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 18571 - 18580 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02435993 | JAMP-PREGABALIN CAP 75MG | Standard Benefit for Eligible Clients |
02436000 | JAMP-PREGABALIN CAP 150MG | Standard Benefit for Eligible Clients |
02436019 | JAMP-PREGABALIN CAP 300MG | Standard Benefit for Eligible Clients |
02436108 | MAR-IRBESARTAN TAB 75MG | Standard Benefit for Eligible Clients |
02436116 | MAR-IRBESARTAN TAB 150MG | Standard Benefit for Eligible Clients |
02436124 | MAR-IRBESARTAN TAB 300MG | Standard Benefit for Eligible Clients |
02436159 | APO-ZOLPIDEM ODT 5MG | This is not a Standard Benefit. Special Authorization is required. |
02436175 | PMS-ZOLPIDEM ODT 5MG | This is not a Standard Benefit. Special Authorization is required. |
02436183 | PMS-ZOLPIDEM ODT 10MG | This is not a Standard Benefit. Special Authorization is required. |
02436191 | ACT GEMCITABINE HCL INJ 200MG PWS IV | Standard Benefit for Eligible Clients |
Displaying 18571 - 18580 of 24215