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 22861 - 22870 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02549093 | PIPERACILLIN & TAZOBACTAM INJ 36G/4.5G VIAL PWS IV | Standard Benefit for Eligible Clients |
| 02549107 | FAMOTIDINE TAB 20MG | Standard Benefit for Eligible Clients |
| 02549115 | FAMOTIDINE TAB 40MG | Standard Benefit for Eligible Clients |
| 02549158 | ACH-PROGESTERONE CAP 100MG | Standard Benefit for Eligible Clients |
| 02549190 | ODAN-VALPROIC ACID LIQ 250MG/5ML | Standard Benefit for Eligible Clients |
| 02549255 | MAR-PIRFENIDONE TAB 267MG | This is not a Standard Benefit. Special Authorization is required. |
| 02549263 | MAR-PIRFENIDONE TAB 801MG | This is not a Standard Benefit. Special Authorization is required. |
| 02549271 | JAMP ZOPICLONE TAB 3.75 MG | Standard Benefit for Eligible Clients |
| 02549298 | JAMP ZOPICLONE TAB 5MG | Standard Benefit for Eligible Clients |
| 02549301 | JAMP ZOPICLONE TAB 7.5MG | Standard Benefit for Eligible Clients |
Displaying 22861 - 22870 of 24215