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 22681 - 22690 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02542382 | AG-ZOLPIDEM OD TAB 5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02542390 | AG-ZOLPIDEM OD TAB 10MG | This is not a Standard Benefit. Special Authorization is required. |
| 02542439 | JAMP CITALOPRAM TAB 30MG | Standard Benefit for Eligible Clients |
| 02542447 | UPH-SILDENAFIL TAB 25MG | Standard Benefit for Eligible Clients |
| 02542455 | UPH-SILDENAFIL TAB 50MG | Standard Benefit for Eligible Clients |
| 02542463 | UPH-SILDENAFIL TAB 100MG | Standard Benefit for Eligible Clients |
| 02542471 | PRO-MIRTAZAPINE TAB 45MG | Standard Benefit for Eligible Clients |
| 02542587 | JAMP IPRATROPIUM HFA 20MCG | Standard Benefit for Eligible Clients |
| 02542595 | MINT-BACLOFEN TAB 10MG | Standard Benefit for Eligible Clients |
| 02542609 | MINT-BACLOFEN TAB 20MG | Standard Benefit for Eligible Clients |
Displaying 22681 - 22690 of 24215