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 19161 - 19170 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02450488 | MYLAN-VERAPAMIL SR TAB 180MG | Standard Benefit for Eligible Clients |
02450496 | MYLAN-VERAPAMIL SR TAB 240MG | Standard Benefit for Eligible Clients |
02450526 | CETIRIZINE TAB 20MG | Standard Benefit for Eligible Clients |
02450534 | REFRESH OPTIVE FUSION SENSITIVE DROPS | Standard Benefit for Eligible Clients |
02450550 | NATESTO GEL 4.5% | This is not a Standard Benefit. Special Authorization is required. |
02450615 | FRAXIPARINE PREFILLED SYRINGE - YELLOW 1900IU/.2ML | Standard Benefit for Eligible Clients |
02450623 | FRAXIPARINE PREFILLED SYRINGE - ORANGE 3800/0.4ML | Standard Benefit for Eligible Clients |
02450631 | FRAXIPARINE PREFILLED SYRINGE - BROWN 5700IU/0.6ML | Standard Benefit for Eligible Clients |
02450658 | FRAXIPARINE PREFILLED SYRINGE - VIOLET 9500IU/ML | Standard Benefit for Eligible Clients |
02450666 | FRAXIPARINE FORTE - MAGENTA 15200 IU/0.8ML | Standard Benefit for Eligible Clients |
Displaying 19161 - 19170 of 24215