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 18771 - 18780 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02440768 | SEPTA-TELMISARTAN TAB 80MG | Standard Benefit for Eligible Clients |
| 02440970 | FETZIMA EXTENDED RELEASE CAP 20MG | This is not a Standard Benefit. Special Authorization is required. |
| 02440989 | FETZIMA EXTENDED RELEASE CAP 40MG | This is not a Standard Benefit. Special Authorization is required. |
| 02440997 | FETZIMA EXTENDED RELEASE CAP 80MG | This is not a Standard Benefit. Special Authorization is required. |
| 02441004 | FETZIMA EXTENDED RELEASE CAP 120MG | This is not a Standard Benefit. Special Authorization is required. |
| 02441012 | LINEZOLID INJECTION LIQ IV 2MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 02441020 | APO-DICLOFENAC OPHTHALMIC LIQ 0.1% | Standard Benefit for Eligible Clients |
| 02441063 | TEVA-TOPOTECAN PWS 1MG/VIAL IV | Standard Benefit for Eligible Clients |
| 02441071 | TEVA-TOPOTECAN PWS 4MG/VIAL IV | Standard Benefit for Eligible Clients |
| 02441128 | TADALAFIL 10MG TAB | Standard Benefit for Eligible Clients |
Displaying 18771 - 18780 of 24215