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 24121 - 24130 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 99003597 | JEVITY PLUS LIQ. | This is not a Standard Benefit. Special Authorization is required. |
| 99003600 | JEVITY PLUS LIQ.1.5L | This is not a Standard Benefit. Special Authorization is required. |
| 99003783 | RESOURCE BENEPROTEIN | This is not a Standard Benefit. Special Authorization is required. |
| 99004070 | VESPIDES COMBINES | Standard Benefit for Eligible Clients |
| 99004119 | PRECISION XTRA TEST STRIPS | Standard Benefit for Eligible Clients |
| 99004127 | ISOSOURCE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 99004135 | ISOSOURCE LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 99004194 | NUTRISURE | This is not a Standard Benefit. Special Authorization is required. |
| 99004208 | OSMOLITE 1.2 CAL | This is not a Standard Benefit. Special Authorization is required. |
| 99004216 | OSMOLITE 1.2 CAL | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24121 - 24130 of 24215