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 15281 - 15290 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02363410 | AVA-PANTOPRAZOLE DELAYED RELEASE TAB 20MG | This is not a Standard Benefit. Special Authorization is required. |
02363429 | AVA-PANTOPRAZOLE DELAYED RELEASE TAB 40MG | This is not a Standard Benefit. Special Authorization is required. |
02363453 | AVA-ENALAPRIL TAB 2.5MG | Standard Benefit for Eligible Clients |
02363461 | AVA-ENALAPRIL TAB 5MG | Standard Benefit for Eligible Clients |
02363488 | AVA-ENALAPRIL TAB 10MG | Standard Benefit for Eligible Clients |
02363496 | AVA-ENALAPRIL TAB 20MG | Standard Benefit for Eligible Clients |
02363526 | AVA-RANITIDINE LIQ 15MG/ML | Standard Benefit for Eligible Clients |
02363585 | AVA-MINOCYCLINE CAP 50MG | This is not a Standard Benefit. Special Authorization is required. |
02363593 | AVA-MINOCYCLINE CAP 100MG | This is not a Standard Benefit. Special Authorization is required. |
02363690 | AVA-CYCLOBENZAPRINE TAB 10MG | Standard Benefit for Eligible Clients |
Displaying 15281 - 15290 of 24215