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 14511 - 14520 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02344858 | TOPIRAMATE TAB 25MG | This is not a Standard Benefit. Special Authorization is required. |
| 02344866 | TOPIRAMATE TAB 100MG | This is not a Standard Benefit. Special Authorization is required. |
| 02344874 | TOPIRAMATE TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
| 02344882 | NORFLOXACIN TAB 400MG | Standard Benefit for Eligible Clients |
| 02344890 | CABERGOLINE TAB 0.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02345099 | IZILOX TAB 400MG | Standard Benefit for Eligible Clients |
| 02345102 | IZILOX IV 400MG/250ML | Standard Benefit for Eligible Clients |
| 02345129 | ROPINIROLE TAB 0.25MG | Standard Benefit for Eligible Clients |
| 02345137 | ROPINIROLE TAB 1MG | Standard Benefit for Eligible Clients |
| 02345145 | ROPINIROLE TAB 2MG | Standard Benefit for Eligible Clients |
Displaying 14511 - 14520 of 24215