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 16861 - 16870 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02398389 | PMS-GALANTAMINE ER EXTENDED RELEASE CAP 16MG | This is not a Standard Benefit. Special Authorization is required. |
| 02398397 | PMS-GALANTAMINE ER EXTENDED RELEASE CAP 24MG | This is not a Standard Benefit. Special Authorization is required. |
| 02398400 | TEVA-BOSENTAN TAB 62.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02398419 | TEVA-BOSENTAN TAB 125MG | This is not a Standard Benefit. Special Authorization is required. |
| 02398427 | METHOTREXATE INJ USP 25MG/ML | Standard Benefit for Eligible Clients |
| 02398435 | MYLAN-ALMOTRIPTAN TAB 6.25MG | Standard Benefit for Eligible Clients |
| 02398443 | MYLAN-ALMOTRIPTAN TAB 12.5MG | Standard Benefit for Eligible Clients |
| 02398478 | ENALAPRIL/HCTZ TAB 10MG/25MG | Standard Benefit for Eligible Clients |
| 02398486 | ENALAPRIL TAB 2.5MG | Standard Benefit for Eligible Clients |
| 02398494 | ENALAPRIL TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 16861 - 16870 of 24215