Prescribed Drugs Provider Manual - Iowa Department of Human ...
Prescribed Drugs Provider Manual - Iowa Department of Human ...
Prescribed Drugs Provider Manual - Iowa Department of Human ...
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<strong>Iowa</strong><strong>Department</strong><strong>of</strong> <strong>Human</strong>Services<strong>Provider</strong> and Chapter<strong>Prescribed</strong> <strong>Drugs</strong>Chapter III. <strong>Provider</strong>-Specific PoliciesPage61DateAugust 1, 2013Drug ProductQuantityDays’SupplyAbilify 2 mg (aripiprazole) 15 30Abilify 5 mg (aripiprazole) 15 30Abilify 10 mg (aripiprazole) 15 30Abilify 15 mg (aripiprazole) 15 30Abilify 20 mg (aripiprazole) 15 30Abilify 30 mg (aripiprazole) 15 30Aceon 2 mg (perindopril) 30 30Aceon 4 mg (perindopril) 30 30Aceon 8 mg (perindopril) 60 30Aciphex 20 mg (rabeprazole) 60 30Actonel 5 mg (risedronate) 30 30Actonel 30 mg (risedronate) 30 30Actonel 35 mg (risedronate) 4 30Actoplus Met 15-500 mg60 30(metformin/pioglitazone)Actoplus Met 15-850 mg60 30(metformin/pioglitazone)Actos 15 mg (pioglitazone) 30 30Actos 30 mg (pioglitazone) 30 30Actos 45 mg (pioglitazone) 30 30Adalat CC 30 mg (nifedipine ER) 30 30Adalat CC 60 mg (nifedipine ER) 30 30Adalat CC 90 mg (nifedipine ER) 30 30Adderall 5 mg (amphetamine salt 90 30combo)Adderall 7.5 mg (amphetamine salt 90 30combo)Adderall 10 mg (amphetamine salt 90 30combo)Adderall 12.5 mg (amphetamine 120 30salt combo)Adderall 15 mg (amphetamine salt 90 30combo)Adderall 20 mg (amphetamine salt 120 30combo)Adderall 30 mg (amphetamine salt 60 30combo)Adderall XR 5 mg(amphetamine ER)30 30Comments
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