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.
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| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 99401053 | INSULIN PUMP ADHESIVE PAD WITHOUT COTTON | This is not a Standard Benefit. Special Authorization is required. |
| 99401055 | MONOLET THIN LANCET | Standard Benefit for Eligible Clients |
| 99438102 | MONOJECT ALCOHOL SWABS | Standard Benefit for Eligible Clients |
| 99801112 | COMPOUND CATEGORY 2 | This is not a Standard Benefit. Special Authorization is required. |
| 99801113 | COMPOUND CATEGORY 3 | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24211 - 24215 of 24215