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.
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| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00016330 | ELAVIL TAB 25MG | Standard Benefit for Eligible Clients |
| 00016349 | ELAVIL TAB 50MG | Standard Benefit for Eligible Clients |
| 00016357 | COGENTIN TAB 2MG | Standard Benefit for Eligible Clients |
| 00016438 | CORTONE TAB 5MG | Standard Benefit for Eligible Clients |
| 00016446 | CORTONE TAB 25MG | Standard Benefit for Eligible Clients |
| 00016462 | DECADRON TAB 0.5MG | Standard Benefit for Eligible Clients |
| 00016497 | EDECRIN TAB 50MG | Standard Benefit for Eligible Clients |
| 00016500 | HYDRODIURIL TAB 25MG | Standard Benefit for Eligible Clients |
| 00016519 | HYDRODIURIL TAB 50MG | Standard Benefit for Eligible Clients |
| 00016551 | ALDOMET TAB 125MG | Standard Benefit for Eligible Clients |
Displaying 141 - 150 of 24215