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 17331 - 17340 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02407698 | SANDOZ QUETIAPINE XRT EXTENDED RELEASE TAB 150MG | Standard Benefit for Eligible Clients |
02407701 | SANDOZ QUETIAPINE XRT EXTENDED RELEASE TAB 200MG | Standard Benefit for Eligible Clients |
02407728 | SANDOZ QUETIAPINE XRT EXTENDED RELEASE TAB 300MG | Standard Benefit for Eligible Clients |
02407736 | SANDOZ QUETIAPINE XRT EXTENDED RELEASE TAB 400MG | Standard Benefit for Eligible Clients |
02407744 | JAMP-VANCOMYCIN CAP 125MG | Standard Benefit for Eligible Clients |
02407752 | JAMP-VANCOMYCIN CAP 250MG | Standard Benefit for Eligible Clients |
02407825 | APO-IMIQUIMOD CRM 5% | This is not a Standard Benefit. Special Authorization is required. |
02407841 | MED-EXEMESTANE TAB 25MG | Standard Benefit for Eligible Clients |
02407914 | VANCOMYCIN PWS IV 500MG | This is not a Standard Benefit. Special Authorization is required. |
02407922 | VANCOMYCIN IV PWS 1GM/VIAL | This is not a Standard Benefit. Special Authorization is required. |
Displaying 17331 - 17340 of 24215