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 18121 - 18130 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02424924 | DIVIGEL GEL 0.1% TRANSDERMAL .25MG PACK | Standard Benefit for Eligible Clients |
02424967 | SEPTA-LOSARTAN TAB 25MG | Standard Benefit for Eligible Clients |
02424975 | SEPTA-LOSARTAN TAB 50MG | Standard Benefit for Eligible Clients |
02424983 | SEPTA-LOSARTAN TAB 100MG | Standard Benefit for Eligible Clients |
02424991 | MINT-HYDROXYCHLOROQUINE TAB 200MG | Standard Benefit for Eligible Clients |
02425009 | CONTINGENCY ONE TAB 1.5MG | Standard Benefit for Eligible Clients |
02425017 | TARO-CYPROTERONE/ETHINYL ESTRADIOL TAB | This is not a Standard Benefit. Special Authorization is required. |
02425041 | ULTRA SHEER BODY MIST SUNSCREEN SPF 100 | This is not a Standard Benefit. Special Authorization is required. |
02425114 | OLANZAPINE ODT 20MG | Standard Benefit for Eligible Clients |
02425157 | AURO-GALANTAMINE ER EXTENDED RELEASE CAP 8MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 18121 - 18130 of 24215