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 24011 - 24020 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97980820 | CRITICARE HN LIQUID | This is not a Standard Benefit. Special Authorization is required. |
| 97982580 | BOOST 1.0 STANDARD | This is not a Standard Benefit. Special Authorization is required. |
| 97982610 | BOOST 1.5 PLUS LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97982750 | TOLEREX POWDER | This is not a Standard Benefit. Special Authorization is required. |
| 97982830 | VIVONEX TEN PWD | This is not a Standard Benefit. Special Authorization is required. |
| 97983250 | CAROLEEN POWDER | This is not a Standard Benefit. Special Authorization is required. |
| 97983330 | COMPLEAT MODIFIED LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97983420 | ISOCAL LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97983470 | ISOSOURCE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97983500 | VITAL HN PWD | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24011 - 24020 of 24215