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 14271 - 14280 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02341298 | APX-AMOXI CAP 500MG | Standard Benefit for Eligible Clients |
02341301 | APX-AMOXI PWS 25MG/ML | Standard Benefit for Eligible Clients |
02341328 | APX-AMOXI SUGAR FREE PWS 25MG/ML | Standard Benefit for Eligible Clients |
02341336 | APX-AMOXI PWS 50MG/ML | Standard Benefit for Eligible Clients |
02341344 | APX-AMOXI SUGAR FREE PWS 50MG/ML | Standard Benefit for Eligible Clients |
02341352 | APX-KETOROLAC TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
02341379 | PMS-FENTANYL MTX PATCH 12MCG/HOUR | This is not a Standard Benefit. Special Authorization is required. |
02341387 | PMS-FENTANYL MTX PATCH 25MCG/HOUR | This is not a Standard Benefit. Special Authorization is required. |
02341395 | PMS-FENTANYL MTX PATCH 50MCG/HOUR | This is not a Standard Benefit. Special Authorization is required. |
02341409 | PMS-FENTANYL MTX PATCH 75MCG/HOUR | This is not a Standard Benefit. Special Authorization is required. |
Displaying 14271 - 14280 of 24215