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 19441 - 19450 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02457814 | MED-MOXIFLOXACIN TAB 400MG | Standard Benefit for Eligible Clients |
| 02457865 | JAMP-HYDRALAZINE TAB 10MG | Standard Benefit for Eligible Clients |
| 02457873 | JAMP-HYDRALAZINE TAB 25MG | Standard Benefit for Eligible Clients |
| 02457881 | JAMP-HYDRALAZINE TAB 50MG | Standard Benefit for Eligible Clients |
| 02457903 | LINEZOLID TAB 600MG | This is not a Standard Benefit. Special Authorization is required. |
| 02457954 | MINT-LEVOCARB TAB 100/10 | Standard Benefit for Eligible Clients |
| 02457962 | MINT-LEVOCARB TAB 100/25 | Standard Benefit for Eligible Clients |
| 02457970 | MINT-LEVOCARB TAB 250MG/25MG | Standard Benefit for Eligible Clients |
| 02457989 | NAT-OSELTAMIVIR CAP 75MG | This is not a Standard Benefit. Special Authorization is required. |
| 02457997 | IZBA LIQ OPH .003% | Standard Benefit for Eligible Clients |
Displaying 19441 - 19450 of 24215