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 18061 - 18070 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02423669 | AURO-LOSARTAN HCT TAB 100MG/25MG | Standard Benefit for Eligible Clients |
02423758 | MIDAZOLAM LIQ 1MG/ML | Standard Benefit for Eligible Clients |
02423766 | MIDAZOLAM LIQ INJ 5MG | Standard Benefit for Eligible Clients |
02423804 | MINT-PREGABALIN CAP 25MG | Standard Benefit for Eligible Clients |
02423812 | MINT-PREGABALIN CAP 50MG | Standard Benefit for Eligible Clients |
02423820 | MYLAN-CLOPIDOGREL TAB 300MG | This is not a Standard Benefit. Special Authorization is required. |
02423855 | ACT ESOMEPRAZOLE DELAYED RELEASE TAB 20MG | This is not a Standard Benefit. Special Authorization is required. |
02423863 | TEVA-ESOMEPRAZOLE DELAYED RELEASE TAB 40MG | This is not a Standard Benefit. Special Authorization is required. |
02423898 | XELJANZ TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
02423944 | PMS-OLANZAPINE ODT 20MG | Standard Benefit for Eligible Clients |
Displaying 18061 - 18070 of 24215