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 13661 - 13670 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02327147 | SANDOZ FENTANYL PATCH 50MCG/H | This is not a Standard Benefit. Special Authorization is required. |
02327155 | SANDOZ FENTANYL PATCH 75MCG/H | This is not a Standard Benefit. Special Authorization is required. |
02327163 | SANDOZ FENTANYL PATCH 100MCG/H | This is not a Standard Benefit. Special Authorization is required. |
02327171 | OXYCODONE-ACET TAB 5/325MG | Standard Benefit for Eligible Clients |
02327236 | METHOTREXATE INJ USP 25MG/ML | Standard Benefit for Eligible Clients |
02327244 | ACCEL-RANITIDINE TAB 150MG | Standard Benefit for Eligible Clients |
02327252 | ACCEL-RANITIDINE TAB 300MG | Standard Benefit for Eligible Clients |
02327260 | APO-GATIFLOXACIN LIQ OPH 0.3% | Standard Benefit for Eligible Clients |
02327295 | SANDOZ RISEDRONATE TAB 35MG | Standard Benefit for Eligible Clients |
02327562 | ACT OLANZAPINE ODT TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 13661 - 13670 of 24215