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 18921 - 18930 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02444011 | TARO-DILTIAZEM T CAP 360MG | Standard Benefit for Eligible Clients |
02444038 | MIFEGYMISO TAB 200MG/200MCG | Standard Benefit for Eligible Clients |
02444062 | SYSTANE OINTMENT | Standard Benefit for Eligible Clients |
02444186 | BREO ELLIPTA 25MCG/200MCG | Standard Benefit for Eligible Clients |
02444267 | VARITHENA FOAM IV 1.3MG/ML | This is not a Standard Benefit. Special Authorization is required. |
02444275 | APO-NALTREXONE TAB 50MG | Standard Benefit for Eligible Clients |
02444283 | VAN-TOPIRAMATE TAB 25MG | Standard Benefit for Eligible Clients |
02444291 | VAN-TOPIRAMATE TAB 100MG | Standard Benefit for Eligible Clients |
02444305 | VAN-TOPIRAMATE TAB 200MG | Standard Benefit for Eligible Clients |
02444313 | PRIVA-PAROXETINE TAB 10MG | Standard Benefit for Eligible Clients |
Displaying 18921 - 18930 of 24215