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

59762500901 CLINDAMYCIN CRE 2% VAG 12/31/9999 2012300168020230 CLINDAMYCIN GEL 1% 12/31/9999 2012300168020260 CLINDAMYCIN GEL 1% 12/31/9999 2012359762374301 CLINDAMYCIN GEL 1% 12/31/9999 2012359762374302 CLINDAMYCIN GEL 1% 12/31/9999 2012300409405001 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012300409405101 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012300409405201 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012300409405303 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012300409405403 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012300409405503 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012300409419701 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012363323028260 CLINDAMYCIN INJ 150MG/ML 12/31/9999 2012325021011502 CLINDAMYCIN INJ 300/2ML 12/31/9999 2012363323028202 CLINDAMYCIN INJ 300MG 12/31/9999 2012325021011504 CLINDAMYCIN INJ 600/4ML 12/31/9999 2012363323028204 CLINDAMYCIN INJ 600MG 12/31/9999 2012325021011506 CLINDAMYCIN INJ 900/6ML 12/31/9999 2012325021011551 CLINDAMYCIN INJ 9000/60 12/31/9999 2012363323028206 CLINDAMYCIN INJ 900MG 12/31/9999 2012300168020360 CLINDAMYCIN LOT 1% 12/31/9999 2012359762374401 CLINDAMYCIN LOT 10MG/ML 12/31/9999 2012345802026337 CLINDAMYCIN PAD 1% 12/31/9999 2012359762372803 CLINDAMYCIN PAD 1% 12/31/9999 2012361748020160 CLINDAMYCIN PAD 1% 12/31/9999 2012300168020160 CLINDAMYCIN SOL 1% 12/31/9999 2012300472098791 CLINDAMYCIN SOL 1% 12/31/9999 2012351672408103 CLINDAMYCIN SOL 1% 12/31/9999 2012351672408104 CLINDAMYCIN SOL 1% 12/31/9999 2012359762372801 CLINDAMYCIN SOL 1% 12/31/9999 2012359762372802 CLINDAMYCIN SOL 1% 12/31/9999 2012300574012901 CLINDAMYCIN SOL 75MG/5ML 12/31/9999 2012359762001601 CLINDAMYCIN SOL 75MG/5ML 12/31/9999 2012364011012408 CLINDESSE CRE 2% 12/31/9999 2012300338113203 CLINIMIX INJ 2.75/D5W 12/31/9999 2012300338109104 CLINIMIX INJ 4.25/D10 12/31/9999 2012300338113403 CLINIMIX INJ 4.25/D10 12/31/9999 2012300338109304 CLINIMIX INJ 4.25/D20 12/31/9999 2012300338113503 CLINIMIX INJ 4.25/D20 12/31/9999 2012300338109504 CLINIMIX INJ 4.25/D25 12/31/9999 2012300338113603 CLINIMIX INJ 4.25/D25 12/31/9999 2012300338108904 CLINIMIX INJ 4.25/D5W 12/31/9999 2012300338113303 CLINIMIX INJ 4.25/D5W 12/31/9999 2012300338109904 CLINIMIX INJ 5%/D15W 12/31/9999 2012300338113703 CLINIMIX INJ 5%/D15W 12/31/9999 2012300338110104 CLINIMIX INJ 5%/D20W 12/31/9999 2012300338113803 CLINIMIX INJ 5%/D20W 12/31/9999 2012300338110304 CLINIMIX INJ 5%/D25W 12/31/9999 2012300338113903 CLINIMIX INJ 5%/D25W 12/31/9999 2012300338110904 CLINIMIX E INJ 2.75/D10 12/31/9999 2012300338114303 CLINIMIX E INJ 2.75/D10 12/31/9999 2012300338110704 CLINIMIX E INJ 2.75/D5W 12/31/9999 2012300338114203 CLINIMIX E INJ 2.75/D5W 12/31/9999 2012300338111504 CLINIMIX E INJ 4.25/D10 12/31/9999 2012300338114503 CLINIMIX E INJ 4.25/D10 12/31/9999 2012300338111904 CLINIMIX E INJ 4.25/D25 12/31/9999 2012300338114603 CLINIMIX E INJ 4.25/D25 12/31/9999 2012300338111304 CLINIMIX E INJ 4.25/D5W 12/31/9999 2012300338114403 CLINIMIX E INJ 4.25/D5W 12/31/9999 2012300338112304 CLINIMIX E INJ 5%/D15W 12/31/9999 20123