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 23111 - 23120 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 46340033 | MEDTRONIC PARADIGM MIO & MINIMED MIO INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 47450001 | ACM COZMO 3ML IP CARTRIDGE | This is not a Standard Benefit. Special Authorization is required. |
| 47450002 | ACM THINSET 1.8 OR 3ML IP RESERVOIR | This is not a Standard Benefit. Special Authorization is required. |
| 47450003 | ACM THINSET 3ML IP SYRINGE RESERVOIR | This is not a Standard Benefit. Special Authorization is required. |
| 47450004 | ANIMAS 2ML OR 3ML IP CARTRIDGE | This is not a Standard Benefit. Special Authorization is required. |
| 47450005 | DMSI ACCUCHEK SPIRIT 3.15ML IP CARTRIDGE | This is not a Standard Benefit. Special Authorization is required. |
| 47450006 | MEDTRONIC MINIMED 3CC IP SYRINGE RESERVOIR | This is not a Standard Benefit. Special Authorization is required. |
| 47450007 | MEDTRONIC PARADIGM 1.76 OR 3ML IP CARTRIDGE | This is not a Standard Benefit. Special Authorization is required. |
| 48123033 | ACCU-CHEK AVIVA + 100 GLUCOSE TEST STRIPS | Standard Benefit for Eligible Clients |
| 55000014 | VITAMIN B12 STRIPS 1000MCG | Standard Benefit for Eligible Clients |
Displaying 23111 - 23120 of 24215