Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...
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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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00813200408 FERRETTS IPS SOL 12/31/9999 2<strong>01</strong>2300904539561 FERREX 150 CAP 150MG 12/31/9999 2<strong>01</strong>2351991020311 FERREX 150 CAP 150MG 12/31/9999 2<strong>01</strong>2351991<strong>01</strong>9811 FERREX 150 CAP FORTE 12/31/9999 2<strong>01</strong>2351991079890 FERREX 150 CAP FORTE PL 12/31/9999 2<strong>01</strong>2351991070390 FERREX 150 CAP PLUS 12/31/9999 2<strong>01</strong>2351991058828 FERREX 28 TAB 12/31/9999 2<strong>01</strong>2351552099206 FERRIC POW CHLORIDE 12/31/9999 2<strong>01</strong>2351552064402 FERRIC CHLOR MIS LUMP 12/31/9999 2<strong>01</strong>2351552064406 FERRIC CHLOR MIS LUMP 12/31/9999 2<strong>01</strong>2300591<strong>01</strong>4987 FERRIC GLUCO INJ 12.5MG/M 12/31/9999 2<strong>01</strong>2300591250887 FERRIC GLUCO INJ 12.5MG/M 12/31/9999 2<strong>01</strong>2351552035703 FERRIC SUBSU SOL 12/31/9999 2<strong>01</strong>2351552035705 FERRIC SUBSU SOL 12/31/9999 2<strong>01</strong>2351552035706 FERRIC SUBSU SOL 12/31/9999 2<strong>01</strong>23526090006<strong>01</strong> FERRIPROX TAB 500MG 12/31/9999 2<strong>01</strong>2300024279150 FERRLECIT INJ 12.5MG/M 10/31/2<strong>01</strong>4 2<strong>01</strong>2300024279210 FERRLECIT INJ 12.5MG/M 12/31/9999 2<strong>01</strong>2351991<strong>01</strong>8142 FERROCITE TAB 324MG 12/31/9999 2<strong>01</strong>2351991<strong>01</strong>8211 FERROCITE TAB PLUS 12/31/9999 2<strong>01</strong>2360258<strong>01</strong>89<strong>01</strong> FERROGELS FO CAP FORTE 12/31/9999 2<strong>01</strong>23621070058<strong>01</strong> FERRONATE TAB 325MG 12/31/9999 2<strong>01</strong>23005365890<strong>01</strong> FERROUS SULF TAB 325MG 12/31/9999 2<strong>01</strong>23638680617<strong>01</strong> FERROUS SULF TAB 325MG 12/31/9999 2<strong>01</strong>2364376080910 FERROUS SULF TAB 325MG 12/31/9999 2<strong>01</strong>23128300811<strong>01</strong> FERUS CAP 150MG 12/31/9999 2<strong>01</strong>2310892<strong>01</strong>1410 FETRIN CAP 12/31/9999 2<strong>01</strong>230047212<strong>01</strong>06 FEVERALL SUP 120MG 12/31/2<strong>01</strong>2 2<strong>01</strong>2300472120206 FEVERALL SUP 325MG 12/31/9999 2<strong>01</strong>2300472120212 FEVERALL SUP 325MG 12/31/9999 2<strong>01</strong>2300472120250 FEVERALL SUP 325MG 12/31/9999 2<strong>01</strong>2300472120305 FEVERALL SUP 650MG 12/31/9999 2<strong>01</strong>2300472120312 FEVERALL SUP 650MG 12/31/9999 2<strong>01</strong>2300472120350 FEVERALL SUP 650MG 12/31/9999 2<strong>01</strong>2300472120006 FEVERALL INF SUP 80MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>2368453095<strong>01</strong>0 FEXMID TAB 7.5MG <strong>01</strong>/31/2<strong>01</strong>4 2<strong>01</strong>2355111055735 FEXOFEN/PSE TAB 180-240 12/31/9999 2<strong>01</strong>23551110572<strong>01</strong> FEXOFEN/PSE TAB 24 HOUR 12/31/9999 2<strong>01</strong>23003780755<strong>01</strong> FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300378075505 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300378078205 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300378078293 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300904621418 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300904621446 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300904621448 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300904621452 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2300904621489 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2345802057178 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2349348096812 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2349348096844 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2349348096857 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>23510790548<strong>01</strong> FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2351079054820 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>94<strong>01</strong> FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9405 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9490 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2355111078430 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10067<strong>01</strong> FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2362<strong>01</strong>1006702 FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>2366993<strong>01</strong>0902 FEXOFENADINE TAB 180MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>23

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