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 14831 - 14840 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02352559 | APO-MYCOPHENOLATE CAP 250MG | This is not a Standard Benefit. Special Authorization is required. |
| 02352567 | APO-MYCOPHENOLATE TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02352583 | APO-RILUZOLE TAB 50MG | Standard Benefit for Eligible Clients |
| 02352648 | FRAGMIN ANTI-XA INJ SC/IV 7500IU/0.3ML | Standard Benefit for Eligible Clients |
| 02352656 | FRAGMIN ANTI-XA INJ SC/IV 10000IU/0.4ML | Standard Benefit for Eligible Clients |
| 02352664 | FRAGMIN ANTI-XA INJ SC/IV 12500IU/0.5ML | Standard Benefit for Eligible Clients |
| 02352672 | FRAGMIN ANTI-XA INJ SC/IV 15000IU/0.6ML | Standard Benefit for Eligible Clients |
| 02352680 | FRAGMIN ANTI-XA INJ SC/IV 18000IU/0.72ML | Standard Benefit for Eligible Clients |
| 02352710 | AMOXICILLIN CAP 250MG | Standard Benefit for Eligible Clients |
| 02352729 | AMOXICILLIN CAP 500MG | Standard Benefit for Eligible Clients |
Displaying 14831 - 14840 of 24215