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 22911 - 22920 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 09770036 | AUTOSOFT INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 09770037 | T SLIM CARTRIDGE | This is not a Standard Benefit. Special Authorization is required. |
| 09850619 | METHADONE PREPARATION | This is not a Standard Benefit. Special Authorization is required. |
| 09850627 | INJECTION PREPARATION | Standard Benefit for Eligible Clients |
| 09850635 | TOPICAL NITROGEN MUSTARD PREPARATION | Standard Benefit for Eligible Clients |
| 09850643 | TOPICAL PREP. LCD,SA,SULFUR OR TAR DISTILLATE | Standard Benefit for Eligible Clients |
| 09850651 | OPHTHALMIC SOLUTION-AMIKACIN,CEFAZOLIN,VANCOMYCIN | Standard Benefit for Eligible Clients |
| 09850678 | OPHTHALMIC SOLUTION - GENTAMYCIN OR TOBRAMYCIN | Standard Benefit for Eligible Clients |
| 09850686 | PARENTERAL NUTRITION PREPARATION | Standard Benefit for Eligible Clients |
| 09850694 | CASSETTE PREPARATION - 50ML SIZE | Standard Benefit for Eligible Clients |
Displaying 22911 - 22920 of 24215