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 17651 - 17660 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02414627 | ABBOTT-TOPIRAMATE TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
02414678 | PREMARIN EXTENDED RELEASE TAB 0.3MG | Standard Benefit for Eligible Clients |
02414686 | PREMARIN EXTENDED RELEASE TAB 0.625MG | Standard Benefit for Eligible Clients |
02414694 | PREMARIN EXTENDED RELEASE TAB 1.25MG | Standard Benefit for Eligible Clients |
02414716 | ACT EZETIMIBE TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
02414759 | ALFUZOSIN EXTENDED RELEASE TAB 10MG | Standard Benefit for Eligible Clients |
02414767 | DOM-LANSOPRAZOLE DELAYED RELEASE CAP 15MG | This is not a Standard Benefit. Special Authorization is required. |
02414775 | DOM-LANSOPRAZOLE DELAYED RELEASE CAP 30MG | This is not a Standard Benefit. Special Authorization is required. |
02414783 | ABBOTT-LEVETIRACETAM TAB 750MG | This is not a Standard Benefit. Special Authorization is required. |
02414791 | ABBOTT-LEVETIRACETAM TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 17651 - 17660 of 24215