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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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54838054880 LEVETIRACETA SOL 100MG/ML 12/31/9999 2<strong>01</strong>2360258086516 LEVETIRACETA SOL 100MG/ML 12/31/9999 2<strong>01</strong>2360432083116 LEVETIRACETA SOL 100MG/ML 12/31/9999 2<strong>01</strong>2365162068590 LEVETIRACETA SOL 100MG/ML 10/31/2<strong>01</strong>3 2<strong>01</strong>2365862025047 LEVETIRACETA SOL 100MG/ML 12/31/9999 2<strong>01</strong>23666890028<strong>01</strong> LEVETIRACETA SOL 100MG/ML 12/31/9999 2<strong>01</strong>2366689002850 LEVETIRACETA SOL 100MG/ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>21480205 LEVETIRACETA SOL 500/5ML 12/31/9999 2<strong>01</strong>2363739053950 LEVETIRACETA SOL 500/5ML 12/31/9999 2<strong>01</strong>2368094081659 LEVETIRACETA SOL 500/5ML 12/31/9999 2<strong>01</strong>2368094081662 LEVETIRACETA SOL 500/5ML 12/31/9999 2<strong>01</strong>2300054025721 LEVETIRACETA TAB 1000MG 11/30/2<strong>01</strong>2 2<strong>01</strong>2300093749306 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2300378561918 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2300378561991 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2300781511460 LEVETIRACETA TAB 1000MG 11/30/2<strong>01</strong>2 2<strong>01</strong>23136680<strong>01</strong>705 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>712 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>725 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>760 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>761 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>23167140357<strong>01</strong> LEVETIRACETA TAB 1000MG 12/31/2020 2<strong>01</strong>2331722053960 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2342043<strong>01</strong>9306 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2343547022406 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>23510790860<strong>01</strong> LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2351079086006 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2355111024860 LEVETIRACETA TAB 1000MG 04/30/2<strong>01</strong>4 2<strong>01</strong>23597620063<strong>01</strong> LEVETIRACETA TAB 1000MG 03/31/2<strong>01</strong>3 2<strong>01</strong>2359762006303 LEVETIRACETA TAB 1000MG 03/31/2<strong>01</strong>3 2<strong>01</strong>2359762006305 LEVETIRACETA TAB 1000MG 12/31/2<strong>01</strong>2 2<strong>01</strong>2365162053906 LEVETIRACETA TAB 1000MG 03/31/2<strong>01</strong>3 2<strong>01</strong>2365862031560 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>23680840356<strong>01</strong> LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>1502 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2368180<strong>01</strong>1507 LEVETIRACETA TAB 1000MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>5023 LEVETIRACETA TAB 250MG 11/30/2<strong>01</strong>2 2<strong>01</strong>2300093728589 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2300378561305 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2300378561307 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2300378561312 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2300378561378 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2300781511172 LEVETIRACETA TAB 250MG 05/31/2<strong>01</strong>3 2<strong>01</strong>230090460<strong>01</strong>61 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>405 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>412 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>425 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>460 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23136680<strong>01</strong>477 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23167140354<strong>01</strong> LEVETIRACETA TAB 250MG 12/31/2020 2<strong>01</strong>2316714035402 LEVETIRACETA TAB 250MG 12/31/2020 2<strong>01</strong>2331722053605 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2331722053612 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2342043<strong>01</strong>9004 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2342043<strong>01</strong>9005 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2343547022115 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2350268046711 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2350268046715 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23510790820<strong>01</strong> LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>2351079082020 LEVETIRACETA TAB 250MG 12/31/9999 2<strong>01</strong>23

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