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 19191 - 19200 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02451190 | UPTRAVI TAB 1000MCG | This is not a Standard Benefit. Special Authorization is required. |
| 02451204 | UPTRAVI TAB 1200MCG | This is not a Standard Benefit. Special Authorization is required. |
| 02451212 | UPTRAVI TAB 1400MCG | This is not a Standard Benefit. Special Authorization is required. |
| 02451220 | UPTRAVI TAB 1600MCG | This is not a Standard Benefit. Special Authorization is required. |
| 02451239 | ESTRADIOL TAB 0.5MG | Standard Benefit for Eligible Clients |
| 02451247 | ESTRADIOL TAB 1MG | Standard Benefit for Eligible Clients |
| 02451255 | ESTRADIOL TAB 2MG | Standard Benefit for Eligible Clients |
| 02451271 | VAN-DORZOLAMIDE-TIMOLOL LIQ 5MG/20MG/ML | Standard Benefit for Eligible Clients |
| 02451298 | MUSCLE & BACK PAIN RELIEF 400/500MG | Standard Benefit for Eligible Clients |
| 02451387 | AURO-VORICONAZOLE TAB 50MG | Standard Benefit for Eligible Clients |
Displaying 19191 - 19200 of 24215