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 13951 - 13960 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02334976 | AZITHROMYCIN PWS FOR INJ IV 33.3MG | Standard Benefit for Eligible Clients |
02334992 | ENDOMETRIN TAB 100MG | This is not a Standard Benefit. Special Authorization is required. |
02335034 | NU-ZOPICLONE TAB 7.5MG | Standard Benefit for Eligible Clients |
02335077 | JAMP-DOCUSATE SODIUM CAP 200MG | Standard Benefit for Eligible Clients |
02335085 | JAMP-DOCUSATE SODIUM CAP 250MG | Standard Benefit for Eligible Clients |
02335093 | SUMATRIPTAN TAB 50MG | Standard Benefit for Eligible Clients |
02335107 | SUMATRIPTAN TAB 100MG | Standard Benefit for Eligible Clients |
02335115 | AMIODARONE TAB 200MG | Standard Benefit for Eligible Clients |
02335131 | FLUOXETINE CAP 10MG | Standard Benefit for Eligible Clients |
02335158 | FLUOXETINE CAP 20MG | Standard Benefit for Eligible Clients |
Displaying 13951 - 13960 of 24215