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 11 - 20 of 18216
Identification Number | Trade Name | Benefit Category |
---|---|---|
02171562 | EXTRA STRENGTH ACETAMINOPHEN 500MG CAPLETS | Standard Benefit for Eligible Clients |
02171767 | RHEUMATREX TAB 2.5MG | This is not a Standard Benefit. Special Authorization is required. If you are a pharmacist or physician you may call 1-888-822-2884. |
02171775 | MICONAZOLE 3 DAY OVULE TREATMENT 1200MG | Standard Benefit for Eligible Clients |
02171791 | RATIO-ATENOLOL TAB 50MG | Standard Benefit for Eligible Clients |
02171805 | RATIO-ATENOLOL TAB 100MG | Standard Benefit for Eligible Clients |
02171813 | GEN-PIROXICAM CAP 10MG | Standard Benefit for Eligible Clients |
02171821 | GEN-PIROXICAM CAP 20MG | Standard Benefit for Eligible Clients |
02171848 | NU-CYCLOBENZAPRINE TAB 10MG | Standard Benefit for Eligible Clients |
02171856 | NU-BROMAZEPAM TAB 1.5MG | Standard Benefit for Eligible Clients |
02171864 | NU-BROMAZEPAM TAB 3MG | Standard Benefit for Eligible Clients |
Displaying 11 - 20 of 18216