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
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Displaying 18441 to 18450 of 24838 entries
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02245748 | DOM-SERTRALINE CAP 25MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245749 | DOM-SERTRALINE CAP 50MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245750 | DOM-SERTRALINE CAP 100MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245751 | DOM-DIVALPROEX ECT 125MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245752 | DOM-DIVALPROEX ECT 250MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245753 | DOM-DIVALPROEX ECT 500MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245754 | DOM-NEFAZODONE TAB 50MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245755 | DOM-NEFAZODONE TAB 100MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245756 | DOM-NEFAZODONE TAB 150MG | This is not a Standard Benefit. Special Authorization is required. |
| 02245757 | DOM-NEFAZODONE TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 18441 to 18450 of 24838 entries