250MG | Standard Benefit for Eligible Clients |
02324490 | CLARITHROMYCIN TAB 500MG | Standard Benefit for Eligible Clients |
02324504 | CARVEDILOL TAB 3.125MG | This is not a Standard Benefit. Special Authorization is required. |
02324512 | CARVEDILOL TAB 6.25MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 13531 - 13540 of 24215