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 24131 - 24140 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
99004224 | OSMOLITE 1.2 CAL | This is not a Standard Benefit. Special Authorization is required. |
99004240 | ONE TOUCH ULTRA TEST STRIPS | Standard Benefit for Eligible Clients |
99004364 | ACCU-CHECK COMPACT TEST STRIPS | Standard Benefit for Eligible Clients |
99004372 | RAPAMUNE ORAL SOL 1MG/ML | This is not a Standard Benefit. Special Authorization is required. |
99004380 | RAPAMUNE ORAL SOL 1MG/ML | This is not a Standard Benefit. Special Authorization is required. |
99004399 | RAPAMUNE ORAL SOL 1MG/ML | This is not a Standard Benefit. Special Authorization is required. |
99004496 | ISOSOURCE VHN LIQUID | This is not a Standard Benefit. Special Authorization is required. |
99004577 | SOF-TACT BLOOD GLUCOSE TEST STRIPS | Standard Benefit for Eligible Clients |
99004593 | YELLOW HORNET LIQ INJ | Standard Benefit for Eligible Clients |
99004607 | WHITE HORNET LIQ INJ | Standard Benefit for Eligible Clients |
Displaying 24131 - 24140 of 24215