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 501 - 510 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00151416 | NOVO-TETRA SUS 25MG/ML | Standard Benefit for Eligible Clients |
| 00151432 | NOVO-PEN-G-500 TAB | Standard Benefit for Eligible Clients |
| 00151475 | NOVO-HYDROCORT ACETATE PWD 0.5% | Standard Benefit for Eligible Clients |
| 00151629 | NOVO-HYDROCORT IODO CRM 0.5% | Standard Benefit for Eligible Clients |
| 00151777 | NOVO B CAP | This is not a Standard Benefit. Special Authorization is required. |
| 00153230 | U R A OINT | Standard Benefit for Eligible Clients |
| 00153524 | DELFEN VAG CRM | Standard Benefit for Eligible Clients |
| 00155039 | SOLBAR LOTION | This is not a Standard Benefit. Special Authorization is required. |
| 00155225 | PONSTAN CAP 250MG | Standard Benefit for Eligible Clients |
| 00155233 | POISON IVY EXT #397 INJ | Standard Benefit for Eligible Clients |
Displaying 501 - 510 of 24215