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 831 - 840 of 24215
Identification Number | Trade Name | Benefit Category |
---|---|---|
00296945 | PYRIDOXINE HCL TAB 100MG | Standard Benefit for Eligible Clients |
00297143 | LOESTRIN (21) TAB | Standard Benefit for Eligible Clients |
00297720 | VITAMIN A CAP 10000UNIT | Standard Benefit for Eligible Clients |
00297763 | BICNU IV 100MG PWS (VIAL 100MG & 1 X3ML ETHANOL) | Standard Benefit for Eligible Clients |
00298212 | TERFLUZINE CONC LIQ 10MG/ML | Standard Benefit for Eligible Clients |
00298298 | ESTRADIOL VALERATE LIQ INJ 20MG/ML | This is not a Standard Benefit. Special Authorization is required. |
00298328 | HYDROCORTISONE LIQ INJ 50MG/ML | Standard Benefit for Eligible Clients |
00299219 | POLYSPORIN OPH ONT | Standard Benefit for Eligible Clients |
00299383 | VITAMIN D TAB 1000UNIT | Standard Benefit for Eligible Clients |
00299405 | PRED MILD OPH LIQ 0.12% | Standard Benefit for Eligible Clients |
Displaying 831 - 840 of 24215