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 24141 - 24150 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 99004631 | PEPTAMEN LIQUID | This is not a Standard Benefit. Special Authorization is required. |
| 99004704 | FREESTYLE BLOOD GLUCOSE TEST STRIPS | Standard Benefit for Eligible Clients |
| 99004909 | ARANESP (HSA FREE) INQ INJ 100MCG/0.5ML | This is not a Standard Benefit. Special Authorization is required. |
| 99004917 | ARANESP (HSA FREE) LIQ INJ 40MCG/0.4ML | This is not a Standard Benefit. Special Authorization is required. |
| 99004925 | ARANESP (HSA FREE) LIQ INJ 50MCG/0.5ML | This is not a Standard Benefit. Special Authorization is required. |
| 99004933 | ARANESP (HSA FREE) LIQ INJ 80MCG/0.4ML | This is not a Standard Benefit. Special Authorization is required. |
| 99050108 | SYNVISC | Standard Benefit for Eligible Clients |
| 99100096 | CONTOUR BG TEST STRIPS | Standard Benefit for Eligible Clients |
| 99100098 | IODOSORB-PASTE | Standard Benefit for Eligible Clients |
| 99100099 | IODOSORB-OINTMENT | Standard Benefit for Eligible Clients |
Displaying 24141 - 24150 of 24215