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 17201 - 17210 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02404877 | RIVA-ALPRAZOLAM TAB 0.25MG | Standard Benefit for Eligible Clients |
| 02404885 | RIVA-ALPRAZOLAM TAB 0.5MG | Standard Benefit for Eligible Clients |
| 02404893 | RIVA-ALPRAZOLAM TAB 1MG | Standard Benefit for Eligible Clients |
| 02404907 | RIVA-ALPRAZOLAM TAB 2MG | Standard Benefit for Eligible Clients |
| 02404923 | APO-MOXIFLOXACIN TAB 400MG | Standard Benefit for Eligible Clients |
| 02404990 | AURO-ANASTROZOLE TAB 1MG | Standard Benefit for Eligible Clients |
| 02405008 | APO-MODAFINIL TAB 100MG | Standard Benefit for Eligible Clients |
| 02405032 | AMPHOTERICIN B FOR INJECTION PWS IV 50MG | Standard Benefit for Eligible Clients |
| 02405040 | AURO-VALACYCLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02405059 | AURO-VALACYCLOVIR TAB 1000MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 17201 - 17210 of 24215