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

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66993<strong>01</strong>0904 FEXOFENADINE TAB 180MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>23680840287<strong>01</strong> FEXOFENADINE TAB 180MG 12/31/9999 2<strong>01</strong>23003780752<strong>01</strong> FEXOFENADINE TAB 30MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>92<strong>01</strong> FEXOFENADINE TAB 30MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9205 FEXOFENADINE TAB 30MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9290 FEXOFENADINE TAB 30MG 12/31/9999 2<strong>01</strong>23003780753<strong>01</strong> FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2300378075305 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2300378078105 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2300378078191 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2345802042578 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2349348097002 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>23510790547<strong>01</strong> FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2351079054720 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>93<strong>01</strong> FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9305 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>9390 FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10068<strong>01</strong> FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2366993<strong>01</strong>0702 FEXOFENADINE TAB 60MG <strong>01</strong>/13/2<strong>01</strong>3 2<strong>01</strong>2366993<strong>01</strong>0704 FEXOFENADINE TAB 60MG <strong>01</strong>/13/2<strong>01</strong>3 2<strong>01</strong>23680840286<strong>01</strong> FEXOFENADINE TAB 60MG 12/31/9999 2<strong>01</strong>2300904250091 FIBER TAB 625MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>13047775 FIBER LAXATV TAB 625MG 12/31/9999 2<strong>01</strong>2336800047775 FIBER LAXATV TAB 625MG 12/31/9999 2<strong>01</strong>2336800047792 FIBER LAXATV TAB 625MG 12/31/9999 2<strong>01</strong>2337205021375 FIBER LAXATV TAB 625MG 12/31/9999 2<strong>01</strong>2349348075913 FIBER LAXATV TAB 625MG 12/31/9999 2<strong>01</strong>2363868053090 FIBER LAXATV TAB 625MG 12/31/9999 2<strong>01</strong>2337205037278 FIBER LAXTIV CAP 0.52GM 12/31/9999 2<strong>01</strong>23638680348<strong>01</strong> FIBER LAXTIV CAP 0.52GM 12/31/9999 2<strong>01</strong>2300904578877 FIBER THERAP POW 58.6% 12/31/9999 2<strong>01</strong>2300904567460 FIBER THERAP TAB 500MG 12/31/9999 2<strong>01</strong>2324385046678 FIBER THERAP TAB 500MG 12/31/9999 2<strong>01</strong>2324385<strong>01</strong>2576 FIBER-CAPS TAB 625MG 12/31/9999 2<strong>01</strong>2300005250002 FIBERCON TAB 625MG 12/31/9999 2<strong>01</strong>2300005250023 FIBERCON TAB 625MG 12/31/9999 2<strong>01</strong>2300005250033 FIBERCON TAB 625MG 12/31/9999 2<strong>01</strong>2300536430605 FIBER-LAX TAB 625MG 12/31/9999 2<strong>01</strong>2300536430608 FIBER-LAX TAB 625MG 12/31/9999 2<strong>01</strong>2300536430611 FIBER-LAX TAB 625MG 12/31/9999 2<strong>01</strong>2300603<strong>01</strong>8102 FIBERTAB TAB 625MG 10/31/2<strong>01</strong>4 2<strong>01</strong>2313310<strong>01</strong>0207 FIBRICOR TAB 105MG 12/31/9999 2<strong>01</strong>2313310<strong>01</strong>0290 FIBRICOR TAB 105MG 12/31/9999 2<strong>01</strong>2313310<strong>01</strong><strong>01</strong>07 FIBRICOR TAB 35MG 12/31/9999 2<strong>01</strong>2310922082502 FINACEA GEL 15% 12/31/9999 2<strong>01</strong>2310922082610 FINACEA PLUS KIT 12/31/9999 2<strong>01</strong>23000937355<strong>01</strong> FINASTERIDE TAB 5MG 07/31/2<strong>01</strong>3 2<strong>01</strong>2300093735505 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300093735556 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300093735598 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>23003783151<strong>01</strong> FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300378315177 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300378315193 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300603363302 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300603363316 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300603363321 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>2300603363328 FINASTERIDE TAB 5MG 12/31/9999 2<strong>01</strong>23167140522<strong>01</strong> FINASTERIDE TAB 5MG 12/31/2020 2<strong>01</strong>2316714052203 FINASTERIDE TAB 5MG 12/31/2020 2<strong>01</strong>2316714052204 FINASTERIDE TAB 5MG 12/31/2020 2<strong>01</strong>23

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