Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...

00002446330 CIALIS TAB 10MG 12/31/9999 2012300002446534 CIALIS TAB 2.5MG 12/31/9999 2012300002446579 CIALIS TAB 2.5MG 12/31/9999 2012300002446430 CIALIS TAB 20MG 12/31/9999 2012300002446230 CIALIS TAB 5MG 12/31/9999 2012300002446234 CIALIS TAB 5MG 12/31/9999 2012300002446279 CIALIS TAB 5MG 12/31/9999 2012343538050006 CICLODAN SOL 8% 12/31/9999 2012343538050106 CICLODAN SOL KIT 8% 12/31/9999 2012300168031315 CICLOPIROX CRE 0.77% 12/31/9999 2012300168031330 CICLOPIROX CRE 0.77% 12/31/9999 2012300168031390 CICLOPIROX CRE 0.77% 12/31/9999 2012300713063815 CICLOPIROX CRE 0.77% 12/31/9999 2012300713063818 CICLOPIROX CRE 0.77% 12/31/9999 2012300713063831 CICLOPIROX CRE 0.77% 12/31/9999 2012345802013811 CICLOPIROX CRE 0.77% 12/31/9999 2012345802013818 CICLOPIROX CRE 0.77% 12/31/9999 2012345802013835 CICLOPIROX CRE 0.77% 12/31/9999 2012351672131801 CICLOPIROX CRE 0.77% 12/31/9999 2012351672131802 CICLOPIROX CRE 0.77% 12/31/9999 2012351672131808 CICLOPIROX CRE 0.77% 12/31/9999 2012368462029717 CICLOPIROX CRE 0.77% 12/31/9999 2012368462029735 CICLOPIROX CRE 0.77% 12/31/9999 2012368462029792 CICLOPIROX CRE 0.77% 12/31/9999 2012300168040730 CICLOPIROX GEL 0.77% 12/31/9999 2012300168040746 CICLOPIROX GEL 0.77% 12/31/9999 2012300168040799 CICLOPIROX GEL 0.77% 12/31/9999 2012300574206001 CICLOPIROX GEL 0.77% 09/30/2013 2012300574206030 CICLOPIROX GEL 0.77% 10/30/2013 2012300574206045 CICLOPIROX GEL 0.77% 10/30/2013 2012300574206101 CICLOPIROX GEL 0.77% 12/31/9999 2012300574206130 CICLOPIROX GEL 0.77% 12/31/9999 2012300574206145 CICLOPIROX GEL 0.77% 12/31/9999 2012368462045535 CICLOPIROX GEL 0.77% 12/31/9999 2012368462045547 CICLOPIROX GEL 0.77% 12/31/9999 2012368462045594 CICLOPIROX GEL 0.77% 12/31/9999 2012342192070501 CICLOPIROX KIT 8% 12/31/9999 2012300168044904 CICLOPIROX SHA 1% 12/31/9999 2012300574205912 CICLOPIROX SHA 1% 12/31/9999 2012345802040109 CICLOPIROX SHA 1% 12/31/9999 2012351672135108 CICLOPIROX SHA 1% 12/31/9999 2012300713031788 CICLOPIROX SOL 8% 12/31/9999 2012300781710660 CICLOPIROX SOL 8% 12/31/9999 2012345802014167 CICLOPIROX SOL 8% 12/31/9999 2012350383041906 CICLOPIROX SOL 8% 12/31/9999 2012351672412000 CICLOPIROX SOL 8% 12/31/9999 2012360505037900 CICLOPIROX SOL 8% 12/31/9999 2012361748020006 CICLOPIROX SOL 8% 12/31/9999 2012367405045066 CICLOPIROX SOL 8% 12/31/9999 2012300168031430 CICLOPIROX SUS 0.77% 12/31/9999 2012300168031460 CICLOPIROX SUS 0.77% 12/31/9999 2012345802040046 CICLOPIROX SUS 0.77% 12/31/9999 2012345802040049 CICLOPIROX SUS 0.77% 12/31/9999 2012351672132303 CICLOPIROX SUS 0.77% 12/31/9999 2012351672132304 CICLOPIROX SUS 0.77% 12/31/9999 2012300054004421 CILOSTAZOL TAB 100MG 12/31/9999 2012300054004429 CILOSTAZOL TAB 100MG 12/31/9999 2012300093723106 CILOSTAZOL TAB 100MG 12/31/2013 2012300093723150 CILOSTAZOL TAB 100MG 12/31/2013 2012300172584110 CILOSTAZOL TAB 100MG 12/31/9999 20123