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 22971 - 22980 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
09854169 | OSMOLITE 1.2 CAL | This is not a Standard Benefit. Special Authorization is required. |
09854282 | ACCU-CHECK COMPACT TEST STRIPS | Standard Benefit for Eligible Clients |
09854290 | ONE TOUCH ULTRA TEST STRIPS | Standard Benefit for Eligible Clients |
09854304 | SOF-TACT BLOOD GLUCOSE TEST STRIPS | Standard Benefit for Eligible Clients |
09854363 | ISOSOURCE HN WITH FIBRE | This is not a Standard Benefit. Special Authorization is required. |
09854452 | OSMOLITE 1 CAL | This is not a Standard Benefit. Special Authorization is required. |
09857095 | OSMOLITE 1.2 CAL | This is not a Standard Benefit. Special Authorization is required. |
09857127 | CONTOUR BG TEST STRIPS | Standard Benefit for Eligible Clients |
09857136 | INFUSION | This is not a Standard Benefit. Special Authorization is required. |
09857141 | FREESTYLE BLOOD GLUCOSE TEST STRIPS | Standard Benefit for Eligible Clients |
Displaying 22971 - 22980 of 24215