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 13761 - 13770 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02331160 | DOM-ROPINIROLE TAB 0.5MG | This is not a Standard Benefit. Special Authorization is required. |
02331179 | DOM-ROPINIROLE TAB 1MG | This is not a Standard Benefit. Special Authorization is required. |
02331187 | DOM-ROPINIROLE TAB 2MG | This is not a Standard Benefit. Special Authorization is required. |
02331195 | DOM-ROPINIROLE TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
02331209 | PHL-ROPINIROLE TAB 0.25MG | Standard Benefit for Eligible Clients |
02331217 | PHL-ROPINIROLE TAB 0.5MG | Standard Benefit for Eligible Clients |
02331225 | PHL-ROPINIROLE TAB 1MG | Standard Benefit for Eligible Clients |
02331233 | PHL-ROPINIROLE TAB 2MG | Standard Benefit for Eligible Clients |
02331241 | PHL-ROPINIROLE TAB 5MG | Standard Benefit for Eligible Clients |
02331284 | AMLODIPINE TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 13761 - 13770 of 24215