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 23761 - 23770 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97799089 | QUICK-SET 6MM CANNULA/24" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799090 | QUICK-SET 6MM CANNULA/42" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799091 | PARADIGM QUICK SET 23 "/ 9MM TUBING & CANNULA | This is not a Standard Benefit. Special Authorization is required. |
| 97799092 | QUICK-SET 9MM CANNULA/43" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799093 | QUICK-SET INFUSION SET 45CM TUBING W 6MM CANNULA | This is not a Standard Benefit. Special Authorization is required. |
| 97799094 | QUICK-SET INFUSION SET 80CM TUBING W 6MM CANNULA | This is not a Standard Benefit. Special Authorization is required. |
| 97799095 | QUICK-SET INFUSION SET 80CM TUBING W 9MM CANNULA | This is not a Standard Benefit. Special Authorization is required. |
| 97799096 | MINIMED MIO 13MM CANNULA/43" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799097 | MINIMED MIO 13MM CANNULA/23" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799098 | SURE-T 29G (8MM NEEDLE/23" TUBING) | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23761 - 23770 of 24215