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

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005170730<strong>01</strong> CLONIDINE INJ 12/31/9999 2<strong>01</strong>23005170731<strong>01</strong> CLONIDINE INJ 12/31/9999 2<strong>01</strong>2363323040510 CLONIDINE INJ 12/31/9999 2<strong>01</strong>2363323042710 CLONIDINE INJ 12/31/9999 2<strong>01</strong>2300228212710 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300228212750 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300378<strong>01</strong>52<strong>01</strong> CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300378<strong>01</strong>5210 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300603295702 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300603295704 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300603295721 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300603295728 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300603295730 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300603295732 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300615257239 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300904565661 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2316714034102 CLONIDINE TAB 0.1MG 12/31/2020 2<strong>01</strong>2316714034103 CLONIDINE TAB 0.1MG 12/31/2020 2<strong>01</strong>2316714034104 CLONIDINE TAB 0.1MG 12/31/2020 2<strong>01</strong>2329300<strong>01</strong>3510 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>23510790299<strong>01</strong> CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2351079029917 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2351079029919 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2351079029920 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2351079029966 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>23534890215<strong>01</strong> CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2353489021510 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>23625840657<strong>01</strong> CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2363739006<strong>01</strong>0 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2367253026310 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2367253026311 CLONIDINE TAB 0.1MG 12/31/9999 2<strong>01</strong>2300228212810 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300228212850 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300228212896 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300378<strong>01</strong>86<strong>01</strong> CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300378<strong>01</strong>8610 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300603295821 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300603295828 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300603295830 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300603295832 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300615257339 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300615257363 CLONIDINE TAB 0.2MG 02/28/2027 2<strong>01</strong>2300904565761 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2316714034203 CLONIDINE TAB 0.2MG 12/31/2020 2<strong>01</strong>2316714034204 CLONIDINE TAB 0.2MG 12/31/2020 2<strong>01</strong>2329300<strong>01</strong>36<strong>01</strong> CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>23510790300<strong>01</strong> CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2351079030<strong>01</strong>7 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2351079030<strong>01</strong>9 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2351079030020 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2351079030030 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2351079030056 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2351079030066 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>23534890216<strong>01</strong> CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2353489021610 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>23625840339<strong>01</strong> CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2367253026410 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2367253026411 CLONIDINE TAB 0.2MG 12/31/9999 2<strong>01</strong>2300228212910 CLONIDINE TAB 0.3MG 12/31/9999 2<strong>01</strong>2300378<strong>01</strong>99<strong>01</strong> CLONIDINE TAB 0.3MG 12/31/9999 2<strong>01</strong>23

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