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 941 - 950 of 24215
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 00334812 | MUSTINE HCL IV INJ PWS 10MG | Standard Benefit for Eligible Clients |
| 00335053 | ELAVIL TAB 10MG | Standard Benefit for Eligible Clients |
| 00335061 | ELAVIL TAB 25MG | Standard Benefit for Eligible Clients |
| 00335088 | ELAVIL TAB 50MG | Standard Benefit for Eligible Clients |
| 00335096 | PERPHENAZINE TAB 16MG | Standard Benefit for Eligible Clients |
| 00335118 | PERPHENAZINE TAB 8MG | Standard Benefit for Eligible Clients |
| 00335126 | PERPHENAZINE TAB 4MG | Standard Benefit for Eligible Clients |
| 00335134 | PERPHENAZINE TAB 2MG | Standard Benefit for Eligible Clients |
| 00335355 | BRICANYL TAB 2.5MG | Standard Benefit for Eligible Clients |
| 00335363 | BRICANYL TAB 5MG | Standard Benefit for Eligible Clients |
Displaying 941 - 950 of 24215