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 13571 - 13580 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02325187 | ZYM-MIRTAZAPINE TAB 30MG | Standard Benefit for Eligible Clients |
02325195 | CYCLOBENZAPRINE TAB 10MG | Standard Benefit for Eligible Clients |
02325209 | SOTALOL TAB 80MG | Standard Benefit for Eligible Clients |
02325217 | SOTALOL TAB 160MG | Standard Benefit for Eligible Clients |
02325233 | BICALUTAMIDE TAB 50MG | Standard Benefit for Eligible Clients |
02325292 | ULTRA SHEER DRY-TOUCH SUNSCREEN SPF 110 | This is not a Standard Benefit. Special Authorization is required. |
02325306 | DILTIAZEM TZ EXTENDED RELEASE CAP 120MG | Standard Benefit for Eligible Clients |
02325314 | DILTIAZEM TZ EXTENDED RELEASE CAP 180MG | Standard Benefit for Eligible Clients |
02325322 | DILTIAZEM TZ EXTENDED RELEASE CAP 240MG | Standard Benefit for Eligible Clients |
02325330 | DILTIAZEM TZ EXTENDED RELEASE CAP 300MG | Standard Benefit for Eligible Clients |
Displaying 13571 - 13580 of 24215