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 23401 to 23410 of 24932 entries
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 97799079 | OMNIPOD DASH PDM KIT | This is not a Standard Benefit. Special Authorization is required. |
| 97799077 | OMNIPOD DASH PERSONAL DIABETES MANAGER | This is not a Standard Benefit. Special Authorization is required. |
| 97799076 | OMNIPOD DASH SYSTEM POD | This is not a Standard Benefit. Special Authorization is required. |
| 96899968 | AEROCHAMBER PLUS FLOW-VU WITH MOUTHPIECE | Standard Benefit for Eligible Clients |
| 96599997 | ORTHOVISC | Standard Benefit for Eligible Clients |
| 96599992 | SYNVISC ONE GF20 6ML INJECTION | Standard Benefit for Eligible Clients |
| 96599943 | NEOVISC ONE 60MG/4ML | Standard Benefit for Eligible Clients |
| 95699997 | ORTHOVISC | Standard Benefit for Eligible Clients |
| 95097108 | SENSURA MIO CLICK 2 PC POUCH | Standard Benefit for Eligible Clients |
| 94799999 | CHAMPIX TAB 1MG + 0.5MG (STARTER PACK) | Standard Benefit for Eligible Clients |
Displaying 23401 to 23410 of 24932 entries