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

00093511798 DILTIAZEM CAP 180MG ER 12/31/9999 2012300378528001 DILTIAZEM CAP 180MG ER 12/31/9999 2012300378528005 DILTIAZEM CAP 180MG ER 12/31/9999 2012347335067613 DILTIAZEM CAP 180MG ER 12/31/9999 2012347335067681 DILTIAZEM CAP 180MG ER 12/31/9999 2012351079094801 DILTIAZEM CAP 180MG ER 12/31/9999 2012351079094808 DILTIAZEM CAP 180MG ER 12/31/9999 2012363739028410 DILTIAZEM CAP 180MG ER 12/31/9999 2012300258368890 DILTIAZEM CAP 180MG/24 12/31/9999 2012347335067013 DILTIAZEM CAP 180MG/24 12/31/9999 2012347335067081 DILTIAZEM CAP 180MG/24 12/31/9999 2012347335067083 DILTIAZEM CAP 180MG/24 12/31/9999 2012300228257803 DILTIAZEM CAP 240MG CD 12/31/9999 2012300228257809 DILTIAZEM CAP 240MG CD 12/31/9999 2012300228257850 DILTIAZEM CAP 240MG CD 12/31/9999 2012300228257873 DILTIAZEM CAP 240MG CD 12/31/9999 2012362584097601 DILTIAZEM CAP 240MG CD 12/31/9999 2012362584097630 DILTIAZEM CAP 240MG CD 12/31/9999 2012362584097690 DILTIAZEM CAP 240MG CD 12/31/9999 2012363739028504 DILTIAZEM CAP 240MG CD 12/31/9999 2012363739028510 DILTIAZEM CAP 240MG CD 12/31/9999 2012363739028531 DILTIAZEM CAP 240MG CD 12/31/9999 2012300093511898 DILTIAZEM CAP 240MG ER 12/31/9999 2012300378534001 DILTIAZEM CAP 240MG ER 12/31/9999 2012300378534005 DILTIAZEM CAP 240MG ER 12/31/9999 2012347335067713 DILTIAZEM CAP 240MG ER 12/31/9999 2012347335067781 DILTIAZEM CAP 240MG ER 12/31/9999 2012351079094901 DILTIAZEM CAP 240MG ER 12/31/9999 2012351079094908 DILTIAZEM CAP 240MG ER 12/31/9999 2012300258368990 DILTIAZEM CAP 240MG/24 12/31/9999 2012347335067113 DILTIAZEM CAP 240MG/24 12/31/9999 2012347335067181 DILTIAZEM CAP 240MG/24 12/31/9999 2012347335067183 DILTIAZEM CAP 240MG/24 12/31/9999 2012300228257903 DILTIAZEM CAP 300MG CD 12/31/9999 2012300228257909 DILTIAZEM CAP 300MG CD 12/31/9999 2012300228257950 DILTIAZEM CAP 300MG CD 12/31/9999 2012362584097701 DILTIAZEM CAP 300MG CD 12/31/9999 2012362584097730 DILTIAZEM CAP 300MG CD 12/31/9999 2012362584097790 DILTIAZEM CAP 300MG CD 12/31/9999 2012300093511998 DILTIAZEM CAP 300MG ER 12/31/9999 2012347335067813 DILTIAZEM CAP 300MG ER 12/31/9999 2012347335067881 DILTIAZEM CAP 300MG ER 12/31/9999 2012300258369090 DILTIAZEM CAP 300MG/24 12/31/9999 2012347335067213 DILTIAZEM CAP 300MG/24 12/31/9999 2012347335067281 DILTIAZEM CAP 300MG/24 12/31/9999 2012347335067283 DILTIAZEM CAP 300MG/24 12/31/9999 2012368682052101 DILTIAZEM CAP 360MG CD 12/31/9999 2012347335067981 DILTIAZEM CAP 360MG ER 12/31/9999 2012300258369190 DILTIAZEM CAP 360MG/24 12/31/9999 2012347335067313 DILTIAZEM CAP 360MG/24 12/31/9999 2012347335067381 DILTIAZEM CAP 360MG/24 12/31/9999 2012347335067383 DILTIAZEM CAP 360MG/24 12/31/9999 2012300258369290 DILTIAZEM CAP 420MG/24 12/31/9999 2012300378606001 DILTIAZEM CAP 60MG ER 12/31/9999 2012351079092401 DILTIAZEM CAP 60MG ER 12/31/9999 2012351079092420 DILTIAZEM CAP 60MG ER 12/31/9999 2012300378609001 DILTIAZEM CAP 90MG ER 12/31/9999 2012351079092501 DILTIAZEM CAP 90MG ER 12/31/9999 2012351079092520 DILTIAZEM CAP 90MG ER 12/31/9999 2012300409435003 DILTIAZEM INJ 100MG 12/31/9999 20123