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 |
---|---|---|
00012882 | FLUOROURACIL LIQ IV INJ 50MG/ML | Standard Benefit for Eligible Clients |
00013285 | VALIUM TAB 5MG | Standard Benefit for Eligible Clients |
00013293 | VALIUM TAB 10MG | Standard Benefit for Eligible Clients |
00013544 | PROCYTOX INJ 200MG (VIAL) IV | This is not a Standard Benefit. Special Authorization is required. |
00013552 | PROCYTOX INJ 1000MG (VIAL) IV | This is not a Standard Benefit. Special Authorization is required. |
00013560 | GRAVOL AMPOULES IV LIQ INJ 10MG | Standard Benefit for Eligible Clients |
00013579 | GRAVOL IM LIQ INJ 50MG/ML | Standard Benefit for Eligible Clients |
00013587 | HONVOL AMPOULES 250MG/5ML IV LIQ INJ | This is not a Standard Benefit. Special Authorization is required. |
00013595 | GRAVOL JUNIOR SUPPOSITORIES 50MG | Standard Benefit for Eligible Clients |
00013609 | GRAVOL ADULT SUPP 100MG | Standard Benefit for Eligible Clients |
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