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 23891 - 23900 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97799730 | SOF-SET 24IN. CANNULA SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799731 | SOF-SET 42IN. CANNULA SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799732 | PARADIGM 24 X 6MM SOF-SET MICRO QR INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799733 | PARADIGM 42 X 6MM SOF-SET MICRO QR | This is not a Standard Benefit. Special Authorization is required. |
| 97799734 | PARADIGM SOF-SET 24 X 9MM ULTIMATE QR INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799735 | PARADIGM SOF-SET 42 X 9MM ULTIMATE QR INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799736 | SOF-SET MICRO QR24IN. 6MM CANNULA | This is not a Standard Benefit. Special Authorization is required. |
| 97799737 | QUICK-SET 9MM CANNULA/43" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799738 | QUICK-SET 9MM CANNULA/23" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 97799739 | QUICK-SET 6MM CANNULA/43" TUBING INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
Displaying 23891 - 23900 of 24215