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 14191 - 14200 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02339811 | RIVA-OLANZAPINE ODT (DISINTEGRATING TAB) 5MG | Standard Benefit for Eligible Clients |
02339838 | RIVA-OLANZAPINE ODT (DISINTEGRATING TAB) 10MG | Standard Benefit for Eligible Clients |
02339846 | RIVA-OLANZAPINE ODT (DISINTEGRATING TAB) 15MG | Standard Benefit for Eligible Clients |
02339927 | OMEPRAZOLE DELAYED RELEASE CAP 20MG | Standard Benefit for Eligible Clients |
02340038 | FLUCONAZOLE CAP 150MG | Standard Benefit for Eligible Clients |
02340046 | FLUCONAZOLE CAP 150MG | This is not a Standard Benefit. Special Authorization is required. |
02340054 | VENLAFAXINE XR EXTENDED RELEASE CAP 37.5MG | Standard Benefit for Eligible Clients |
02340062 | VENLAFAXINE XR EXTENDED RELEASE CAP 75MG | Standard Benefit for Eligible Clients |
02340070 | VENLAFAXINE XR EXTENDED RELEASE CAP 150MG | Standard Benefit for Eligible Clients |
02340097 | PANTOPRAZOLE DELAYED RELEASE TAB 40MG | Standard Benefit for Eligible Clients |
Displaying 14191 - 14200 of 24215