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 24021 - 24030 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97984060 | JEVITY LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984590 | PORTAGEN POWDER | This is not a Standard Benefit. Special Authorization is required. |
| 97984620 | SUSTACAL LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984639 | ENSURE HIGH PROTEIN LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984647 | ENSURE PUDDING | This is not a Standard Benefit. Special Authorization is required. |
| 97984655 | ISOCAL HN LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984663 | ISOSOURCE HN LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984671 | NUTREN 1.0 LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984680 | SUSTAGEN POWDER | This is not a Standard Benefit. Special Authorization is required. |
| 97984698 | NUTREN 1.5 LIQ | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24021 - 24030 of 24215