12.07.2015 Views

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 ...

SHOW MORE
SHOW LESS
  • No tags were found...

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

000241075<strong>01</strong> KAYEXALATE POW 12/31/9999 2<strong>01</strong>2300338070434 KCL IN NACL INJ 12/31/9999 2<strong>01</strong>2300409925739 KCL IN NACL INJ 12/31/9999 2<strong>01</strong>2300264762500 KCL/D5W INJ 0.15% 12/31/9999 2<strong>01</strong>2300338068304 KCL/D5W INJ 0.15% 12/31/9999 2<strong>01</strong>2300409790509 KCL/D5W INJ 0.15% 12/31/9999 2<strong>01</strong>2300264762800 KCL/D5W INJ 0.3% 12/31/9999 2<strong>01</strong>2300338081104 KCL/D5W/LR INJ 0.15% 12/31/9999 2<strong>01</strong>2300409711109 KCL/D5W/LR INJ 0.15% 12/31/9999 2<strong>01</strong>2300264763400 KCL/D5W/NACL INJ .075/.45 12/31/9999 2<strong>01</strong>2300338066904 KCL/D5W/NACL INJ .075/.45 12/31/9999 2<strong>01</strong>2300409799309 KCL/D5W/NACL INJ .075/.45 12/31/9999 2<strong>01</strong>2300409790203 KCL/D5W/NACL INJ .15-.45% 12/31/9999 2<strong>01</strong>2300409790209 KCL/D5W/NACL INJ .15-.45% 12/31/9999 2<strong>01</strong>2300264765500 KCL/D5W/NACL INJ .15/.33% 12/31/9999 2<strong>01</strong>2300338060303 KCL/D5W/NACL INJ .15/.33% 05/31/2<strong>01</strong>3 2<strong>01</strong>2300264763500 KCL/D5W/NACL INJ .15/.45% 12/31/9999 2<strong>01</strong>2300338067103 KCL/D5W/NACL INJ .15/.45% 12/31/9999 2<strong>01</strong>2300338067104 KCL/D5W/NACL INJ .15/.45% 12/31/9999 2<strong>01</strong>2300264763600 KCL/D5W/NACL INJ .22/.45 12/31/9999 2<strong>01</strong>2300338067304 KCL/D5W/NACL INJ .224/.45 12/31/9999 2<strong>01</strong>2300409790309 KCL/D5W/NACL INJ .224/.45 12/31/9999 2<strong>01</strong>2300264764500 KCL/D5W/NACL INJ 0.15/0.2 12/31/9999 2<strong>01</strong>2300264764520 KCL/D5W/NACL INJ 0.15/0.2 12/31/9999 2<strong>01</strong>2300338066303 KCL/D5W/NACL INJ 0.15/0.2 12/31/9999 2<strong>01</strong>2300338066304 KCL/D5W/NACL INJ 0.15/0.2 12/31/9999 2<strong>01</strong>230040979<strong>01</strong>03 KCL/D5W/NACL INJ 0.15/0.2 12/31/9999 2<strong>01</strong>230040979<strong>01</strong>09 KCL/D5W/NACL INJ 0.15/0.2 12/31/9999 2<strong>01</strong>2300264765200 KCL/D5W/NACL INJ 0.15/0.9 12/31/9999 2<strong>01</strong>2300338080304 KCL/D5W/NACL INJ 0.15/0.9 12/31/9999 2<strong>01</strong>2300409710709 KCL/D5W/NACL INJ 0.15/0.9 12/31/9999 2<strong>01</strong>2300264763800 KCL/D5W/NACL INJ 0.3/0.45 12/31/9999 2<strong>01</strong>2300338067504 KCL/D5W/NACL INJ 0.3/0.45 12/31/9999 2<strong>01</strong>2300409790409 KCL/D5W/NACL INJ 0.3/0.45 12/31/9999 2<strong>01</strong>2300338080704 KCL/D5W/NACL INJ 0.3/0.9% 12/31/9999 2<strong>01</strong>2300409710909 KCL/D5W/NACL INJ 0.3/0.9% 12/31/9999 2<strong>01</strong>2300264786500 KCL/NACL INJ 0.15-0.9 12/31/9999 2<strong>01</strong>2300338069104 KCL/NACL INJ 0.15-0.9 12/31/9999 2<strong>01</strong>2300409711509 KCL/NACL INJ 0.15-0.9 12/31/9999 2<strong>01</strong>2300338069504 KCL/NACL INJ 0.3-0.9 12/31/9999 2<strong>01</strong>2300409711609 KCL/NACL INJ 0.3-0.9 12/31/9999 2<strong>01</strong>23761790025<strong>01</strong> KEDBUMIN INJ 25% 12/31/9999 2<strong>01</strong>2300603417<strong>01</strong>6 K-EFFERVESCE TAB 25MEQ EF 12/31/9999 2<strong>01</strong>2368453<strong>01</strong>1210 KEFLEX CAP 250MG 04/30/2<strong>01</strong>4 2<strong>01</strong>2368453<strong>01</strong>1310 KEFLEX CAP 500MG 04/30/2<strong>01</strong>4 2<strong>01</strong>2359630<strong>01</strong>1505 KEFLEX CAP 750MG 12/31/9999 2<strong>01</strong>2368453<strong>01</strong>1505 KEFLEX CAP 750MG 04/30/2<strong>01</strong>4 2<strong>01</strong>2300555906458 KELNOR TAB 1/35 12/31/9999 2<strong>01</strong>2310631009307 KENALOG AER SPRAY 12/31/9999 2<strong>01</strong>2310631009362 KENALOG AER SPRAY 12/31/9999 2<strong>01</strong>2300003049420 KENALOG-10 INJ 10MG/ML 12/31/9999 2<strong>01</strong>2300003029305 KENALOG-40 INJ 40MG/ML 12/31/9999 2<strong>01</strong>2300003029320 KENALOG-40 INJ 40MG/ML 12/31/9999 2<strong>01</strong>2300003029328 KENALOG-40 INJ 40MG/ML 12/31/9999 2<strong>01</strong>2366658<strong>01</strong>1203 KEPIVANCE INJ 6.25MG 12/31/9999 2<strong>01</strong>2366658<strong>01</strong>1206 KEPIVANCE INJ 6.25MG 12/31/9999 2<strong>01</strong>2350474000263 KEPPRA INJ 500/5ML 12/31/9999 2<strong>01</strong>235047400<strong>01</strong>48 KEPPRA SOL 100MG/ML 12/31/9999 2<strong>01</strong>2350474059766 KEPPRA TAB 1000MG 12/31/9999 2<strong>01</strong>2350474059440 KEPPRA TAB 250MG 12/31/9999 2<strong>01</strong>23

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!