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 17181 - 17190 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02404435 | APO-AMLODIPINE TAB 2.5MG | Standard Benefit for Eligible Clients |
| 02404451 | RAN-LOSARTAN TAB 25MG | Standard Benefit for Eligible Clients |
| 02404478 | RAN-LOSARTAN TAB 50MG | Standard Benefit for Eligible Clients |
| 02404486 | RAN-LOSARTAN TAB 100MG | Standard Benefit for Eligible Clients |
| 02404508 | TECFIDERA DELAYED RELEASE CAP 120MG | Standard Benefit for Eligible Clients |
| 02404516 | FYCOMPA TAB 2MG | This is not a Standard Benefit. Special Authorization is required. |
| 02404524 | FYCOMPA TAB 4MG | This is not a Standard Benefit. Special Authorization is required. |
| 02404532 | FYCOMPA TAB 6MG | This is not a Standard Benefit. Special Authorization is required. |
| 02404540 | FYCOMPA TAB 8MG | This is not a Standard Benefit. Special Authorization is required. |
| 02404559 | FYCOMPA TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 17181 - 17190 of 24215