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

00009312401 CLEOCIN PHOS INJ 600MG 12/31/9999 2012300009312403 CLEOCIN PHOS INJ 600MG 12/31/9999 2012300009090211 CLEOCIN PHOS INJ 900MG 12/31/9999 2012300009090218 CLEOCIN PHOS INJ 900MG 12/31/9999 2012300009344703 CLEOCIN PHOS INJ 900MG 12/31/9999 2012300009072809 CLEOCIN PHOS INJ 9GM 12/31/9999 2012300009338101 CLEOCIN/D5W INJ 300MG 12/31/9999 2012300009338102 CLEOCIN/D5W INJ 300MG 12/31/9999 2012300009333101 CLEOCIN-T GEL 1% 12/31/9999 2012300009333102 CLEOCIN-T GEL 1% 12/31/9999 2012300009332901 CLEOCIN-T LOT 1% 12/31/9999 2012300009311614 CLEOCIN-T PAD 1% 12/31/9999 2012300009311601 CLEOCIN-T SOL 1% 12/31/9999 2012300009311602 CLEOCIN-T SOL 1% 12/31/9999 2012365293000511 CLEVIPREX EMU 0.5MG/ML 12/31/9999 2012365293000555 CLEVIPREX EMU 0.5MG/ML 12/31/9999 2012350419045404 CLIMARA DIS 0.025MG 12/31/9999 2012350419045604 CLIMARA DIS 0.0375MG 12/31/9999 2012350419045104 CLIMARA DIS 0.05MG 12/31/9999 2012350419045904 CLIMARA DIS 0.06MG 12/31/9999 2012350419045304 CLIMARA DIS 0.075MG 12/31/9999 2012350419045204 CLIMARA DIS 0.1MG 12/31/9999 2012350419049104 CLIMARA PRO DIS WEEKLY 12/31/9999 2012343538017169 CLINDACIN KIT PAC 1% 12/31/9999 2012343538017069 CLINDACIN-P PAD 1% 12/31/9999 2012300299450075 CLINDAGEL GEL 1% 12/31/9999 2012345802073684 CLINDAMY/BEN GEL 1.2-5% 12/31/9999 2012300378868835 CLINDAMY/BEN GEL 1-5% 12/31/9999 2012300378868854 CLINDAMY/BEN GEL 1-5% 12/31/9999 2012366993094945 CLINDAMY/BEN GEL 1-5% 12/31/9999 2012345802066032 CLINDAMYCIN AER 1% 12/31/9999 2012345802066033 CLINDAMYCIN AER 1% 12/31/9999 2012300093317101 CLINDAMYCIN CAP 150MG 12/31/9999 2012300527138201 CLINDAMYCIN CAP 150MG 12/31/9999 2012300591570801 CLINDAMYCIN CAP 150MG 12/31/9999 2012300904595961 CLINDAMYCIN CAP 150MG 12/31/9999 2012351079059801 CLINDAMYCIN CAP 150MG 12/31/9999 2012351079059817 CLINDAMYCIN CAP 150MG 12/31/9999 2012351079059819 CLINDAMYCIN CAP 150MG 12/31/9999 2012351079059820 CLINDAMYCIN CAP 150MG 12/31/9999 2012359762332801 CLINDAMYCIN CAP 150MG 12/31/9999 2012363304069201 CLINDAMYCIN CAP 150MG 12/31/9999 2012363304069205 CLINDAMYCIN CAP 150MG 12/31/9999 2012363739005910 CLINDAMYCIN CAP 150MG 12/31/9999 2012365862018501 CLINDAMYCIN CAP 150MG 12/31/9999 2012365862018505 CLINDAMYCIN CAP 150MG 12/31/9999 2012368084024301 CLINDAMYCIN CAP 150MG 12/31/9999 2012300093525601 CLINDAMYCIN CAP 300MG 12/31/9999 2012300093525668 CLINDAMYCIN CAP 300MG 12/31/9999 2012300527138301 CLINDAMYCIN CAP 300MG 12/31/9999 2012300527138302 CLINDAMYCIN CAP 300MG 12/31/9999 2012300591312001 CLINDAMYCIN CAP 300MG 12/31/9999 2012359762501001 CLINDAMYCIN CAP 300MG 12/31/9999 2012359762501002 CLINDAMYCIN CAP 300MG 12/31/9999 2012363304069301 CLINDAMYCIN CAP 300MG 12/31/9999 2012363304069316 CLINDAMYCIN CAP 300MG 11/30/2014 2012365862018601 CLINDAMYCIN CAP 300MG 12/31/9999 2012368084024401 CLINDAMYCIN CAP 300MG 12/31/9999 2012300527138104 CLINDAMYCIN CAP 75MG 12/31/9999 2012300168027740 CLINDAMYCIN CRE 2% VAG 12/31/9999 20123