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 |
---|---|---|
00003875 | DULCOLAX SUPP 10MG | Standard Benefit for Eligible Clients |
00003891 | ALUPENT TAB 20MG | Standard Benefit for Eligible Clients |
00004049 | AMPICIN FOR INJECTION 250MG PWS | This is not a Standard Benefit. Special Authorization is required. |
00004057 | AMPICIN INJ 500MG PWS | This is not a Standard Benefit. Special Authorization is required. |
00004065 | AMPICIN INJ 1GM PWS | This is not a Standard Benefit. Special Authorization is required. |
00004073 | AMPICIN INJ 2GM PWS | This is not a Standard Benefit. Special Authorization is required. |
00004405 | KEMADRIN ELIXIR 0.5MG/ML | Standard Benefit for Eligible Clients |
00004421 | AEROSPORIN STERILE PWD | This is not a Standard Benefit. Special Authorization is required. |
00004448 | MARZINE LIQ INJ 50MG/ML | This is not a Standard Benefit. Special Authorization is required. |
00004464 | LANOXIN INJ 0.25MG/ML LIQ | This is not a Standard Benefit. Special Authorization is required. |
Displaying 31 - 40 of 24215