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...

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

13668004505 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2313668004530 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2313668004574 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2316714037102 LAMOTRIGINE TAB 25MG 12/31/2020 2<strong>01</strong>23510790498<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2351079049820 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>23516724130<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2351672413003 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>23551110220<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2355111022005 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>23597460245<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2359746024505 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>23605052663<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2360505266305 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2363739044810 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>23658620227<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>23680840318<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>23683820006<strong>01</strong> LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2368382000610 LAMOTRIGINE TAB 25MG 12/31/9999 2<strong>01</strong>2351552086404 LANOLIN OIL 12/31/9999 2<strong>01</strong>2351552086405 LANOLIN OIL 12/31/9999 2<strong>01</strong>2351552086407 LANOLIN OIL 12/31/9999 2<strong>01</strong>2351552087404 LANOLIN OIN ALCOHOL 12/31/9999 2<strong>01</strong>2351552024306 LANOLIN ANHY OIN 12/31/9999 2<strong>01</strong>2351552024308 LANOLIN ANHY OIN 12/31/9999 2<strong>01</strong>2351552024309 LANOLIN ANHY OIN 12/31/9999 2<strong>01</strong>2351552132106 LANORCREAM CRE BASE 12/31/9999 2<strong>01</strong>2351552132108 LANORCREAM CRE BASE 12/31/9999 2<strong>01</strong>230<strong>01</strong>73026210 LANOXIN INJ 0.1MG/ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>73026<strong>01</strong>0 LANOXIN INJ 0.25MG/1 12/31/9999 2<strong>01</strong>230<strong>01</strong>73024255 LANOXIN TAB 0.125MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73024256 LANOXIN TAB 0.125MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73024275 LANOXIN TAB 0.125MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73024955 LANOXIN TAB 0.25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73024956 LANOXIN TAB 0.25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73024975 LANOXIN TAB 0.25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73024980 LANOXIN TAB 0.25MG 12/31/9999 2<strong>01</strong>2300093735056 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>23003788<strong>01</strong>510 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>23003788<strong>01</strong>593 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2300536412288 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2300781214731 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2300781235310 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2300781235331 LANSOPRAZOLE CAP 15MG DR 07/31/2<strong>01</strong>3 2<strong>01</strong>23458020245<strong>01</strong> LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2345802024502 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2345802024503 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2355111039830 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2355111039890 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2362<strong>01</strong>1<strong>01</strong>68<strong>01</strong> LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2362<strong>01</strong>1<strong>01</strong>6802 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2362<strong>01</strong>1<strong>01</strong>6803 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2363739057410 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>23646790669<strong>01</strong> LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>23680840467<strong>01</strong> LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2368084046721 LANSOPRAZOLE CAP 15MG DR 12/31/9999 2<strong>01</strong>2300093735156 LANSOPRAZOLE CAP 30MG DR 12/31/9999 2<strong>01</strong>2300378803005 LANSOPRAZOLE CAP 30MG DR 12/31/9999 2<strong>01</strong>2300378803077 LANSOPRAZOLE CAP 30MG DR 12/31/9999 2<strong>01</strong>2300378803093 LANSOPRAZOLE CAP 30MG DR 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!