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 24001 - 24010 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97904341 | ENSURE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97904473 | MCT OIL | This is not a Standard Benefit. Special Authorization is required. |
| 97905410 | SUSTACAL PUDDING | This is not a Standard Benefit. Special Authorization is required. |
| 97972592 | POLYCOSE POWDER | This is not a Standard Benefit. Special Authorization is required. |
| 97973165 | OSMOLITE 1 CAL | This is not a Standard Benefit. Special Authorization is required. |
| 97974455 | CITROTEIN PWD | This is not a Standard Benefit. Special Authorization is required. |
| 97974714 | CITROTEIN PWD | This is not a Standard Benefit. Special Authorization is required. |
| 97978124 | MERITENE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97980390 | CALOREEN POWDER | This is not a Standard Benefit. Special Authorization is required. |
| 97980790 | FLEXICAL HN PWD | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24001 - 24010 of 24215