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 17861 - 17870 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02419254 | IPG-GALANTAMINE ER EXTENDED RELEASE CAP 24MG | This is not a Standard Benefit. Special Authorization is required. |
02419475 | INFLECTRA PWS 100MG I.V. | This is not a Standard Benefit. Special Authorization is required. |
02419513 | MINT-ZOLMITRIPTAN ODT 2.5MG | This is not a Standard Benefit. Special Authorization is required. |
02419521 | MINT-ZOLMITRIPTAN TAB 2.5MG | Standard Benefit for Eligible Clients |
02419548 | RAN-EZETIMIBE TAB 10MG | Standard Benefit for Eligible Clients |
02419556 | ACH-AMLODIPINE BESYLATE TAB 2.5MG | Standard Benefit for Eligible Clients |
02419564 | ACH-AMLODIPINE BESYLATE TAB 5MG | Standard Benefit for Eligible Clients |
02419572 | ACH-AMLODIPINE BESYLATE TAB 10MG | Standard Benefit for Eligible Clients |
02419580 | POMALYST CAP 1MG | Standard Benefit for Eligible Clients |
02419599 | POMALYST CAP 2MG | Standard Benefit for Eligible Clients |
Displaying 17861 - 17870 of 24215