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 19361 - 19370 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
02455935 | NALOXONE HCL INJ 0.4MG/ML | Standard Benefit for Eligible Clients |
02455943 | INVEGA TRINZA LIQ 175MG / 0.875ML | Standard Benefit for Eligible Clients |
02455951 | DARZALEX LIQ IV 100MG/5ML | Standard Benefit for Eligible Clients |
02455978 | DARZALEX LIQ IV 400MG/20ML | Standard Benefit for Eligible Clients |
02455986 | INVEGA TRINZA LIQ 263MG / 1.315ML | Standard Benefit for Eligible Clients |
02455994 | INVEGA TRINZA LIQ 350MG / 1.75ML | Standard Benefit for Eligible Clients |
02456001 | INVEGA TRINZA LIQ 525MG / 2.625ML | Standard Benefit for Eligible Clients |
02456095 | ACH-TACROLIMUS CAP 1MG | This is not a Standard Benefit. Special Authorization is required. |
02456109 | ACH-TACROLIMUS CAP 5MG | This is not a Standard Benefit. Special Authorization is required. |
02456117 | DYSPORT PWS 500 UNIT | This is not a Standard Benefit. Special Authorization is required. |
Displaying 19361 - 19370 of 24215