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.
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Identification Number | Trade Name | Benefit Category |
---|---|---|
02352850 | GD-TOPIRAMATE TAB 25MG | This is not a Standard Benefit. Special Authorization is required. |
02352869 | GD-TOPIRAMATE TAB 50MG | Standard Benefit for Eligible Clients |
02352877 | GD-TOPIRAMATE TAB 100MG | This is not a Standard Benefit. Special Authorization is required. |
02352885 | GD-TOPIRAMATE TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
02352893 | TEVA-NEVIRAPINE TAB 200MG | Standard Benefit for Eligible Clients |
02352923 | ENALAPRIL/HCTZ TAB 5/12.5MG | Standard Benefit for Eligible Clients |
02352931 | ENALAPRIL/HCTZ TAB 10/25MG | Standard Benefit for Eligible Clients |
02352958 | ALENDRONATE TAB 40MG | Standard Benefit for Eligible Clients |
02352966 | ALENDRONATE TAB 70MG | Standard Benefit for Eligible Clients |
02352974 | OLANZAPINE (DISINTEGRATING TAB) 5MG | Standard Benefit for Eligible Clients |
Displaying 14851 - 14860 of 24215