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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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007856350<strong>01</strong> LORCET TAB 10-650MG 12/31/9999 2<strong>01</strong>2300785635050 LORCET TAB 10-650MG 12/31/9999 2<strong>01</strong>23007851122<strong>01</strong> LORCET PLUS TAB 7.5-650 12/31/9999 2<strong>01</strong>2300785112250 LORCET PLUS TAB 7.5-650 12/31/9999 2<strong>01</strong>2350474090916 LORTAB ELX 7.5-500 12/31/9999 2<strong>01</strong>23504740910<strong>01</strong> LORTAB TAB 10-500MG 12/31/9999 2<strong>01</strong>2350474091050 LORTAB TAB 10-500MG 12/31/9999 2<strong>01</strong>2350474091060 LORTAB TAB 10-500MG 12/31/9999 2<strong>01</strong>23504740902<strong>01</strong> LORTAB TAB 5-500MG 12/31/9999 2<strong>01</strong>2350474090250 LORTAB TAB 5-500MG 12/31/9999 2<strong>01</strong>23504740907<strong>01</strong> LORTAB TAB 7.5-500 12/31/9999 2<strong>01</strong>2350474090750 LORTAB TAB 7.5-500 12/31/9999 2<strong>01</strong>2350991059816 LORTUSS DM LIQ 12/31/9999 2<strong>01</strong>2350991051516 LORTUSS EX LIQ 12/31/9999 2<strong>01</strong>2350991059716 LORTUSS LQ LIQ 12/31/9999 2<strong>01</strong>2300781565615 LORYNA TAB 3-0.02MG 12/31/9999 2<strong>01</strong>2368025004610 LORZONE TAB 375MG 12/31/9999 2<strong>01</strong>2368025004710 LORZONE TAB 750MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>2522 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300093736610 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300093736656 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300093736698 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300245<strong>01</strong>9590 LOSARTAN POT TAB 100MG 06/30/2<strong>01</strong>4 2<strong>01</strong>2300378404377 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300378404393 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300603422602 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300603422616 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300603422632 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300781570210 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300781570231 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300781570292 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300781580710 LOSARTAN POT TAB 100MG 06/30/2<strong>01</strong>3 2<strong>01</strong>2300781580731 LOSARTAN POT TAB 100MG 08/31/2<strong>01</strong>3 2<strong>01</strong>2300781580792 LOSARTAN POT TAB 100MG 08/31/2<strong>01</strong>3 2<strong>01</strong>2313668<strong>01</strong>1510 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2313668<strong>01</strong>1530 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2313668<strong>01</strong>1590 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2316571050211 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>23167140583<strong>01</strong> LOSARTAN POT TAB 100MG 12/31/2020 2<strong>01</strong>2316714058302 LOSARTAN POT TAB 100MG 12/31/2020 2<strong>01</strong>2316714058303 LOSARTAN POT TAB 100MG 12/31/2020 2<strong>01</strong>23597620072<strong>01</strong> LOSARTAN POT TAB 100MG 12/31/2<strong>01</strong>2 2<strong>01</strong>2359762007202 LOSARTAN POT TAB 100MG 12/31/2<strong>01</strong>2 2<strong>01</strong>2360505316203 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2360505316209 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2363739051510 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2365862020330 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2365862020390 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2365862020399 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>23680840348<strong>01</strong> LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2368180021203 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2368180021209 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>3706 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>3710 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>3716 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2368645041170 LOSARTAN POT TAB 100MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>2322 LOSARTAN POT TAB 25MG 12/31/9999 2<strong>01</strong>2300093736410 LOSARTAN POT TAB 25MG 12/31/9999 2<strong>01</strong>2300093736498 LOSARTAN POT TAB 25MG 12/31/9999 2<strong>01</strong>2300378404177 LOSARTAN POT TAB 25MG 12/31/9999 2<strong>01</strong>23

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