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

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00703102030 FLUCONAZOLE/ INJ NACL 400 12/31/9999 2<strong>01</strong>2325021<strong>01</strong>1387 FLUCONAZOLE/ INJ NACL 400 12/31/9999 2<strong>01</strong>23553900046<strong>01</strong> FLUCONAZOLE/ INJ NACL 400 12/31/9999 2<strong>01</strong>23553900228<strong>01</strong> FLUCONAZOLE/ INJ NACL 400 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>79<strong>01</strong> FLUCYTOSINE CAP 250MG 12/31/9999 2<strong>01</strong>2368682035510 FLUCYTOSINE CAP 250MG 12/31/9999 2<strong>01</strong>2364980<strong>01</strong>80<strong>01</strong> FLUCYTOSINE CAP 500MG 12/31/9999 2<strong>01</strong>2368682035610 FLUCYTOSINE CAP 500MG 12/31/9999 2<strong>01</strong>2350419051106 FLUDARA INJ 50MG 06/30/2<strong>01</strong>3 2<strong>01</strong>2358468<strong>01</strong>70<strong>01</strong> FLUDARA INJ 50MG 12/31/9999 2<strong>01</strong>23007035854<strong>01</strong> FLUDARABINE INJ 50MG 12/31/9999 2<strong>01</strong>2325021020505 FLUDARABINE INJ 50MG 12/31/9999 2<strong>01</strong>2361703034418 FLUDARABINE INJ 50MG 12/31/9999 2<strong>01</strong>2363323<strong>01</strong>9606 FLUDARABINE INJ 50MG 12/31/9999 2<strong>01</strong>2300069932122 FLUDARABINE INJ 50MG/2ML 12/31/9999 2<strong>01</strong>2300703485211 FLUDARABINE INJ 50MG/2ML 12/31/9999 2<strong>01</strong>2363323<strong>01</strong>9202 FLUDARABINE INJ 50MG/2ML 12/31/9999 2<strong>01</strong>23667580046<strong>01</strong> FLUDARABINE INJ 50MG/2ML 12/31/9999 2<strong>01</strong>2367457023802 FLUDARABINE INJ 50MG/2ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>157033<strong>01</strong> FLUDROCORT TAB 0.1MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>15703302 FLUDROCORT TAB 0.1MG 12/31/9999 2<strong>01</strong>2300555099702 FLUDROCORT TAB 0.1MG 12/31/9999 2<strong>01</strong>2350268033<strong>01</strong>5 FLUDROCORT TAB 0.1MG 12/31/9999 2<strong>01</strong>23680840288<strong>01</strong> FLUDROCORT TAB 0.1MG 12/31/9999 2<strong>01</strong>23000690093<strong>01</strong> FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2300069009303 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2300781300370 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2300781300375 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2300781300392 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2300781300395 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>90321<strong>01</strong> FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9032102 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9032154 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9032162 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>23605050667<strong>01</strong> FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2360505066702 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2363323042405 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2363323042410 FLUMAZENIL INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>2300069<strong>01</strong>05<strong>01</strong> FLUMAZENIL INJ 0.5MG/5 12/31/9999 2<strong>01</strong>2300069<strong>01</strong>0503 FLUMAZENIL INJ 0.5MG/5 12/31/9999 2<strong>01</strong>230<strong>01</strong>43968410 FLUMAZENIL INJ 0.5MG/5 12/31/9999 2<strong>01</strong>230<strong>01</strong>43978410 FLUMAZENIL INJ 0.5MG/5 12/31/9999 2<strong>01</strong>2355390009210 FLUMAZENIL INJ 0.5MG/5 12/31/9999 2<strong>01</strong>230<strong>01</strong>43968310 FLUMAZENIL INJ 1MG/10ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>43978310 FLUMAZENIL INJ 1MG/10ML 12/31/9999 2<strong>01</strong>23006416032<strong>01</strong> FLUMAZENIL INJ 1MG/10ML 12/31/9999 2<strong>01</strong>2300641603210 FLUMAZENIL INJ 1MG/10ML 12/31/9999 2<strong>01</strong>2355390009310 FLUMAZENIL INJ 1MG/10ML 12/31/9999 2<strong>01</strong>2324208034425 FLUNISOLIDE SPR 0.025% 12/31/9999 2<strong>01</strong>2364980050625 FLUNISOLIDE SPR 0.025% 12/31/9999 2<strong>01</strong>2360505082400 FLUNISOLIDE SPR 29MCG 12/31/9999 2<strong>01</strong>230<strong>01</strong>68005815 FLUOCIN ACET CRE 0.<strong>01</strong>% 12/31/9999 2<strong>01</strong>230<strong>01</strong>68005860 FLUOCIN ACET CRE 0.<strong>01</strong>% 12/31/9999 2<strong>01</strong>2300713022315 FLUOCIN ACET CRE 0.<strong>01</strong>% 12/31/9999 2<strong>01</strong>2300713022360 FLUOCIN ACET CRE 0.<strong>01</strong>% 12/31/9999 2<strong>01</strong>230<strong>01</strong>68006<strong>01</strong>5 FLUOCIN ACET CRE 0.025% 12/31/9999 2<strong>01</strong>230<strong>01</strong>68006060 FLUOCIN ACET CRE 0.025% 12/31/9999 2<strong>01</strong>2300713022215 FLUOCIN ACET CRE 0.025% 12/31/9999 2<strong>01</strong>2300713022260 FLUOCIN ACET CRE 0.025% 12/31/9999 2<strong>01</strong>2365162070294 FLUOCIN ACET OIL 0.<strong>01</strong>% 12/31/9999 2<strong>01</strong>23

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