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 17821 - 17830 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02418231 | JAMP-IRBESARTAN/HYDROCHLOROTHIAZIDE 300MG/12.5MG | Standard Benefit for Eligible Clients |
02418258 | JAMP-IRBESARTAN/HYDROCHLOROTHIAZIDE 300MG/25MG | Standard Benefit for Eligible Clients |
02418282 | ULTIBRO BREEZHALER 110MCG/50MCG CAP | This is not a Standard Benefit. Special Authorization is required. |
02418320 | LEMTRADA 12MG/1.2ML IV | This is not a Standard Benefit. Special Authorization is required. |
02418355 | SOVALDI TAB 400MG | This is not a Standard Benefit. Special Authorization is required. |
02418401 | ANORO ELLIPTA PWR FOR INHALATION | This is not a Standard Benefit. Special Authorization is required. |
02418428 | AURO-EFAVIRENZ TAB 600MG | Standard Benefit for Eligible Clients |
02418452 | PMS-AZITHROMYCIN PWS 100MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
02418460 | PMS-AZITHROMYCIN PWS 200MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
02418495 | AURO-CARVEDILOL TAB 3.125MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 17821 - 17830 of 24215