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 15111 - 15120 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02358670 | NTP-LEVOFLOXACIN TAB 750MG | Standard Benefit for Eligible Clients |
| 02358808 | PRADAXA CAP 150MG | Standard Benefit for Eligible Clients |
| 02358816 | MYLAN-AZITHROMYCIN PWS FOR INJ IV 500MG/VIAL | Standard Benefit for Eligible Clients |
| 02358832 | NTP-MIRTAZAPINE TAB 30MG | Standard Benefit for Eligible Clients |
| 02358840 | ACT RALOXIFENE TAB 60MG | This is not a Standard Benefit. Special Authorization is required. |
| 02358913 | SANDOZ OLOPATADINE SOLUTION 0.1% | Standard Benefit for Eligible Clients |
| 02358921 | PMS-RALOXIFENE TAB 60MG | This is not a Standard Benefit. Special Authorization is required. |
| 02359057 | IPG-RISPERIDONE TAB 0.25MG | Standard Benefit for Eligible Clients |
| 02359065 | IPG-RISPERIDONE TAB 0.5MG | Standard Benefit for Eligible Clients |
| 02359073 | IPG-RISPERIDONE TAB 1MG | Standard Benefit for Eligible Clients |
Displaying 15111 - 15120 of 24215