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 18071 - 18080 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02423979 | TARO-ESOMEPRAZOLE TAB 20MG | This is not a Standard Benefit. Special Authorization is required. |
02423987 | TARO-ESOMEPRAZOLE DELAYED RELEASE TAB 40MG | This is not a Standard Benefit. Special Authorization is required. |
02424029 | ALMOTRIPTAN TAB 12.5MG | Standard Benefit for Eligible Clients |
02424037 | MAR-BOSENTAN TAB 62.5MG | This is not a Standard Benefit. Special Authorization is required. |
02424045 | MAR-BOSENTAN TAB 125MG | This is not a Standard Benefit. Special Authorization is required. |
02424053 | AURO-PRAMIPEXOLE TAB 0.125MG | Standard Benefit for Eligible Clients |
02424061 | AURO-PRAMIPEXOLE TAB 0.25MG | Standard Benefit for Eligible Clients |
02424088 | AURO-PRAMIPEXOLE TAB 0.50MG | Standard Benefit for Eligible Clients |
02424096 | AURO-PRAMIPEXOLE TAB 1MG | Standard Benefit for Eligible Clients |
02424118 | AURO-PRAMIPEXOLE TAB 1.5MG | Standard Benefit for Eligible Clients |
Displaying 18071 - 18080 of 24215