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 17191 - 17200 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02404567 | FYCOMPA TAB 12MG | This is not a Standard Benefit. Special Authorization is required. |
| 02404591 | PMS-LATANOPROST-TIMOLOL LIQ OPH 5MG/ML | Standard Benefit for Eligible Clients |
| 02404656 | ACT MOXIFLOXACIN LIQ OPH 0.5% | Standard Benefit for Eligible Clients |
| 02404664 | PMS-ATOMOXETINE CAP 80MG | Standard Benefit for Eligible Clients |
| 02404672 | PMS-ATOMOXETINE CAP 100MG | Standard Benefit for Eligible Clients |
| 02404702 | TORRENT-OLANZAPINE ODT (DISINTEGRATING TAB) 5MG | Standard Benefit for Eligible Clients |
| 02404729 | TORRENT-OLANZAPINE ODT (DISINTEGRATING TAB) 10MG | Standard Benefit for Eligible Clients |
| 02404737 | TORRENT-OLANZAPINE ODT (DISINTEGRATING TAB) 15MG | Standard Benefit for Eligible Clients |
| 02404745 | TORRENT-OLANZAPINE ODT (DISINTEGRATING TAB) 20MG | Standard Benefit for Eligible Clients |
| 02404761 | GANCICLOVIR FOR INJ PWS IV 500MG/VIAL | Standard Benefit for Eligible Clients |
Displaying 17191 - 17200 of 24215