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 15051 - 15060 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02357593 | NORVIR TAB 100MG | Standard Benefit for Eligible Clients |
| 02357615 | VIMPAT TAB 50MG | This is not a Standard Benefit. Special Authorization is required. |
| 02357623 | VIMPAT TAB 100MG | This is not a Standard Benefit. Special Authorization is required. |
| 02357631 | VIMPAT TAB 150MG | This is not a Standard Benefit. Special Authorization is required. |
| 02357658 | VIMPAT TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
| 02357666 | VIMPAT LIQ IV 10MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 02357682 | LANSOPRAZOLE SRC 15MG | This is not a Standard Benefit. Special Authorization is required. |
| 02357690 | LANSOPRAZOLE SRC 30MG | This is not a Standard Benefit. Special Authorization is required. |
| 02357704 | SEPTA-AMLODIPINE TAB 2.5MG | Standard Benefit for Eligible Clients |
| 02357712 | SEPTA-AMLODIPINE TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 15051 - 15060 of 24215