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 17061 - 17070 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02402289 | JAMP-GABAPENTIN TAB 600MG | Standard Benefit for Eligible Clients |
| 02402297 | JAMP-GABAPENTIN TAB 800MG | Standard Benefit for Eligible Clients |
| 02402378 | MINT-SERTRALINE CAP 25MG | Standard Benefit for Eligible Clients |
| 02402394 | MINT-SERTRALINE CAP 50MG | Standard Benefit for Eligible Clients |
| 02402408 | MINT-SERTRALINE CAP 100MG | Standard Benefit for Eligible Clients |
| 02402416 | RIVA-OMEPRAZOLE DR TAB 20MG | Standard Benefit for Eligible Clients |
| 02402424 | PMS-TETRABENAZINE TAB 25MG | Standard Benefit for Eligible Clients |
| 02402475 | ORENCIA LIQUID 125MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 02402483 | PILOCARPINE HYDROCHLORIDE TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02402505 | APO-BIMATOPROST SOLN .03% | Standard Benefit for Eligible Clients |
Displaying 17061 - 17070 of 24215