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 18711 - 18720 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02439530 | DUAKLIR GENUAIR 12MCG/400MCG | This is not a Standard Benefit. Special Authorization is required. |
02439549 | NAT-OMEPRAZOLE DR TAB 20MG | Standard Benefit for Eligible Clients |
02439557 | NAT-DONEPEZIL TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
02439565 | NAT-DONEPEZIL TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
02439573 | MINT-RIZATRIPTAN ODT 5MG | This is not a Standard Benefit. Special Authorization is required. |
02439581 | MINT-RIZATRIPTAN ODT 10MG | This is not a Standard Benefit. Special Authorization is required. |
02439603 | VYVANSE CAP 10MG | Standard Benefit for Eligible Clients |
02439611 | HUMALOG KWIKPEN 200 UNITS/ML | Standard Benefit for Eligible Clients |
02439638 | ZOLPIDEM TARTRATE ODT 10MG | This is not a Standard Benefit. Special Authorization is required. |
02439646 | ZOLPIDEM TARTRATE ODT 5MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 18711 - 18720 of 24215