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 15121 - 15130 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02359081 | IPG-RISPERIDONE TAB 2MG | Standard Benefit for Eligible Clients |
| 02359103 | IPG-RISPERIDONE TAB 3MG | Standard Benefit for Eligible Clients |
| 02359111 | IPG-RISPERIDONE TAB 4MG | Standard Benefit for Eligible Clients |
| 02359235 | NOVO-LINEZOLID TAB 600MG | This is not a Standard Benefit. Special Authorization is required. |
| 02359316 | SANDOZ CLOPIDOGREL TAB 75MG | Standard Benefit for Eligible Clients |
| 02359472 | MYLAN-DONEPEZIL TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02359480 | MYLAN-DONEPEZIL TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
| 02359499 | MOVIPREP PWS ORAL | Standard Benefit for Eligible Clients |
| 02359502 | HYDROMORPH CONTIN CONTROLLED RELEASE CAPSULE 4.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02359510 | HYDROMORPH CONTIN CONTROLLED RELEASE CAPSULE 9MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 15121 - 15130 of 24215