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 15271 - 15280 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02363305 | AVA-PRAMIPEXOLE TAB 0.25MG | Standard Benefit for Eligible Clients |
| 02363313 | AVA-PRAMIPEXOLE TAB 0.50MG | Standard Benefit for Eligible Clients |
| 02363321 | AVA-PRAMIPEXOLE TAB 1MG | Standard Benefit for Eligible Clients |
| 02363348 | AVA-PRAMIPEXOLE TAB 1.5MG | Standard Benefit for Eligible Clients |
| 02363356 | EMEND IV PWS 150MG | This is not a Standard Benefit. Special Authorization is required. |
| 02363364 | AVA-AZITHROMYCIN TAB 250MG | Standard Benefit for Eligible Clients |
| 02363372 | AVA-AZITHROMYCIN PWS 100MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
| 02363380 | AVA-ZITHROMYCIN PWS 200MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
| 02363399 | AVA-BUPROPION SR TAB 100MG | Standard Benefit for Eligible Clients |
| 02363402 | AVA-BUPROPION SR TAB 150MG | Standard Benefit for Eligible Clients |
Displaying 15271 - 15280 of 24215