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 |
---|---|---|
00030600 | SOLU CORTEF INJ ACT-O-VIAL 100MG | Standard Benefit for Eligible Clients |
00030619 | SOLU CORTEF INJ ACT-O-VIAL 250MG | Standard Benefit for Eligible Clients |
00030627 | SOLU CORTEF INJ ACT-O-VIAL 500MG | Standard Benefit for Eligible Clients |
00030635 | SOLU CORTEF INJ ACT-O-VIAL 1GM | Standard Benefit for Eligible Clients |
00030678 | SOLU-MEDROL INJ STERILE PWS 500MG | Standard Benefit for Eligible Clients |
00030708 | BACITRACIN PWS INJ 50000UNIT | Standard Benefit for Eligible Clients |
00030732 | LINCOCIN INJ 300MG/ML | Standard Benefit for Eligible Clients |
00030759 | DEPO-MEDROL SUSP INJ 40MG/ML | Standard Benefit for Eligible Clients |
00030767 | DEPO-MEDROL SUSP INJ 80MG/ML | Standard Benefit for Eligible Clients |
00030783 | DEPO-TESTOSTERONE LIQ INJ 100MG/ML | This is not a Standard Benefit. Special Authorization is required. |
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