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 13561 - 13570 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02324989 | CLEARLAX PWS 100% | Standard Benefit for Eligible Clients |
02324997 | LUMIGAN RC OPH SOL 0.01% | Standard Benefit for Eligible Clients |
02325047 | CITALOPRAM-10 TAB 10MG | Standard Benefit for Eligible Clients |
02325101 | ZYM-TRAZODONE TAB 50MG | Standard Benefit for Eligible Clients |
02325128 | ZYM-TRAZODONE TAB 100MG | Standard Benefit for Eligible Clients |
02325136 | ZYM-TOPIRAMATE TAB 25MG | This is not a Standard Benefit. Special Authorization is required. |
02325144 | ZYM-TOPIRAMATE TAB 100MG | This is not a Standard Benefit. Special Authorization is required. |
02325152 | ZYM-TOPIRAMATE TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
02325160 | ONDANSETRON TAB 8MG | Standard Benefit for Eligible Clients |
02325179 | ZYM-MIRTAZAPINE TAB 15MG | Standard Benefit for Eligible Clients |
Displaying 13561 - 13570 of 24215