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 541 - 550 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00167657 | ISOPROPYL ALCOHOL 99% | Standard Benefit for Eligible Clients |
| 00167665 | EPSOM SALTS PWD | Standard Benefit for Eligible Clients |
| 00167681 | MINERAL OIL LIQ | Standard Benefit for Eligible Clients |
| 00167703 | HYDROGEN PEROXIDE SOLUTION 3% | Standard Benefit for Eligible Clients |
| 00167711 | CASTOR OIL LIQ | This is not a Standard Benefit. Special Authorization is required. |
| 00167800 | ALPHOSYL LOTION | Standard Benefit for Eligible Clients |
| 00167878 | DECONTRACTYL BAUME ONT | Standard Benefit for Eligible Clients |
| 00172758 | ALLBEE WITH C CAP | This is not a Standard Benefit. Special Authorization is required. |
| 00172944 | PROVIODINE HYDRO LIQ 10% | Standard Benefit for Eligible Clients |
| 00174625 | ORTHOVISC 15 MG INJ | Standard Benefit for Eligible Clients |
Displaying 541 - 550 of 24215