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 23151 - 23160 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 66123112 | TEAR GEL 1.4% | Standard Benefit for Eligible Clients |
| 66123331 | EYESTIL .15% OPH DROPS | Standard Benefit for Eligible Clients |
| 66123471 | INFUSION SYRINGES 1.8CC & 3 CC | This is not a Standard Benefit. Special Authorization is required. |
| 66124065 | METHADONE PAIN SUPP | This is not a Standard Benefit. Special Authorization is required. |
| 66124066 | METHADONE PAIN 1MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 66124067 | METHADONE PAIN 2MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 66124068 | METHADONE PAIN 5 MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 66124069 | METHADONE PAIN 10MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 66124070 | METHADONE PAIN 20MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 66124071 | METHADONE PAIN 25MG/ML | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23151 - 23160 of 24215