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 |
---|---|---|
00125083 | DILAUDID TAB 2MG | Standard Benefit for Eligible Clients |
00125105 | DILAUDID SUP 3MG | Standard Benefit for Eligible Clients |
00125121 | DILAUDID TAB 4MG | Standard Benefit for Eligible Clients |
00125857 | LEVSIN SL TAB 0.125MG | Standard Benefit for Eligible Clients |
00126942 | VITAMIN C 100MG TAB | Standard Benefit for Eligible Clients |
00127663 | AMICAR SYR 250MG/ML | Standard Benefit for Eligible Clients |
00127744 | DECLOMYCIN TAB 300MG | Standard Benefit for Eligible Clients |
00128724 | DRENISON TAPE M 170 4MCG SQ CM | This is not a Standard Benefit. Special Authorization is required. |
00132519 | PARAFON FORTE TAB | Standard Benefit for Eligible Clients |
00134376 | ASTRIN 5GR ECT 325MG | Standard Benefit for Eligible Clients |
Displaying 481 - 490 of 24215