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 24171 to 24180 of 24932 entries
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 02538806 | XCOPRI TAB KIT MAINTENANCE PK (250MG DAILY DOSE) | This is not a Standard Benefit. Special Authorization is required. |
| 02538792 | XCOPRI TAB KIT TITRATION PACK 3 200MG/150MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538784 | XCOPRI TAB KIT TITRATION PACK 2 100MG/50MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538776 | XCOPRI TAB KIT TITRATION PACK 1 25MG/12.5MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538768 | XCOPRI TAB 200MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538741 | XCOPRI TAB 150MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538733 | XCOPRI TAB 100MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538725 | XCOPRI TAB 50MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538660 | XCOPRI TAB 25MG | This is not a Standard Benefit. Special Authorization is required. |
| 02538652 | XCOPRI TAB 12.5MG | This is not a Standard Benefit. Special Authorization is required. |
Displaying 24171 to 24180 of 24932 entries