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 23851 - 23860 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
97799591 | MEDLANCE PLUS UNIVERSAL LANCET 21G, 1.8MM (200) | Standard Benefit for Eligible Clients |
97799592 | MEDLANCE PLUS LITE LANCET 25G, 1.5MM (200) | Standard Benefit for Eligible Clients |
97799596 | FREESTYLE LITE BG TEST STRIPS - 50 | Standard Benefit for Eligible Clients |
97799597 | FREESTYLE LITE BG TEST STRIPS - 100 | Standard Benefit for Eligible Clients |
97799598 | POLYFIN TUBING EXTENSION SET 60IN.(24/PK) | This is not a Standard Benefit. Special Authorization is required. |
97799599 | POLYFIN BENT NEEDLE INFUSION SET W/QR 42IN.(24/PK) | This is not a Standard Benefit. Special Authorization is required. |
97799600 | POLYFIN BENT NEEDLE INFUS SET W/TUBING 42IN (24/PK | This is not a Standard Benefit. Special Authorization is required. |
97799622 | CLEO 90 INFUSION SET 6MM 31 INCH/80CM | This is not a Standard Benefit. Special Authorization is required. |
97799627 | COMFORT SHORT ANGLED INFUSION SET 13MM 80CM | This is not a Standard Benefit. Special Authorization is required. |
97799649 | ACCU-CHEK TENDER-1 "MINI" INFUSION SET, 13MM, 60CM | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23851 - 23860 of 24215