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 23081 - 23090 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 44123049 | ONE TOUCH VERIO TEST STRIPS (100) | Standard Benefit for Eligible Clients |
| 44123051 | CONTOUR NEXT BG TEST STRIPS | Standard Benefit for Eligible Clients |
| 44123064 | ACCU-CHEK GUIDE BG TEST STRIPS | Standard Benefit for Eligible Clients |
| 45230007 | MEDTRONIC PARADIGM VEO 554 | This is not a Standard Benefit. Special Authorization is required. |
| 45230008 | MEDTRONIC PARADIGM VEO 754 | This is not a Standard Benefit. Special Authorization is required. |
| 46340001 | ACM CLEO 90 INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340002 | ACM COMFORT CANNULAS ONLY | This is not a Standard Benefit. Special Authorization is required. |
| 46340003 | ACM COMFORT INFUSION SET/COMBO/SHORT COMBO | This is not a Standard Benefit. Special Authorization is required. |
| 46340004 | ACM CONTACT DETACH INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340005 | ACM THALASET INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23081 - 23090 of 24215