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 |
---|---|---|
00027499 | SANSERT TAB 2MG | Standard Benefit for Eligible Clients |
00027502 | GLYSENNID TAB 12MG | Standard Benefit for Eligible Clients |
00027596 | POTASSIUM SANDOZ EFF TAB | Standard Benefit for Eligible Clients |
00027898 | CELESTODERM V/2 CRM 0.05% | Standard Benefit for Eligible Clients |
00027901 | CELESTODERM V CRM 0.1% | Standard Benefit for Eligible Clients |
00027928 | GARAMYCIN CREAM 0.1% | Standard Benefit for Eligible Clients |
00027944 | VALISONE SCALP LOT 0.1% | Standard Benefit for Eligible Clients |
00027995 | CHLORTRIPOLON INJ 10MG/ML LIQ | This is not a Standard Benefit. Special Authorization is required. |
00028002 | TRILAFON LIQ INJ 5MG/ML | Standard Benefit for Eligible Clients |
00028053 | SODIUM SULAMYD OPH SOL 10% | Standard Benefit for Eligible Clients |
Displaying 251 - 260 of 24215