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 19181 - 19190 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02450968 | SILDENAFIL R TAB 20MG | This is not a Standard Benefit. Special Authorization is required. |
| 02450976 | RIVA-MOXIFLOXACIN TAB 400MG | Standard Benefit for Eligible Clients |
| 02451018 | M-ACETAMINOPHEN TAB 325MG | Standard Benefit for Eligible Clients |
| 02451077 | RIVA-DULOXETINE CAP 30MG | Standard Benefit for Eligible Clients |
| 02451085 | RIVA-DULOXETINE CAP 60MG | Standard Benefit for Eligible Clients |
| 02451123 | M-ACETAMINOPHEN TAB 500MG | Standard Benefit for Eligible Clients |
| 02451158 | UPTRAVI TAB 200MCG | This is not a Standard Benefit. Special Authorization is required. |
| 02451166 | UPTRAVI TAB 400MCG | This is not a Standard Benefit. Special Authorization is required. |
| 02451174 | UPTRAVI TAB 600MCG | This is not a Standard Benefit. Special Authorization is required. |
| 02451182 | UPTRAVI TAB 800MCG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 19181 - 19190 of 24215