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.
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| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00024341 | SINEQUAN CAP 50MG | Standard Benefit for Eligible Clients |
| 00024368 | VIBRAMYCIN CAP 100MG | Standard Benefit for Eligible Clients |
| 00024376 | ATARAX CAP 10MG | Standard Benefit for Eligible Clients |
| 00024384 | ATARAX CAP 25MG | Standard Benefit for Eligible Clients |
| 00024422 | TETRACYN CAP 250MG | Standard Benefit for Eligible Clients |
| 00024430 | NAVANE CAP 2MG | Standard Benefit for Eligible Clients |
| 00024449 | NAVANE CAP 5MG | Standard Benefit for Eligible Clients |
| 00024457 | NAVANE CAP 10MG | Standard Benefit for Eligible Clients |
| 00024589 | ATARAX IM LIQ 50MG/ML | Standard Benefit for Eligible Clients |
| 00024694 | ATARAX SYRUP 2MG/ML | Standard Benefit for Eligible Clients |
Displaying 221 - 230 of 24215