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 17551 - 17560 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02412764 | ADEMPAS TAB 0.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02412772 | ADEMPAS TAB 1MG | This is not a Standard Benefit. Special Authorization is required. |
| 02412799 | ADEMPAS TAB 1.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02412802 | ADEMPAS TAB 2MG | This is not a Standard Benefit. Special Authorization is required. |
| 02412810 | ADEMPAS TAB 2.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02412829 | LEVEMIR FLEXTOUCH 100UNIT/ML SC | Standard Benefit for Eligible Clients |
| 02412853 | BIO-DONEPEZIL TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02412861 | BIO-DONEPEZIL TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
| 02412888 | DEXAMETHASONE INJ LIQ 4MG/ML | Standard Benefit for Eligible Clients |
| 02412896 | DEXAMETHASONE INJ LIQ 10MG/ML | Standard Benefit for Eligible Clients |
Displaying 17551 - 17560 of 24215