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 17441 - 17450 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02410249 | MIRVALA 21 TAB | Standard Benefit for Eligible Clients |
| 02410257 | MIRVALA 28 TAB | Standard Benefit for Eligible Clients |
| 02410265 | ACH-MONTELUKAST (CHEWABLE TAB) 4MG | Standard Benefit for Eligible Clients |
| 02410273 | ACH-MONTELUKAST (CHEWABLE TAB) 5MG | Standard Benefit for Eligible Clients |
| 02410303 | MOVISSE (28) TAB | Standard Benefit for Eligible Clients |
| 02410338 | TETRABENAZINE TABLET 25MG | Standard Benefit for Eligible Clients |
| 02410346 | CICLOPIROX TOPICAL SOL'N 8% | This is not a Standard Benefit. Special Authorization is required. |
| 02410370 | LANSOPRAZOLE DELAYED RELEASE CAP 15MG | This is not a Standard Benefit. Special Authorization is required. |
| 02410389 | LANSOPRAZOLE DELAYED RELEASE CAP 30MG | This is not a Standard Benefit. Special Authorization is required. |
| 02410397 | DOXORUBICIN PFS LIQ IV INJ 2MG/ML | Standard Benefit for Eligible Clients |
Displaying 17441 - 17450 of 24215