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 23881 - 23890 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97799714 | PARADIGM SILHOUETTE 23" COMBO - INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799721 | PARADIGM POLYFIN QR 24 INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799722 | PARADIGM POLYFIN QR 42 INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799723 | POLYFIN 24IN.QUICK RELEASE BENT NEEDLE W/WING | This is not a Standard Benefit. Special Authorization is required. |
| 97799724 | POLYFIN 42IN.QUICK RELEASE BENT NEEDLE W/WING | This is not a Standard Benefit. Special Authorization is required. |
| 97799725 | POLYFIN 42IN. BENT NEEDLE INFUSION SET W/WING | This is not a Standard Benefit. Special Authorization is required. |
| 97799726 | POLYFIN 24IN.BENT NEEDLE INFUSION SET W/WING | This is not a Standard Benefit. Special Authorization is required. |
| 97799727 | SOF-SET MICRO QR42IN. 6MM CANNULA | This is not a Standard Benefit. Special Authorization is required. |
| 97799728 | SOF-SET QR 24IN. QUICK RELEASE CANNULA | This is not a Standard Benefit. Special Authorization is required. |
| 97799729 | SOF-SET QR 42IN. QUICK RELEASE CANNULA | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23881 - 23890 of 24215