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 23131 - 23140 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 55123200 | CITRISOURCE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 55123211 | MERITENE PWS | This is not a Standard Benefit. Special Authorization is required. |
| 55123223 | NUTRISOURCE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 55123235 | NUTRISOURCE HN LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 55123247 | RESOURCE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 55123259 | RESOURCE PLUS LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 55123260 | TOLEREX POWDER | This is not a Standard Benefit. Special Authorization is required. |
| 55123284 | VIVONEX PLUS PWD | This is not a Standard Benefit. Special Authorization is required. |
| 55123296 | VIVONEX TEN PWD | This is not a Standard Benefit. Special Authorization is required. |
| 55123314 | NUTREN 1 LIQ | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23131 - 23140 of 24215