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 |
---|---|---|
00301175 | PRED FORTE OPH SUS 1% | Standard Benefit for Eligible Clients |
00301183 | HYDROGEN PEROXIDE 3% LIQ | Standard Benefit for Eligible Clients |
00301248 | VITAMIN E 400IU CAP | Standard Benefit for Eligible Clients |
00302244 | WITCH HAZEL DISTILLED | Standard Benefit for Eligible Clients |
00302260 | VITAMIN A 10000UNIT CAP | Standard Benefit for Eligible Clients |
00303496 | AGOBYL GRANULE PWD | Standard Benefit for Eligible Clients |
00305227 | VITAMIN B6 TAB 50MG | Standard Benefit for Eligible Clients |
00305235 | VITAMIN C TAB 1000MG | Standard Benefit for Eligible Clients |
00305243 | VITAMIN B12 TAB 50MCG | Standard Benefit for Eligible Clients |
00305995 | GLYCERIN LIQ | Standard Benefit for Eligible Clients |
Displaying 841 - 850 of 24215