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 13731 - 13740 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02330504 | NOVO-VALSARTAN/ HCTZ TAB 160MG/25MG | Standard Benefit for Eligible Clients |
02330512 | TEVA-IRBESARTAN HCTZ TAB 150/12.5MG | Standard Benefit for Eligible Clients |
02330520 | TEVA-IRBESARTAN HCTZ TAB 300/12.5MG | Standard Benefit for Eligible Clients |
02330539 | TEVA-IRBESARTAN HCTZ TAB 300/25MG | Standard Benefit for Eligible Clients |
02330547 | PIPERACILLIN & TAZOBACTAM INJ VIAL PWS IV 12/1.5G | Standard Benefit for Eligible Clients |
02330571 | SUMATRIPTAN LIQ INJ 12MG/ML | Standard Benefit for Eligible Clients |
02330601 | TEVA-ENALAPRIL TAB 40MG | Standard Benefit for Eligible Clients |
02330709 | SIG-PANTOPRAZOLE DELAYED RELEASE TAB 40MG | Standard Benefit for Eligible Clients |
02330881 | AZITHROMYCIN TAB 250MG | Standard Benefit for Eligible Clients |
02330903 | PHL-LAMOTRIGINE TAB 25MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 13731 - 13740 of 24215