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 PoliciesPage65DateAugust 1, 2013Drug ProductCaduet 2.5-20 mg(amlodipine/atorvastatin)Caduet 2.5-40 mg(amlodipine/atorvastatin)Caduet 2.5-100 mg(amlodipine/atorvastatin)Caduet 5-10 mg(amlodipine/atorvastatin)Caduet 5-20 mg(amlodipine/atorvastatin)Caduet 5-40 mg(amlodipine/atorvastatin)Caduet 5-80 mg(amlodipine/atorvastatin)Caduet 10-10 mg(amlodipine/atorvastatin)Caduet 10-20 mg(amlodipine/atorvastatin)Caduet 10-40 mg(amlodipine/atorvastatin)Caduet 10-80 mg(amlodipine/atorvastatin)Days’Quantity Supply30 3030 3030 3030 3030 3030 3030 3030 3030 3030 3030 30Catapres 0.1 mg (clonidine) 120 30Catapres 0.2 mg (clonidine) 90 30Catapres 0.3 mg (clonidine) 60 30Celebrex 100 mg (celecoxib) 60 30Celebrex 200 mg (celecoxib) 30 30Celebrex 400 mg (celecoxib) 30 30Celexa 10 mg (citalopram) 45 30Celexa 20 mg (citalopram) 45 30Claritin OTC 10 mg (loratadine) 30 30Clindesse 2% vaginal cream40 gm 30(clindamycin phosphate)Cocet (acetaminophen/codeine) 180 30Codeine Sulfate 15 mg 180 30Codeine Sulfate 30 mg 180 30Codeine Sulfate 60 mg 180 30Combunox (oxycodone/ibupr<strong>of</strong>en) 28 30Complera (emtricitabine/rilpivirine/ten<strong>of</strong>ovir disoproxil fumarate)30 30Comments
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