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 681 - 690 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00244406 | KEFLIN NEUTRAL INJ 2GM/VIAL PWS | This is not a Standard Benefit. Special Authorization is required. |
| 00244619 | VITAMIN C TAB 600MG | Standard Benefit for Eligible Clients |
| 00244635 | ERYTHROMID TAB 250MG | Standard Benefit for Eligible Clients |
| 00247855 | FML OPH DROPS 0.1% | Standard Benefit for Eligible Clients |
| 00247960 | ETIBI TAB 100MG | Standard Benefit for Eligible Clients |
| 00247979 | ETIBI TAB 400MG | Standard Benefit for Eligible Clients |
| 00248053 | RV PABA STICK 5% | This is not a Standard Benefit. Special Authorization is required. |
| 00248169 | MYCOSTATIN ORAL SUSPENSION 100000IU | Standard Benefit for Eligible Clients |
| 00248827 | PVF 250 SUSPENSION 30MG/ML | Standard Benefit for Eligible Clients |
| 00249025 | VITAMIN E CAP 400IU NATURAL | Standard Benefit for Eligible Clients |
Displaying 681 - 690 of 24215