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 14181 - 14190 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02339560 | MONISTAT FLUCONAZOLE-150 CAP 150MG | Standard Benefit for Eligible Clients |
02339587 | ACH-PIOGLITAZONE HCL TAB 30MG | This is not a Standard Benefit. Special Authorization is required. |
02339595 | ACH-PIOGLITAZONE HYDROCHLORIDE TAB 45MG | This is not a Standard Benefit. Special Authorization is required. |
02339676 | ACC-PIOGLITAZONE TAB 15MG | This is not a Standard Benefit. Special Authorization is required. |
02339684 | ACC-PIOGLITAZONE TAB 30MG | This is not a Standard Benefit. Special Authorization is required. |
02339692 | ACC-PIOGLITAZONE TAB 45MG | This is not a Standard Benefit. Special Authorization is required. |
02339765 | ACT ROSUVASTATIN TAB 5MG | Standard Benefit for Eligible Clients |
02339773 | ACT ROSUVASTATIN TAB 10MG | Standard Benefit for Eligible Clients |
02339781 | ACT ROSUVASTATIN TAB 20MG | Standard Benefit for Eligible Clients |
02339803 | ACT ROSUVASTATIN TAB 40MG | Standard Benefit for Eligible Clients |
Displaying 14181 - 14190 of 24215