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

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00093092819 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2300093092893 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>850074<strong>01</strong> LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85007410 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85007460 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2300228263506 LOVASTATIN TAB 40MG 03/31/2<strong>01</strong>4 2<strong>01</strong>2300228263550 LOVASTATIN TAB 40MG 03/31/2<strong>01</strong>4 2<strong>01</strong>2300378654005 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2300378654091 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>23459630635<strong>01</strong> LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2345963063504 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>23510790976<strong>01</strong> LOVASTATIN TAB 40MG 12/31/2<strong>01</strong>3 2<strong>01</strong>2351079097620 LOVASTATIN TAB 40MG 12/31/2<strong>01</strong>3 2<strong>01</strong>23534890609<strong>01</strong> LOVASTATIN TAB 40MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>2353489060906 LOVASTATIN TAB 40MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>2353489060910 LOVASTATIN TAB 40MG <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>2354458091410 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2354458093610 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2354458098210 LOVASTATIN TAB 40MG 08/<strong>01</strong>/2<strong>01</strong>3 2<strong>01</strong>2360505<strong>01</strong>7900 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>43<strong>01</strong> LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>4305 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>4310 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2361442<strong>01</strong>4360 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2368084<strong>01</strong>33<strong>01</strong> LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>23681800469<strong>01</strong> LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2368180046903 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2368180046905 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>2368180046907 LOVASTATIN TAB 40MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73078302 LOVAZA CAP 1GM 12/31/9999 2<strong>01</strong>2300075062300 LOVENOX INJ 100MG/ML 12/31/9999 2<strong>01</strong>23000750623<strong>01</strong> LOVENOX INJ 100MG/ML 12/31/9999 2<strong>01</strong>23000752912<strong>01</strong> LOVENOX INJ 120/0.8 12/31/9999 2<strong>01</strong>2300075291202 LOVENOX INJ 120/0.8 12/31/9999 2<strong>01</strong>23000752915<strong>01</strong> LOVENOX INJ 150MG/ML 12/31/9999 2<strong>01</strong>2300075291502 LOVENOX INJ 150MG/ML 12/31/9999 2<strong>01</strong>2300075062430 LOVENOX INJ 30/0.3ML 12/31/9999 2<strong>01</strong>2300075062431 LOVENOX INJ 30/0.3ML 12/31/9999 2<strong>01</strong>2300075062603 LOVENOX INJ 300/3ML 12/31/9999 2<strong>01</strong>2300075062604 LOVENOX INJ 300/3ML 12/31/9999 2<strong>01</strong>2300075062040 LOVENOX INJ 40/0.4ML 12/31/9999 2<strong>01</strong>2300075062041 LOVENOX INJ 40/0.4ML 12/31/9999 2<strong>01</strong>2300075062160 LOVENOX INJ 60/0.6ML 12/31/9999 2<strong>01</strong>2300075062161 LOVENOX INJ 60/0.6ML 12/31/9999 2<strong>01</strong>2300075062280 LOVENOX INJ 80/0.8ML 12/31/9999 2<strong>01</strong>2300075062281 LOVENOX INJ 80/0.8ML 12/31/9999 2<strong>01</strong>23106310300<strong>01</strong> LOWILA BAR 12/31/9999 2<strong>01</strong>2352544084728 LOW-OGESTREL TAB 12/31/9999 2<strong>01</strong>23003787<strong>01</strong>0<strong>01</strong> LOXAPINE CAP 10MG 12/31/9999 2<strong>01</strong>23005271395<strong>01</strong> LOXAPINE CAP 10MG 12/31/9999 2<strong>01</strong>23005910370<strong>01</strong> LOXAPINE CAP 10MG 12/31/9999 2<strong>01</strong>235107909<strong>01</strong><strong>01</strong> LOXAPINE CAP 10MG 12/31/9999 2<strong>01</strong>235107909<strong>01</strong>20 LOXAPINE CAP 10MG 12/31/9999 2<strong>01</strong>2352152<strong>01</strong>9202 LOXAPINE CAP 10MG 12/31/9999 2<strong>01</strong>2352152<strong>01</strong>9205 LOXAPINE CAP 10MG 12/31/9999 2<strong>01</strong>23003787025<strong>01</strong> LOXAPINE CAP 25MG 12/31/9999 2<strong>01</strong>23005271396<strong>01</strong> LOXAPINE CAP 25MG 12/31/9999 2<strong>01</strong>23005910371<strong>01</strong> LOXAPINE CAP 25MG 12/31/9999 2<strong>01</strong>23510790902<strong>01</strong> LOXAPINE CAP 25MG 12/31/9999 2<strong>01</strong>2351079090220 LOXAPINE CAP 25MG 12/31/9999 2<strong>01</strong>23

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