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 19481 - 19490 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02458667 | LIXIANA TAB 60MG | Standard Benefit for Eligible Clients |
| 02458683 | MAEVE (28) TAB | Standard Benefit for Eligible Clients |
| 02458691 | APO-TRAVOPROST-TIMOLOL PQ LIQ OPH .0040% / 0.5% | Standard Benefit for Eligible Clients |
| 02458721 | APO-TRYPTOPHAN TAB 750MG | Standard Benefit for Eligible Clients |
| 02458748 | AA-CLOZAPINE TAB 50MG | This is not a Standard Benefit. Special Authorization is required. |
| 02458756 | AA-CLOZAPINE TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
| 02458764 | RIZATRIPTAN ODT TAB 5MG | Standard Benefit for Eligible Clients |
| 02458772 | RIZATRIPTAN ODT TAB 10MG | Standard Benefit for Eligible Clients |
| 02458780 | ZOLMITRIPTAN TAB 2.5MG | Standard Benefit for Eligible Clients |
| 02458799 | ANASTROZOLE TAB 1MG | Standard Benefit for Eligible Clients |
Displaying 19481 - 19490 of 24215