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 19371 - 19380 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02456125 | CASPOFUNGIN ACETATE 70MG PWS IV | This is not a Standard Benefit. Special Authorization is required. |
| 02456133 | CASPOFUNGIN ACETATE 50MG PWS IV | This is not a Standard Benefit. Special Authorization is required. |
| 02456168 | OLOPATADINE OPHTHALMIC SOL'N 0.1% | Standard Benefit for Eligible Clients |
| 02456214 | TAGRISSO TAB 40MG | Standard Benefit for Eligible Clients |
| 02456222 | TAGRISSO TAB 80MG | Standard Benefit for Eligible Clients |
| 02456311 | ACH-OLMESARTAN TAB 20MG | Standard Benefit for Eligible Clients |
| 02456338 | ACH-OLMESARTAN TAB 40MG | Standard Benefit for Eligible Clients |
| 02456370 | EPCLUSA TAB 400MG/100MG | This is not a Standard Benefit. Special Authorization is required. |
| 02456389 | AURO-TELMISARTAN HCTZ TAB 80MG/12.5MG | Standard Benefit for Eligible Clients |
| 02456397 | AURO-TELMISARTAN HCTZ TAB 80MG/25MG | Standard Benefit for Eligible Clients |
Displaying 19371 - 19380 of 24215