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 281 - 290 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
00029149 | FUNGIZONE PWS IV INJ 50MG | Standard Benefit for Eligible Clients |
00029165 | RUBRAMIN LIQ INJ 1000MCG/ML | Standard Benefit for Eligible Clients |
00029173 | MODITEN ENANTHATE LIQ INJ 25MG/ML | Standard Benefit for Eligible Clients |
00029181 | PRONESTYL LIQ INJ 100MG/ML | This is not a Standard Benefit. Special Authorization is required. |
00029238 | DELESTROGEN INJ 10MG/ML LIQ | This is not a Standard Benefit. Special Authorization is required. |
00029246 | DELATESTRYL LIQ INJ 200MG/ML | This is not a Standard Benefit. Special Authorization is required. |
00029556 | MYCOSTATIN ONT 100000IU/GM | Standard Benefit for Eligible Clients |
00030082 | QUINIDINE LIQ INJ 200MG/ML | Standard Benefit for Eligible Clients |
00030392 | SYNALAR ONT MILD 0.01% | Standard Benefit for Eligible Clients |
00030570 | DALACIN C CAP 150MG | Standard Benefit for Eligible Clients |
Displaying 281 - 290 of 24215