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 23031 - 23040 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 09991031 | ARANESP LIQ INJ 1500MCG/0.3ML | This is not a Standard Benefit. Special Authorization is required. |
| 09991061 | RESERVOIR 5XX 1.8ML SYRINGES FOR INFUSION SETS | This is not a Standard Benefit. Special Authorization is required. |
| 09991062 | RESERVOIR 7XX 3.0ML SYRINGES FOR INFUSION SETS | This is not a Standard Benefit. Special Authorization is required. |
| 22123100 | METOCLOPRAMIDE CAP 5 MG COMPOUND | Standard Benefit for Eligible Clients |
| 22123101 | METOCLOPRAMIDE CAP 10MG COMPOUND | Standard Benefit for Eligible Clients |
| 22123324 | NITRO 2% OINT | Standard Benefit for Eligible Clients |
| 28010011 | MEDTRONIC QUICK SET INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 28010012 | INSULIN INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 28010030 | TUBING FOR PUMP(INFUSION SET) | This is not a Standard Benefit. Special Authorization is required. |
| 28010040 | SYRINGES(RESERVOIR) FOR PUMP | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23031 - 23040 of 24215