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.
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Identification Number | Trade Name | Benefit Category |
---|---|---|
55123326 | NUTREN 1.5 LIQ | This is not a Standard Benefit. Special Authorization is required. |
55123338 | NUTREN 2.0 LIQ | This is not a Standard Benefit. Special Authorization is required. |
55123340 | PEPTAMEN LIQ | This is not a Standard Benefit. Special Authorization is required. |
55123417 | VITAMIN E CAP 400UNIT | Standard Benefit for Eligible Clients |
66060630 | IODOSORB-OINTMENT 10G TUBE | Standard Benefit for Eligible Clients |
66060631 | IODOSORB-OINTMENT 20G TUBE | Standard Benefit for Eligible Clients |
66060632 | IODOSORB-OINTMENT 40G TUBE | Standard Benefit for Eligible Clients |
66060633 | IODOSORB-PASTE 5G | Standard Benefit for Eligible Clients |
66060634 | IODOSORB-PASTE 10G | Standard Benefit for Eligible Clients |
66060635 | IODOSORB-PASTE 17G | Standard Benefit for Eligible Clients |
Displaying 23141 - 23150 of 24215