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 19381 - 19390 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02456400 | MYLAN-PALIPERIDONE EXTENDED RELEASE TAB 3MG | Standard Benefit for Eligible Clients |
| 02456451 | RUPALL TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
| 02456524 | ACYCLOVIR SODIUM IV INJ SINGLE-USE VIAL 50 MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 02456575 | SYNJARDY TAB 500MG/5MG | Standard Benefit for Eligible Clients |
| 02456583 | SYNJARDY TAB 850MG/5MG | Standard Benefit for Eligible Clients |
| 02456591 | SYNJARDY TAB 1000MG/5MG | Standard Benefit for Eligible Clients |
| 02456605 | SYNJARDY TAB 500MG/12.5MG | Standard Benefit for Eligible Clients |
| 02456613 | SYNJARDY TAB 850MG/12.5MG | Standard Benefit for Eligible Clients |
| 02456621 | SYNJARDY TAB 1000MG/12.5MG | Standard Benefit for Eligible Clients |
| 02456753 | TEVA-DULOXETINE CAP 30MG | Standard Benefit for Eligible Clients |
Displaying 19381 - 19390 of 24215