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 18761 - 18770 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02440598 | JAMP VALACYCLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
02440601 | REVLIMID CAP 20MG | Standard Benefit for Eligible Clients |
02440628 | TEVA-PANTOPRAZOLE MAGNESIUM TAB 40MG | Standard Benefit for Eligible Clients |
02440644 | ACH-PRAVASTATIN TAB 10MG | Standard Benefit for Eligible Clients |
02440652 | ACH-PRAVASTATIN TAB 20MG | Standard Benefit for Eligible Clients |
02440660 | ACH-PRAVASTATIN TAB 40MG | Standard Benefit for Eligible Clients |
02440717 | JAMP-OXCARBAZEPINE TAB 150MG | This is not a Standard Benefit. Special Authorization is required. |
02440725 | JAMP-OXCARBAZEPINE TAB 300MG | This is not a Standard Benefit. Special Authorization is required. |
02440733 | JAMP-OXCARBAZEPINE TAB 600MG | This is not a Standard Benefit. Special Authorization is required. |
02440741 | SEPTA-TELMISARTAN TAB 40MG | Standard Benefit for Eligible Clients |
Displaying 18761 - 18770 of 24215