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

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

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00224182206 KONSYL-D POW 52.3% 12/31/9999 2<strong>01</strong>2300224182207 KONSYL-D POW 52.3% 12/31/9999 2<strong>01</strong>2300224182211 KONSYL-D POW 52.3% 12/31/9999 2<strong>01</strong>2300224182224 KONSYL-D POW 52.3% 12/31/9999 2<strong>01</strong>23763460073<strong>01</strong> KORLYM TAB 300MG 12/31/9999 2<strong>01</strong>2376346007302 KORLYM TAB 300MG 12/31/9999 2<strong>01</strong>23004861111<strong>01</strong> K-PHOS TAB 12/31/9999 2<strong>01</strong>2300486111105 K-PHOS TAB 12/31/9999 2<strong>01</strong>23004861125<strong>01</strong> K-PHOS TAB NEUTRAL 12/31/9999 2<strong>01</strong>2300486112505 K-PHOS TAB NEUTRAL 12/31/9999 2<strong>01</strong>23004861134<strong>01</strong> K-PHOS TAB NO 2 12/31/9999 2<strong>01</strong>2366220071930 KRISTALOSE PAK 10GM 12/31/9999 2<strong>01</strong>2366220072930 KRISTALOSE PAK 20GM 12/31/9999 2<strong>01</strong>235439608<strong>01</strong><strong>01</strong> KRYSTEXXA INJ 8MG/ML 12/31/9999 2<strong>01</strong>2300074780413 K-TABS TAB 10MEQ CR 12/31/9999 2<strong>01</strong>2300074780419 K-TABS TAB 10MEQ CR 12/31/9999 2<strong>01</strong>2368180084413 KURVELO TAB 0.15/30 12/31/9999 2<strong>01</strong>2368135030002 KUVAN TAB 100MG 12/31/9999 2<strong>01</strong>2300904272046 K-VESCENT TAB 25MEQ EF 12/31/9999 2<strong>01</strong>2300904272060 K-VESCENT TAB 25MEQ EF 12/31/9999 2<strong>01</strong>2376075<strong>01</strong><strong>01</strong><strong>01</strong> KYPROLIS SOL 60MG 12/31/9999 2<strong>01</strong>2300409226720 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2300409226754 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2300409233934 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2317478042020 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2317478042040 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2325021030020 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2325021030040 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2355390<strong>01</strong>3020 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2355390<strong>01</strong>3040 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2360505071700 LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>23605050717<strong>01</strong> LABETALOL INJ 5MG/ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436400 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436410 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436460 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436470 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>850<strong>01</strong>0<strong>01</strong> LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>850<strong>01</strong>005 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>23005910605<strong>01</strong> LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>2300591060505 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>2300904592861 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>23510790928<strong>01</strong> LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>2351079092820 LABETALOL TAB 100MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436500 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436510 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436560 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436570 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>17<strong>01</strong> LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>1705 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>23005910606<strong>01</strong> LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>2300591060605 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>2300904592961 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>23510790929<strong>01</strong> LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>2351079092920 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>2363739036610 LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>23680840456<strong>01</strong> LABETALOL TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72436660 LABETALOL TAB 300MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>18<strong>01</strong> LABETALOL TAB 300MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>1805 LABETALOL TAB 300MG 12/31/9999 2<strong>01</strong>23005910607<strong>01</strong> LABETALOL TAB 300MG 12/31/9999 2<strong>01</strong>23

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