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 23161 - 23170 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 66124072 | METHADONE FOR PAIN | This is not a Standard Benefit. Special Authorization is required. |
| 66124085 | DISULFIRAM CAP 250MG COMPOUND | Standard Benefit for Eligible Clients |
| 66124087 | DISULFIRAM CAP 500MG COMPOUND | Standard Benefit for Eligible Clients |
| 66999990 | METHADONE- DIRECT INTERACTION WITH PATIENT | This is not a Standard Benefit. Special Authorization is required. |
| 66999991 | METHADONE- NON-DIRECT INTERACTION WITH PATIENT | This is not a Standard Benefit. Special Authorization is required. |
| 66999997 | METHADOSE SOL'N 10MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 80000118 | NICOTINE GUM 4MG | Standard Benefit for Eligible Clients |
| 80000131 | VITAMIN D 1,000 IU | Standard Benefit for Eligible Clients |
| 80000159 | CALCIA 400 IU 500MG TAB | Standard Benefit for Eligible Clients |
| 80000192 | FOLIC ACID TAB | Standard Benefit for Eligible Clients |
Displaying 23161 - 23170 of 24215