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 18451 - 18460 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02432579 | CHLORHEXIDINE GLUCONATE ORAL RINSE 0.12% | This is not a Standard Benefit. Special Authorization is required. |
02432625 | VAN-MYCOPHENOLATE TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
02432676 | POSANOL SOLUTION IV 18MG/ML | Standard Benefit for Eligible Clients |
02432684 | AG-DONEPEZIL TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
02432692 | AG-DONEPEZIL TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
02432730 | FLUZONE QUADRIVALENT MULTIDOSE VIAL 30MCG/ML | Standard Benefit for Eligible Clients |
02432773 | AURO-CEFIXIME TAB 400MG | Standard Benefit for Eligible Clients |
02432897 | TELMISARTAN TAB 40MG | Standard Benefit for Eligible Clients |
02432900 | TELMISARTAN TAB 80MG | Standard Benefit for Eligible Clients |
02432919 | TRINTELLIX TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 18451 - 18460 of 24215