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 |
|---|---|---|
| 00010529 | ANTURAN 200MG TAB | Standard Benefit for Eligible Clients |
| 00012009 | CRYSTAPEN PWS INJ 10000000IU | Standard Benefit for Eligible Clients |
| 00012289 | ELTROXIN TAB 50MCG | Standard Benefit for Eligible Clients |
| 00012300 | ELTROXIN TAB 200MCG | Standard Benefit for Eligible Clients |
| 00012319 | ELTROXIN TAB 300MCG | Standard Benefit for Eligible Clients |
| 00012483 | SURFAK CAP 50MG | Standard Benefit for Eligible Clients |
| 00012696 | DALMANE 15MG CAP | Standard Benefit for Eligible Clients |
| 00012718 | DALMANE CAP 30MG | Standard Benefit for Eligible Clients |
| 00012750 | MATULANE CAP 50MG | Standard Benefit for Eligible Clients |
| 00012874 | VALIUM LIQ INJ 5MG/ML | This is not a Standard Benefit. Special Authorization is required. |
Displaying 81 - 90 of 24215