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 17011 - 17020 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02401134 | ACCEL-ALENDRONATE TAB 70MG | This is not a Standard Benefit. Special Authorization is required. |
02401142 | ACCEL-FINASTERIDE TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
02401150 | ACCEL-MONTELUKAST TAB 10MG | Standard Benefit for Eligible Clients |
02401185 | LUTERA (21) TAB | Standard Benefit for Eligible Clients |
02401207 | LUTERA (28) TAB | Standard Benefit for Eligible Clients |
02401231 | TRANEXAMIC ACID TAB 500MG | Standard Benefit for Eligible Clients |
02401274 | AURO-MONTELUKAST TAB 10MG | Standard Benefit for Eligible Clients |
02401290 | JAMP-IBUPROFEN TAB 400MG | Standard Benefit for Eligible Clients |
02401304 | RIVA-ZOLMITRIPTAN TAB 2.5MG | Standard Benefit for Eligible Clients |
02401312 | PIPERACILLIN/TAZOBACTAM INJ PWS 2G/0.25G/VIAL | Standard Benefit for Eligible Clients |
Displaying 17011 - 17020 of 24215