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 13581 - 13590 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02325349 | DILTIAZEM TZ EXTENDED RELEASE CAP 360MG | Standard Benefit for Eligible Clients |
02325357 | BUPROPION SR EXTENDED RELEASE TAB 150MG | Standard Benefit for Eligible Clients |
02325373 | PMS-BUPROPION SR TAB 100MG | Standard Benefit for Eligible Clients |
02325381 | APO-RAMIPRIL CAP 15MG | Standard Benefit for Eligible Clients |
02325403 | RAN-FENTANYL MAT PATCH SRD 25MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
02325411 | RAN-FENTANYL MAT PATCH SRD 50MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
02325438 | RAN-FENTANYL MAT PATCH SRD 75MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
02325446 | RAN-FENTANYL MAT PATCH SRD 100MCG/HR | This is not a Standard Benefit. Special Authorization is required. |
02325462 | VAGIFEM 10 VAGINAL TAB 10MCG | Standard Benefit for Eligible Clients |
02325594 | CEFTRIAXONE SODIUM PWS INJ 0.25GM/VIAL | Standard Benefit for Eligible Clients |
Displaying 13581 - 13590 of 24215