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 17901 - 17910 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02420287 | JAMP-TOBRAMYCIN LIQ INJ 40MG/ML | Standard Benefit for Eligible Clients |
02420295 | JAMP-VANCOMYCIN PWS 500MG/VIAL IV | This is not a Standard Benefit. Special Authorization is required. |
02420309 | JAMP-VANCOMYCIN PWS 1G/VIAL IV | This is not a Standard Benefit. Special Authorization is required. |
02420317 | JAMP-VANCOMYCIN PWS 5 GM/VIAL IV | Standard Benefit for Eligible Clients |
02420325 | JAMP-VANCOMYCIN PWS 10GM/VIAL IV | Standard Benefit for Eligible Clients |
02420414 | JAMP-ONDANSETRON SINGLE DOSE VIAL 2MG/ML | Standard Benefit for Eligible Clients |
02420422 | JAMP-ONDANSETRON MULTI-DOSE VIAL 2MG/ML | Standard Benefit for Eligible Clients |
02420430 | JAMP-PIP/TAZ INJ 4G/0.5G VIAL PWS IV | Standard Benefit for Eligible Clients |
02420449 | ZOLEDRONIC ACID INJECTION A IV 5MG/100ML | This is not a Standard Benefit. Special Authorization is required. |
02420457 | MAR-RAMIPRIL CAP 1.25MG | Standard Benefit for Eligible Clients |
Displaying 17901 - 17910 of 24215