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 |
|---|---|---|
| 99002809 | LIFESCAN FAST TAKE TEST STRIP | Standard Benefit for Eligible Clients |
| 99002817 | HUMALOG | Standard Benefit for Eligible Clients |
| 99002833 | LACRINORM GEL 3% | Standard Benefit for Eligible Clients |
| 99002841 | TEAR-GEL 0.3% | Standard Benefit for Eligible Clients |
| 99002876 | PSYLLIUM | Standard Benefit for Eligible Clients |
| 99002884 | AVANTAGE COMFORT BLOOD GLUCOSE TEST STRIP | Standard Benefit for Eligible Clients |
| 99003295 | INTRASITE GEL | Standard Benefit for Eligible Clients |
| 99003341 | NUTRISOURCE | This is not a Standard Benefit. Special Authorization is required. |
| 99003554 | RESOURCE LIQ 2.0 | This is not a Standard Benefit. Special Authorization is required. |
| 99003570 | OSMOLITE 1 CAL | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24111 - 24120 of 24215