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 |
|---|---|---|
| 00324019 | ANAFRANIL TAB 25MG | Standard Benefit for Eligible Clients |
| 00324442 | BISACODYL TAB 5MG | Standard Benefit for Eligible Clients |
| 00325287 | VITAMIN B6 TAB 25MG | Standard Benefit for Eligible Clients |
| 00325449 | NEBCIN LIQ INJ 40MG/ML | Standard Benefit for Eligible Clients |
| 00325457 | NEBCIN LIQ INJ 10MG/ML | Standard Benefit for Eligible Clients |
| 00326577 | ADASEPT ACNE GEL LOTION | Standard Benefit for Eligible Clients |
| 00326836 | TRIFLUOPERAZINE TAB 10MG | Standard Benefit for Eligible Clients |
| 00326844 | APO-HYDRO TAB 25MG | Standard Benefit for Eligible Clients |
| 00326852 | IMIPRAMINE TAB 50MG | Standard Benefit for Eligible Clients |
| 00326925 | SINEQUAN CAP 100MG | Standard Benefit for Eligible Clients |
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