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 22961 - 22970 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 09853847 | INSULIN HUMULIN 20/80 INJ (CARTRIDGE) | Standard Benefit for Eligible Clients |
| 09853855 | INSULIN HUMULIN 30/70 (CARTRIDGE) INJ | Standard Benefit for Eligible Clients |
| 09853863 | INSULIN HUMULIN 40/60 INJ (CARTRIDGE) | Standard Benefit for Eligible Clients |
| 09853871 | INSULIN HUMULIN 50/50 INJ (CARTRIDGE) | Standard Benefit for Eligible Clients |
| 09854002 | ADVANTAGE COMFORT TEST STRIPS | Standard Benefit for Eligible Clients |
| 09854029 | FASTAKE TEST STRIPS | Standard Benefit for Eligible Clients |
| 09854070 | PRECISION XTRA TEST STRIPS | Standard Benefit for Eligible Clients |
| 09854088 | ELITE TEST STRIP | Standard Benefit for Eligible Clients |
| 09854096 | JEVITY PLUS-235ML PK | This is not a Standard Benefit. Special Authorization is required. |
| 09854126 | ZOLOFT CAP 25MG | Standard Benefit for Eligible Clients |
Displaying 22961 - 22970 of 24215