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 24201 - 24210 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 99114296 | METHADONE TAB 5MG | Standard Benefit for Eligible Clients |
| 99114351 | CARBAMAZEPINE ERC 200MG | Standard Benefit for Eligible Clients |
| 99114352 | CARBAMAZEPINE ERC 400MG | Standard Benefit for Eligible Clients |
| 99401017 | MICROLET LANCING DEVICE | Standard Benefit for Eligible Clients |
| 99401047 | INSULIN PUMP CARTRIDGES | This is not a Standard Benefit. Special Authorization is required. |
| 99401048 | INSULIN PUMP PISTON ROD | This is not a Standard Benefit. Special Authorization is required. |
| 99401049 | INSULIN PUMP ADAPTOR | This is not a Standard Benefit. Special Authorization is required. |
| 99401050 | INSULIN PUMP INFUSION SETS | This is not a Standard Benefit. Special Authorization is required. |
| 99401051 | INSULIN PUMP TUBING | This is not a Standard Benefit. Special Authorization is required. |
| 99401052 | INSULIN PUMP ADHESIVE PAD WITH COTTON | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24201 - 24210 of 24215