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 18941 - 18950 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02444682 | ATHENA-ONDANSETRON ODT 8MG | Standard Benefit for Eligible Clients |
02444720 | VAN-VALACYCLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
02444739 | ZOLEDRONIC ACID INJ 4MG/5ML VIAL | This is not a Standard Benefit. Special Authorization is required. |
02444763 | OXALIPLATIN INJ LIQ IV 5MG/ML | Standard Benefit for Eligible Clients |
02444771 | MAR-ENALAPRIL TAB 10MG | Standard Benefit for Eligible Clients |
02444798 | MAR-ENALAPRIL TAB 20MG | Standard Benefit for Eligible Clients |
02444836 | MYCOPHENOLATE MOFETIL IV PWS 500MG | This is not a Standard Benefit. Special Authorization is required. |
02444844 | BASAGLAR CARTRIDGE 100 UNIT/ML | Standard Benefit for Eligible Clients |
02444852 | BASAGLAR KWIKPEN 100 UNIT/ML | Standard Benefit for Eligible Clients |
02444860 | BIO-VALACYCLOVIR TAB 500MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 18941 - 18950 of 24215