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 23861 - 23870 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97799672 | CONTACT DETACH INFUS. SET 6MM NEEDLE 60CM TUBING | This is not a Standard Benefit. Special Authorization is required. |
| 97799674 | 2.0ML CARTRIDGE FOR IR 1200 | This is not a Standard Benefit. Special Authorization is required. |
| 97799676 | COMFORT SHORT ANG INFUSION SET 13MM CANN/43"TBNG | This is not a Standard Benefit. Special Authorization is required. |
| 97799677 | COMFORT SHORT ANG INFUSION SET 13MM CANN/23"TBNG | This is not a Standard Benefit. Special Authorization is required. |
| 97799678 | COMFORT SHORT ANG INFUSION SET 13MM CANN/43"TBNG | This is not a Standard Benefit. Special Authorization is required. |
| 97799679 | COMFORT SHORT ANG INFUSION SET 13MM CANN/23"TBNG | This is not a Standard Benefit. Special Authorization is required. |
| 97799680 | COMFORT INFUSION SET 17MM CANNULA, 110CM TUBING | This is not a Standard Benefit. Special Authorization is required. |
| 97799681 | COMFORT INFUSION SET 17MM CANNULA, 60CM TUBING | This is not a Standard Benefit. Special Authorization is required. |
| 97799682 | COMFORT INFUSION SET 17MM CANNULA, 110CM TUBING | This is not a Standard Benefit. Special Authorization is required. |
| 97799683 | COMFORT INFUSION SET 17MM CANNULA, 60CM TUBING | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23861 - 23870 of 24215