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

00168035650 HALOBETASOL OIN 0.05% 12/31/9999 2012300713063915 HALOBETASOL OIN 0.05% 12/31/9999 2012300713063986 HALOBETASOL OIN 0.05% 12/31/9999 2012345802013132 HALOBETASOL OIN 0.05% 12/31/9999 2012345802013135 HALOBETASOL OIN 0.05% 12/31/9999 2012351672132201 HALOBETASOL OIN 0.05% 12/31/9999 2012351672132203 HALOBETASOL OIN 0.05% 12/31/9999 2012310631009420 HALOG CRE 0.1% 12/31/9999 2012310631009430 HALOG CRE 0.1% 12/31/9999 2012310631009476 HALOG CRE 0.1% 12/31/9999 2012310631009620 HALOG OIN 0.1% 12/31/9999 2012310631009630 HALOG OIN 0.1% 12/31/9999 2012368712003401 HALONATE KIT 12/31/9999 2012368712004201 HALONATE PAC KIT 12/31/9999 2012300703702101 HALOPER DEC INJ 100MG/ML 12/31/9999 2012300703702103 HALOPER DEC INJ 100MG/ML 12/31/9999 2012300703702301 HALOPER DEC INJ 100MG/ML 12/31/9999 2012310147092205 HALOPER DEC INJ 100MG/ML 12/31/9999 2012360505070301 HALOPER DEC INJ 100MG/ML 12/31/9999 2012360505602102 HALOPER DEC INJ 100MG/ML 12/31/9999 2012363323047101 HALOPER DEC INJ 100MG/ML 12/31/9999 2012363323047105 HALOPER DEC INJ 100MG/ML 12/31/9999 2012300703701101 HALOPER DEC INJ 50MG/ML 12/31/9999 2012300703701103 HALOPER DEC INJ 50MG/ML 12/31/9999 2012300703701301 HALOPER DEC INJ 50MG/ML 12/31/9999 2012310147092103 HALOPER DEC INJ 50MG/ML 12/31/9999 2012360505070201 HALOPER DEC INJ 50MG/ML 12/31/9999 2012360505602002 HALOPER DEC INJ 50MG/ML 12/31/9999 2012363323046901 HALOPER DEC INJ 50MG/ML 12/31/9999 2012363323046905 HALOPER DEC INJ 50MG/ML 12/31/9999 2012300069011301 HALOPER LAC INJ 5MG/ML 12/31/9999 2012300069011302 HALOPER LAC INJ 5MG/ML 12/31/9999 2012300703704101 HALOPER LAC INJ 5MG/ML 12/31/9999 2012300703704501 HALOPER LAC INJ 5MG/ML 12/31/9999 2012310147091101 HALOPER LAC INJ 5MG/ML 12/31/9999 2012325021080601 HALOPER LAC INJ 5MG/ML 12/31/9999 2012325021082310 HALOPER LAC INJ 5MG/ML 12/31/9999 2012355390014701 HALOPER LAC INJ 5MG/ML 12/31/9999 2012355390014710 HALOPER LAC INJ 5MG/ML 12/31/9999 2012363323047401 HALOPER LAC INJ 5MG/ML 12/31/9999 2012363323047410 HALOPER LAC INJ 5MG/ML 12/31/9999 2012363323047491 HALOPER LAC INJ 5MG/ML 12/31/9999 2012300093960412 HALOPERIDOL CON 2MG/ML 12/31/9999 2012300093960423 HALOPERIDOL CON 2MG/ML 12/31/9999 2012300121058104 HALOPERIDOL CON 2MG/ML 12/31/9999 2012300121058105 HALOPERIDOL CON 2MG/ML 12/31/9999 2012354838050115 HALOPERIDOL CON 2MG/ML 12/31/9999 2012354838050140 HALOPERIDOL CON 2MG/ML 12/31/9999 2012300378035101 HALOPERIDOL TAB 0.5MG 12/31/9999 2012300378035110 HALOPERIDOL TAB 0.5MG 12/31/9999 2012300781139101 HALOPERIDOL TAB 0.5MG 12/31/9999 2012300781139113 HALOPERIDOL TAB 0.5MG 12/31/9999 2012351079073301 HALOPERIDOL TAB 0.5MG 12/31/9999 2012351079073320 HALOPERIDOL TAB 0.5MG 12/31/9999 2012300378033401 HALOPERIDOL TAB 10MG 12/31/9999 2012300406208001 HALOPERIDOL TAB 10MG 12/31/9999 2012300781139701 HALOPERIDOL TAB 10MG 12/31/9999 2012300781139713 HALOPERIDOL TAB 10MG 12/31/9999 2012351079043101 HALOPERIDOL TAB 10MG 12/31/9999 2012351079043120 HALOPERIDOL TAB 10MG 12/31/9999 20123