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 24181 - 24190 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 99101200 | PERPHENAZINE CAP 4MG | Standard Benefit for Eligible Clients |
| 99101202 | PERPHENAZINE CAP 1MG | Standard Benefit for Eligible Clients |
| 99101215 | COSENTYX PWS 150MG/ML | This is not a Standard Benefit. Special Authorization is required. |
| 99101387 | ACCU-CHEK GUIDE GLUCOSE TEST STRIPS | Standard Benefit for Eligible Clients |
| 99101404 | PROCYCLIDINE CAP 2.5MG | Standard Benefit for Eligible Clients |
| 99101405 | PROCYCLIDINE CAP 5MG | Standard Benefit for Eligible Clients |
| 99101415 | SOTALOL CAP 80MG | Standard Benefit for Eligible Clients |
| 99101493 | AUVI-Q 0.3MG | Standard Benefit for Eligible Clients |
| 99102093 | AUVI-Q INJECTOR LIQ 0.15MG/DOSE | Standard Benefit for Eligible Clients |
| 99113708 | RANITIDINE CAP 150MG | Standard Benefit for Eligible Clients |
Displaying 24181 - 24190 of 24215