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 |
---|---|---|
80023101 | VITAMIN D SAP | Standard Benefit for Eligible Clients |
80023153 | BPT HYDROCORTISONE ONT USP 0.5% | Standard Benefit for Eligible Clients |
80023817 | JAMP-K-CITRATE TAB 10MEQ | Standard Benefit for Eligible Clients |
80024148 | SANDOZ SENNOSIDES TAB 8.6MG | Standard Benefit for Eligible Clients |
80024170 | SANDOZ SENNOSIDES A + B TAB 12MG | Standard Benefit for Eligible Clients |
80024232 | JAMP-FER CAP 100MG | Standard Benefit for Eligible Clients |
80024313 | ADULT MULTIVITAMIN GUMMIES | This is not a Standard Benefit. Special Authorization is required. |
80024336 | TRANSDERM-V SRD 1.5MG | Standard Benefit for Eligible Clients |
80024360 | K-10 LIQ 100MG | Standard Benefit for Eligible Clients |
80024394 | JAMP SENNAQUIL LIQUID 1.7MG | Standard Benefit for Eligible Clients |
Displaying 23391 - 23400 of 24215