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.
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Identification Number | Trade Name | Benefit Category |
---|---|---|
99000318 | SURESTEP TEST STRIP | Standard Benefit for Eligible Clients |
99000334 | INSULIN NOVOLIN GE NPH (PENFILL) INJ 100UNIT | Standard Benefit for Eligible Clients |
99000342 | INSULIN NOVOLIN GE NPH (PENFILL) INJ 100UNIT | Standard Benefit for Eligible Clients |
99000369 | VENTODISK+DISKHALER | Standard Benefit for Eligible Clients |
99000377 | VENTODISK+DISKHALER | Standard Benefit for Eligible Clients |
99000393 | BECLODISK+DISKHALER | Standard Benefit for Eligible Clients |
99000482 | JEVITY | This is not a Standard Benefit. Special Authorization is required. |
99000490 | ISOCAL LIQ HN | This is not a Standard Benefit. Special Authorization is required. |
99000512 | ISOSOURCE HN 1.L LIQ | This is not a Standard Benefit. Special Authorization is required. |
99000520 | CRITICARE HN | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24051 - 24060 of 24215