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 19561 - 19570 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02460939 | SANDOZ ESOMEPRAZOLE DELAYED RELEASE TAB 40MG | This is not a Standard Benefit. Special Authorization is required. |
| 02460947 | CASPOFUNGIN FOR INJECTION PWS IV 50MG | This is not a Standard Benefit. Special Authorization is required. |
| 02460955 | CASPOFUNGIN FOR INJECTION PWS IV 70MG | This is not a Standard Benefit. Special Authorization is required. |
| 02461110 | PMS-EMTRICITABINE/TENOFOVIR TAB 300/200MG | Standard Benefit for Eligible Clients |
| 02461129 | KETOROLAC TROMETHAMINE LIQ INJ 30MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 02461277 | PMS-OLMESARTAN HCTZ TAB 20/12.5MG | Standard Benefit for Eligible Clients |
| 02461285 | PMS-OLMESARTAN HCTZ TAB 40/12.5MG | Standard Benefit for Eligible Clients |
| 02461293 | PMS-OLMESARTAN HCTZ TAB 40/25MG | Standard Benefit for Eligible Clients |
| 02461307 | PMS-OLMESARTAN TAB 20MG | Standard Benefit for Eligible Clients |
| 02461315 | PMS-OLMESARTAN TAB 40MG | Standard Benefit for Eligible Clients |
Displaying 19561 - 19570 of 24215