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 24171 - 24180 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 99101154 | CEFIXIME PWS 100MG/5ML | This is not a Standard Benefit. Special Authorization is required. |
| 99101158 | METOCLOPRAMIDE CAP 5MG | Standard Benefit for Eligible Clients |
| 99101160 | ESTRONE VAGINAL CRM 1MG/GM | Standard Benefit for Eligible Clients |
| 99101178 | VITAL PEPTIDE 1.5 CAL - 1000ML | This is not a Standard Benefit. Special Authorization is required. |
| 99101182 | VITAL PEPTIDE 1 CAL | This is not a Standard Benefit. Special Authorization is required. |
| 99101183 | VITAL PEPTIDE 1.5 CAL | This is not a Standard Benefit. Special Authorization is required. |
| 99101186 | SURETEST TEST STRIPS | Standard Benefit for Eligible Clients |
| 99101197 | METHAZOLAMIDE CAP 25MG | Standard Benefit for Eligible Clients |
| 99101198 | METHAZOLAMIDE CAP 50MG | Standard Benefit for Eligible Clients |
| 99101199 | PERPHENAZINE CAP 2MG | Standard Benefit for Eligible Clients |
Displaying 24171 - 24180 of 24215