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 19261 - 19270 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02452987 | BRIVLERA SOLUTION 10MG/ML | This is not a Standard Benefit. Special Authorization is required. |
02452995 | BRIVLERA SOLUTION 10MG/ML IV | This is not a Standard Benefit. Special Authorization is required. |
02453053 | APO-PERINDOPRIL-INDAPAMIDE TAB 2/0.625MG | Standard Benefit for Eligible Clients |
02453061 | APO-PERINDOPRIL-INDAPAMIDE TAB 8/2.5MG | Standard Benefit for Eligible Clients |
02453150 | IBRANCE CAP 75MG | Standard Benefit for Eligible Clients |
02453169 | IBRANCE CAP 100MG | Standard Benefit for Eligible Clients |
02453177 | IBRANCE CAP 125MG | Standard Benefit for Eligible Clients |
02453193 | LAX-A-DAY PHARMA PWS 1GM | Standard Benefit for Eligible Clients |
02453258 | S.O.S. NALOXONE HCL INJ 0.4MG/ML | Standard Benefit for Eligible Clients |
02453312 | JAMP-BEZAFIBRATE SR TAB 400MG | Standard Benefit for Eligible Clients |
Displaying 19261 - 19270 of 24215