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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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494830061<strong>01</strong> DIPHENHYDRAM TAB 25MG 12/31/9999 2<strong>01</strong>2349483006110 DIPHENHYDRAM TAB 25MG 12/31/9999 2<strong>01</strong>2350844<strong>01</strong>8915 DIPHENHYDRAM TAB 25MG 12/31/9999 2<strong>01</strong>2350844<strong>01</strong>8923 DIPHENHYDRAM TAB 25MG 12/31/9999 2<strong>01</strong>23510790967<strong>01</strong> DIPHENHYDRAM TAB 25MG 12/31/9999 2<strong>01</strong>2351079096717 DIPHENHYDRAM TAB 25MG 12/31/9999 2<strong>01</strong>2351079096719 DIPHENHYDRAM TAB 25MG 11/30/2<strong>01</strong>2 2<strong>01</strong>2351079096720 DIPHENHYDRAM TAB 25MG 11/30/2<strong>01</strong>2 2<strong>01</strong>2300536377206 DIPHENHYDRAM TAB 50MG 12/31/9999 2<strong>01</strong>2351552100002 DIPHENIDOL POW HCL 12/31/9999 2<strong>01</strong>2300310030065 DIPRIVAN INJ 10MG/ML 12/31/9999 2<strong>01</strong>2363323026920 DIPRIVAN INJ 10MG/ML 12/31/9999 2<strong>01</strong>2363323026927 DIPRIVAN INJ 10MG/ML 12/31/9999 2<strong>01</strong>2363323026950 DIPRIVAN INJ 10MG/ML 12/31/9999 2<strong>01</strong>2363323026957 DIPRIVAN INJ 10MG/ML 12/31/9999 2<strong>01</strong>2363323026965 DIPRIVAN INJ 10MG/ML 12/31/9999 2<strong>01</strong>2363323026967 DIPRIVAN INJ 10MG/ML 12/31/9999 2<strong>01</strong>23000850962<strong>01</strong> DIPROLENE LOT 0.05% 12/31/9999 2<strong>01</strong>2300085096202 DIPROLENE LOT 0.05% 12/31/9999 2<strong>01</strong>2300085057502 DIPROLENE OIN 0.05% 12/31/9999 2<strong>01</strong>2300085057505 DIPROLENE OIN 0.05% 12/31/9999 2<strong>01</strong>23000850517<strong>01</strong> DIPROLENE AF CRE 0.05% 12/31/9999 2<strong>01</strong>2300085051704 DIPROLENE AF CRE 0.05% 12/31/9999 2<strong>01</strong>2300641256941 DIPYRIDAMOLE INJ 5MG/ML 12/31/9999 2<strong>01</strong>2300641256944 DIPYRIDAMOLE INJ 5MG/ML 12/31/9999 2<strong>01</strong>2300054043425 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>151070<strong>01</strong> DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>15107003 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>23004062187<strong>01</strong> DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2300406218710 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>23005271461<strong>01</strong> DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2300527146110 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2300555025202 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2300555025205 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2300904108661 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2350268026315 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2352152026502 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2352152026505 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>33<strong>01</strong> DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>3310 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>87<strong>01</strong> DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>8705 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>16<strong>01</strong> DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2368462<strong>01</strong>1610 DIPYRIDAMOLE TAB 25MG 12/31/9999 2<strong>01</strong>2300054043525 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>151071<strong>01</strong> DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>15107103 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>23004062188<strong>01</strong> DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2300406218810 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>23005271462<strong>01</strong> DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2300527146210 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2300555028502 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2300555028505 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2300615157339 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2300904108761 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2350268026415 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2352152026602 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2352152026605 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>34<strong>01</strong> DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>3410 DIPYRIDAMOLE TAB 50MG 12/31/9999 2<strong>01</strong>23

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