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 5461 to 5470 of 25486 entries
| Identification Number | Trade Name | Benefit Category |
|---|---|---|
| 46340015 | MEDTRONIC PARADIGM SILHOUETTE INFUSION SET/COMBO | This is not a Standard Benefit. Special Authorization is required. |
| 46340016 | MEDTRONIC PARADIGM SOFSET QR INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340017 | MEDTRONIC PARADIGM SURE-T INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340018 | MEDTRONIC MINIMED POLYFIN OR QR INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340019 | MEDTRONIC MINIMED QUICKSET INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340020 | MEDTRONIC MINIMED SILHOUETTE INFUSION SET OR COMBO | This is not a Standard Benefit. Special Authorization is required. |
| 46340021 | MEDTRONIC MINIMED SOFSET OR SOFSET QR INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340022 | MEDTRONIC SILHOUETTE CANNULA ONLY | This is not a Standard Benefit. Special Authorization is required. |
| 46340023 | ACM NERIA DETACH INFUSION SET | This is not a Standard Benefit. Special Authorization is required. |
| 46340025 | OMNIPOD (INFUSION/RESERVOIR) | This is not a Standard Benefit. Special Authorization is required. |
Displaying 5461 to 5470 of 25486 entries