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

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54458099309 LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>2359762329303 LISINOP/HCTZ TAB 10-12.5 04/30/2<strong>01</strong>3 2<strong>01</strong>2359762329304 LISINOP/HCTZ TAB 10-12.5 04/30/2<strong>01</strong>3 2<strong>01</strong>2360505020503 LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>2360505020507 LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>23605052689<strong>01</strong> LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>2363304053605 LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>23658620043<strong>01</strong> LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>2365862004305 LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>2368084051821 LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>23681800518<strong>01</strong> LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>2368180051802 LISINOP/HCTZ TAB 10-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>431263<strong>01</strong> LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>43126310 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503400 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503410 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503460 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503470 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>52<strong>01</strong> LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>5210 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>23003782<strong>01</strong>2<strong>01</strong> LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>23005910861<strong>01</strong> LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>2300591086105 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>2351079069840 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>2354458099210 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>2360505020603 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>23605052690<strong>01</strong> LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>2363304053705 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>23658620044<strong>01</strong> LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>2365862004405 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>23681800519<strong>01</strong> LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>2368180051902 LISINOP/HCTZ TAB 20-12.5 12/31/9999 2<strong>01</strong>230<strong>01</strong>431264<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>43126410 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503200 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503210 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503260 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72503270 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>73<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>7310 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>23003782025<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>23005910862<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2300591086205 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>23007811178<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2351079069940 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2354458091002 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2354458099105 LISINOP/HCTZ TAB 20-25MG 10/<strong>01</strong>/2<strong>01</strong>3 2<strong>01</strong>2354458099110 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>23597623295<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 04/30/2<strong>01</strong>3 2<strong>01</strong>2359762329502 LISINOP/HCTZ TAB 20-25MG 04/30/2<strong>01</strong>3 2<strong>01</strong>2360505020703 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>23605052691<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2363304053805 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>23658620045<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2365862004505 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2368084051921 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>23681800520<strong>01</strong> LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>2368180052002 LISINOP/HCTZ TAB 20-25MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>431267<strong>01</strong> LISINOPRIL TAB 10MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>43126710 LISINOPRIL TAB 10MG 12/31/9999 2<strong>01</strong>23

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