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 17051 - 17060 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02402025 | LETROZOLE TAB 2.5MG | Standard Benefit for Eligible Clients |
| 02402068 | PIPERACILLIN/TAZOBACTAM INJ PWS 2G/0.25G/VIAL | Standard Benefit for Eligible Clients |
| 02402076 | PIPERACILLIN & TAZOBACTAM PWS INJ IV 3G/0.375G | Standard Benefit for Eligible Clients |
| 02402084 | PIPERACILLIN & TAZOBACTAM PWS INJ IV 4G/0.5G | Standard Benefit for Eligible Clients |
| 02402092 | MAR-DONEPEZIL TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02402106 | MAR-DONEPEZIL TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
| 02402157 | SPF 60 ANTHELIOS XL LOTION | This is not a Standard Benefit. Special Authorization is required. |
| 02402165 | MYLAN-ATOVAQUONE PROGUANIL TAB 250MG/100MG | This is not a Standard Benefit. Special Authorization is required. |
| 02402181 | PMS-COLCHICINE TAB 0.6MG | Standard Benefit for Eligible Clients |
| 02402203 | CYTARABINE INJ 100MG/ML LIQ IV | Standard Benefit for Eligible Clients |
Displaying 17051 - 17060 of 24215