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 14791 - 14800 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02351536 | MYLAN-CLOPIDOGREL TAB 75MG | This is not a Standard Benefit. Special Authorization is required. |
| 02351560 | MYLAN-VALACYCLOVIR TAB 1000MG | This is not a Standard Benefit. Special Authorization is required. |
| 02351579 | MYLAN-VALACYCLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02351587 | NIFEDIPINE EXTENDED RELEASE TAB 30MG | Standard Benefit for Eligible Clients |
| 02351595 | NIFEDIPINE EXTENDED RELEASE TAB 60MG | Standard Benefit for Eligible Clients |
| 02351609 | ONDANSETRON TAB 4MG | Standard Benefit for Eligible Clients |
| 02351617 | ONDANSETRON TAB 8MG | Standard Benefit for Eligible Clients |
| 02351625 | TOPIRAMATE TAB 25MG | Standard Benefit for Eligible Clients |
| 02351633 | TOPIRAMATE TAB 100MG | Standard Benefit for Eligible Clients |
| 02351641 | TOPIRAMATE TAB 200MG | Standard Benefit for Eligible Clients |
Displaying 14791 - 14800 of 24215