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 24031 - 24040 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97984701 | NUTREN 2.0 LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984710 | MERITENE PWD | This is not a Standard Benefit. Special Authorization is required. |
| 97984728 | NUTREN 1.0 WITH FIBRE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984736 | NUTRISOURCE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984744 | PULMOCARE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984752 | NUTRISOURCE HN LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984779 | PEPTAMEN LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 97984795 | PROMOD PWD | This is not a Standard Benefit. Special Authorization is required. |
| 97984981 | ENSURE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 99000067 | NUBASICS LIQ | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24031 - 24040 of 24215