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 23001 - 23010 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 09857386 | BOTOX PWS INJ 50UNIT/VIAL | This is not a Standard Benefit. Special Authorization is required. |
| 09857387 | BOTOX PWS INJ 200UNIT/VIAL | This is not a Standard Benefit. Special Authorization is required. |
| 09857392 | ONE TOUCH VERIO TEST STRIPS | Standard Benefit for Eligible Clients |
| 09857427 | RESOURCE DIABETIC 250ML | This is not a Standard Benefit. Special Authorization is required. |
| 09857429 | AURO-CEFPROZIL PWS 125MG/5ML (25MG/ML) | Standard Benefit for Eligible Clients |
| 09857430 | AURO-CEFPROZIL PWS 250MG/5ML (50MG/ML) | Standard Benefit for Eligible Clients |
| 09857452 | ACCU-CHECK MOBILE BLOOD GLUCOSE STRIPS | Standard Benefit for Eligible Clients |
| 09857463 | ELIQUIS TAB 2.5MG | Standard Benefit for Eligible Clients |
| 09857467 | AURO-OMEPRAZOLE DELAYED RELEASE CAP 20MG | Standard Benefit for Eligible Clients |
| 09857504 | TEVA-TRAVOPROST Z OPH SOL 0.004% | Standard Benefit for Eligible Clients |
Displaying 23001 - 23010 of 24215