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 15171 - 15180 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02360802 | CELAZOME SPF30 LOTION | This is not a Standard Benefit. Special Authorization is required. |
| 02360810 | SPRYCEL TAB 80MG | Standard Benefit for Eligible Clients |
| 02360829 | SPRYCEL TAB 140MG | Standard Benefit for Eligible Clients |
| 02360993 | AVA-BICALUTAMIDE TAB 50MG | Standard Benefit for Eligible Clients |
| 02361108 | NTP-LISINOPRIL/ HCTZ (TYPE P) TAB 10MG-12.5MG | Standard Benefit for Eligible Clients |
| 02361124 | NTP-LISINOPRIL/HCTZ (TYPE P) TAB 20MG-25MG | Standard Benefit for Eligible Clients |
| 02361132 | NTP-LISINOPRIL HCTZ (TYPE Z) TAB 10MG-12.5MG | Standard Benefit for Eligible Clients |
| 02361140 | NTP-LISINOPRIL HCTZ (TYPE Z) TAB 20MG-12.5MG | Standard Benefit for Eligible Clients |
| 02361159 | TEVA-PREGABALIN CAP 25MG | Standard Benefit for Eligible Clients |
| 02361167 | NTP-LISINOPRIL HCTZ (TYPE Z) TAB 20MG-25MG | Standard Benefit for Eligible Clients |
Displaying 15171 - 15180 of 24215