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 18521 - 18530 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02434687 | SILDENAFIL TAB 50MG | Standard Benefit for Eligible Clients |
02434695 | SILDENAFIL TAB 100MG | Standard Benefit for Eligible Clients |
02434709 | AMOXICILLIN CAP 250MG | Standard Benefit for Eligible Clients |
02434717 | AMOXICILLIN CAP 500MG | Standard Benefit for Eligible Clients |
02434814 | JAKAVI TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
02434822 | ZINDA-CANDESARTAN / HCTZ TAB 32MG/12.5MG | Standard Benefit for Eligible Clients |
02434830 | ZINDA-CANDESARTAN / HCTZ TAB 32MG/25MG | Standard Benefit for Eligible Clients |
02434849 | TEVA-ALMOTRIPTAN TAB 12.5MG | Standard Benefit for Eligible Clients |
02434881 | FLUAD PEDIATRIC (INFLUENZA VACCINE) | Standard Benefit for Eligible Clients |
02434946 | APO-ZOLPIDEM ODT 10MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 18521 - 18530 of 24215