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
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Displaying 19541 to 19550 of 24932 entries
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02230191 | STERILE VANCOMYCIN IV HYDROCHLORIDE 500MG/VIAL | This is not a Standard Benefit. Special Authorization is required. |
| 02230192 | STERILE VANCOMYCIN IV HYDROCHLORIDE 1000MG/VIAL | This is not a Standard Benefit. Special Authorization is required. |
| 02230193 | POLYCIDIN OPHTHALMIC OINTMENT | Standard Benefit for Eligible Clients |
| 02230201 | NOVO-KETOROLAC TAB 10 MG | This is not a Standard Benefit. Special Authorization is required. |
| 02230202 | PMS-TRYPTOPHAN TAB 1GM | This is not a Standard Benefit. Special Authorization is required. |
| 02230203 | PMS-CAPTOPRIL TAB 12.5 MG | Standard Benefit for Eligible Clients |
| 02230204 | PMS-CAPTOPRIL TAB 25 MG | Standard Benefit for Eligible Clients |
| 02230205 | PMS-CAPTOPRIL TAB 50 MG | Standard Benefit for Eligible Clients |
| 02230206 | PMS-CAPTOPRIL TAB 100 MG | Standard Benefit for Eligible Clients |
| 02230210 | SOLU-MEDROL INJ 125MG STERILE POWDER | Standard Benefit for Eligible Clients |
Displaying 19541 to 19550 of 24932 entries