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 |
|---|---|---|
| 80049807 | SUPERIOR WOMEN'S MULTIVITAMINS | This is not a Standard Benefit. Special Authorization is required. |
| 80050894 | VITALUX ADVANCED CHEWABLE TAB | This is not a Standard Benefit. Special Authorization is required. |
| 80051049 | VITAMIN B12 2500 MCG SUBLINGUAL TABLET | Standard Benefit for Eligible Clients |
| 80051562 | RIVA-D TAB 1000UNIT | Standard Benefit for Eligible Clients |
| 80051811 | MULTIVITAMIN & MINERAL FOR MEN 50+ TAB | This is not a Standard Benefit. Special Authorization is required. |
| 80051860 | OPUS VITAMIN B12 TABLETS 1000MCG | Standard Benefit for Eligible Clients |
| 80052230 | HYDROCORTISONE 1 % ECZEMA RESCUE CREAM | Standard Benefit for Eligible Clients |
| 80052405 | COMPLIMENTS MULTI SENIOR WOMEN | This is not a Standard Benefit. Special Authorization is required. |
| 80052478 | CENTURY MEN'S MULTIVITAMIN | This is not a Standard Benefit. Special Authorization is required. |
| 80052812 | GLYCERIN SUPPOSITORIES | Standard Benefit for Eligible Clients |
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