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 ...

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

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24385026226 GNP CGH RELF LIQ 15MG/5ML 12/31/9999 2<strong>01</strong>2324385026326 GNP CGH RELF LIQ 15MG/5ML 12/31/9999 2<strong>01</strong>2324385051726 GNP CLD/ALLE ELX CHILDREN 12/31/9999 2<strong>01</strong>2324385051734 GNP CLD/ALLE ELX CHILDREN 12/31/9999 2<strong>01</strong>23461220<strong>01</strong>431 GNP CLEARLAX POW 12/31/9999 2<strong>01</strong>23461220<strong>01</strong>433 GNP CLEARLAX POW 12/31/9999 2<strong>01</strong>23461220<strong>01</strong>471 GNP CLEARLAX POW 12/31/9999 2<strong>01</strong>2324385006662 GNP COLD TAB DAYTIME 12/31/9999 2<strong>01</strong>2324385<strong>01</strong>9762 GNP COLD TAB HEAD CON 12/31/9999 2<strong>01</strong>2324385024154 GNP COLD&HOT OIN EXT ST 12/31/9999 2<strong>01</strong>2324385051926 GNP COLD/CGH ELX CHILD 12/31/9999 2<strong>01</strong>2346122006765 GNP COUGH LOZ 6.5MG 12/31/9999 2<strong>01</strong>2346122006665 GNP COUGH LOZ 7MG 12/31/9999 2<strong>01</strong>234612200<strong>01</strong>65 GNP COUGH LOZ HON LEMN 12/31/9999 2<strong>01</strong>2346122000263 GNP COUGH LOZ SF MENTH 12/31/9999 2<strong>01</strong>2324385003653 GNP DAY TIME CAP COLD/FLU 12/31/9999 2<strong>01</strong>2346122000460 GNP DAY TIME CAP SINUS 12/31/9999 2<strong>01</strong>2324385000530 GNP DAY TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385000538 GNP DAY TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2346122003238 GNP DAY TIME LIQ MUCUS DM 12/31/9999 2<strong>01</strong>2324385<strong>01</strong>8351 GNP DAYHIST TAB 1.34MG 12/31/9999 2<strong>01</strong>23243850955<strong>01</strong> GNP EAR DRO 6.5% OT 12/31/9999 2<strong>01</strong>2324385050305 GNP EAR SYS SOL 6.5% OT 12/31/9999 2<strong>01</strong>2324385003928 GNP ENEMA ENE 12/31/9999 2<strong>01</strong>2324385003936 GNP ENEMA ENE 12/31/9999 2<strong>01</strong>23243850807<strong>01</strong> GNP EPSOM GRA SALT 12/31/9999 2<strong>01</strong>2324385080704 GNP EPSOM GRA SALT 12/31/9999 2<strong>01</strong>2324385007705 GNP EYE DRO 12/31/9999 2<strong>01</strong>2324385007505 GNP EYE DROP SOL 0.05% OP 12/31/9999 2<strong>01</strong>23461220<strong>01</strong>533 GNP FLU RELF LIQ DAYTIME 12/31/9999 2<strong>01</strong>23461220<strong>01</strong>633 GNP FLU RELF LIQ NIGHTIME 12/31/9999 2<strong>01</strong>2324385<strong>01</strong>2372 GNP GAS RELF CHW 125MG 12/31/9999 2<strong>01</strong>2324385030789 GNP GAS RELF CHW 125MG 12/31/9999 2<strong>01</strong>2324385<strong>01</strong>1878 GNP GAS RELF CHW 80MG 12/31/9999 2<strong>01</strong>2324385003316 GNP GLYCERIN LIQ 12/31/9999 2<strong>01</strong>2324385003330 GNP GLYCERIN LIQ 12/31/9999 2<strong>01</strong>2324385031763 GNP GLYCERIN SUP 1.2GM 12/31/9999 2<strong>01</strong>2324385032063 GNP GLYCERIN SUP 2.1GM 12/31/9999 2<strong>01</strong>2324385032071 GNP GLYCERIN SUP 2.1GM 12/31/9999 2<strong>01</strong>2324385043078 GNP HEADACHE TAB ADDED ST 12/31/9999 2<strong>01</strong>2346122006804 GNP HERBAL LOZ 4.8MG 12/31/9999 2<strong>01</strong>2324385002103 GNP HYDROCOR CRE 1% PLUS 12/31/9999 2<strong>01</strong>2324385020033 GNP HYGIENIC PAD CLEANSNG 12/31/9999 2<strong>01</strong>2346122005478 GNP HYGIENIC PAD CLEANSNG 12/31/9999 2<strong>01</strong>2324385046560 GNP IBUPROFN TAB COLD/SIN 12/31/9999 2<strong>01</strong>2324385020746 GNP IODIDES TIN 12/31/9999 2<strong>01</strong>2324385021310 GNP IODINE TIN 2% MILD 12/31/9999 2<strong>01</strong>2324385055940 GNP K-PEC SUS 262/15ML 12/31/9999 2<strong>01</strong>2324385<strong>01</strong>0753 GNP LAXATIVE SUP 10MG 12/31/9999 2<strong>01</strong>2324385036962 GNP LAXATIVE TAB 25MG 12/31/9999 2<strong>01</strong>2324385<strong>01</strong>9365 GNP LAXATIVE TAB 5MG EC 12/31/9999 2<strong>01</strong>2324385090363 GNP LAXATIVE TAB 5MG EC 12/31/9999 2<strong>01</strong>2324385063423 GNP LICE KIT 12/31/9999 2<strong>01</strong>2324385039846 GNP LICE EGG GEL REMOVER 12/31/9999 2<strong>01</strong>2324385007144 GNP LUBRICAT GEL JELLY 12/31/9999 2<strong>01</strong>2324385091<strong>01</strong>0 GNP MAG CITR SOL CHERRY 12/31/9999 2<strong>01</strong>2324385060<strong>01</strong>0 GNP MAG CITR SOL LEMON 12/31/9999 2<strong>01</strong>2324385067510 GNP MAG CITR SOL LEMON 12/31/9999 2<strong>01</strong>2324385034040 GNP MASANTI SUS MAX ST 12/31/9999 2<strong>01</strong>2324385035740 GNP MASANTI SUS REG ST 12/31/9999 2<strong>01</strong>23

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