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

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

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006416<strong>01</strong>5<strong>01</strong> DILTIAZEM INJ 125/25ML 12/31/9999 2<strong>01</strong>23006416<strong>01</strong>510 DILTIAZEM INJ 125/25ML 12/31/9999 2<strong>01</strong>2317478093725 DILTIAZEM INJ 125/25ML 12/31/9999 2<strong>01</strong>2355390037430 DILTIAZEM INJ 125/25ML 12/31/9999 2<strong>01</strong>2355390056530 DILTIAZEM INJ 125/25ML 12/31/9999 2<strong>01</strong>2355390056630 DILTIAZEM INJ 125/25ML 12/31/9999 2<strong>01</strong>23004091171<strong>01</strong> DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>23006416<strong>01</strong>3<strong>01</strong> DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>23006416<strong>01</strong>310 DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9051079 DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>2317478093705 DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>2355390037405 DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>2355390056505 DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>2355390056605 DILTIAZEM INJ 25MG/5ML 12/31/9999 2<strong>01</strong>2300409117102 DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>23006416<strong>01</strong>4<strong>01</strong> DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>23006416<strong>01</strong>410 DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9051078 DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>2317478093710 DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>2355390037410 DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>2355390056510 DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>2355390056610 DILTIAZEM INJ 50/10ML 12/31/9999 2<strong>01</strong>23000930321<strong>01</strong> DILTIAZEM TAB 120MG 12/31/9999 2<strong>01</strong>23003780525<strong>01</strong> DILTIAZEM TAB 120MG 12/31/9999 2<strong>01</strong>23000930318<strong>01</strong> DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>2300093031805 DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>23003780023<strong>01</strong> DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>2300378002305 DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>23510790745<strong>01</strong> DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>2351079074517 DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>2351079074519 DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>2351079074520 DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>2363739007910 DILTIAZEM TAB 30MG 12/31/9999 2<strong>01</strong>23000930319<strong>01</strong> DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>2300093031905 DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>23003780045<strong>01</strong> DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>2300378004505 DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>23510790746<strong>01</strong> DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>2351079074617 DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>2351079074619 DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>2351079074620 DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>2363739008<strong>01</strong>0 DILTIAZEM TAB 60MG 12/31/9999 2<strong>01</strong>23000930320<strong>01</strong> DILTIAZEM TAB 90MG 12/31/9999 2<strong>01</strong>2300378<strong>01</strong>35<strong>01</strong> DILTIAZEM TAB 90MG 12/31/9999 2<strong>01</strong>2300378<strong>01</strong>3505 DILTIAZEM TAB 90MG 12/31/9999 2<strong>01</strong>23510790747<strong>01</strong> DILTIAZEM TAB 90MG 12/31/9999 2<strong>01</strong>2351079074720 DILTIAZEM TAB 90MG 12/31/9999 2<strong>01</strong>23605050<strong>01</strong>406 DILT-XR CAP 120MG 12/31/9999 2<strong>01</strong>23605050<strong>01</strong>408 DILT-XR CAP 120MG 12/31/9999 2<strong>01</strong>23605050<strong>01</strong>506 DILT-XR CAP 180MG 12/31/9999 2<strong>01</strong>23605050<strong>01</strong>508 DILT-XR CAP 180MG 12/31/9999 2<strong>01</strong>23605050<strong>01</strong>606 DILT-XR CAP 240MG 12/31/9999 2<strong>01</strong>23605050<strong>01</strong>608 DILT-XR CAP 240MG 12/31/9999 2<strong>01</strong>2360505021003 DILTZAC CAP 120MG/24 12/31/9999 2<strong>01</strong>2360505021009 DILTZAC CAP 120MG/24 12/31/9999 2<strong>01</strong>2360505021103 DILTZAC CAP 180MG/24 12/31/9999 2<strong>01</strong>2360505021109 DILTZAC CAP 180MG/24 12/31/9999 2<strong>01</strong>2360505021203 DILTZAC CAP 240MG/24 12/31/9999 2<strong>01</strong>2360505021209 DILTZAC CAP 240MG/24 12/31/9999 2<strong>01</strong>2360505021303 DILTZAC CAP 300MG/24 12/31/9999 2<strong>01</strong>23

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