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 461 - 470 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
00115630 | LIBRAX CAPSULE CAP 5MG | Standard Benefit for Eligible Clients |
00116319 | REVERIN INJ 275MG PWS IV | Standard Benefit for Eligible Clients |
00116629 | SOMA TABLETS 350MG | Standard Benefit for Eligible Clients |
00116645 | GRAVOL CAPSULES LONG ACTING 75MG | Standard Benefit for Eligible Clients |
00116815 | DIOVOL PLUS FRUIT SUSP 40MG | Standard Benefit for Eligible Clients |
00116858 | GRAVERGOL CAPSULES | Standard Benefit for Eligible Clients |
00116866 | URASAL GRANULES | Standard Benefit for Eligible Clients |
00116882 | DIOVOL PLUS TAB 300MG | Standard Benefit for Eligible Clients |
00120510 | HYDROGEN PEROXIDE SOLUTION 3% | Standard Benefit for Eligible Clients |
00122122 | NU GAUZE BRAND PACKING STRIP IODOFORM | Standard Benefit for Eligible Clients |
Displaying 461 - 470 of 24215