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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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68180<strong>01</strong>8506 MEFENAM ACID CAP 250MG 12/31/9999 2<strong>01</strong>2300054002511 MEFLOQUINE TAB 250MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>43128222 MEFLOQUINE TAB 250MG 12/31/9999 2<strong>01</strong>2300555<strong>01</strong>7178 MEFLOQUINE TAB 250MG 12/31/9999 2<strong>01</strong>2300781507686 MEFLOQUINE TAB 250MG 12/31/9999 2<strong>01</strong>2367457<strong>01</strong>89<strong>01</strong> MEFOXIN INJ 1GM/50ML 12/31/9999 2<strong>01</strong>2367457<strong>01</strong>8902 MEFOXIN INJ 2GM/50ML 12/31/9999 2<strong>01</strong>2349884094969 MEGACE ES SUS 625/5ML 12/31/9999 2<strong>01</strong>2300<strong>01</strong>5050842 MEGACE ORAL SUS 40MG/ML 12/31/9999 2<strong>01</strong>2338779<strong>01</strong>4003 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>2338779<strong>01</strong>4004 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>2338779<strong>01</strong>4005 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>2338779<strong>01</strong>4008 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>2338779<strong>01</strong>4009 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>23515520667<strong>01</strong> MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>2351552066702 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>2351552066704 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>2351552066705 MEGESTROL POW ACETATE 12/31/9999 2<strong>01</strong>230<strong>01</strong>21477610 MEGESTROL AC SUS 400MG/10 12/31/9999 2<strong>01</strong>23666890020<strong>01</strong> MEGESTROL AC SUS 400MG/10 12/31/9999 2<strong>01</strong>2366689002050 MEGESTROL AC SUS 400MG/10 12/31/9999 2<strong>01</strong>2368094052859 MEGESTROL AC SUS 400MG/10 12/31/9999 2<strong>01</strong>2368094052861 MEGESTROL AC SUS 400MG/10 12/31/9999 2<strong>01</strong>2368094052862 MEGESTROL AC SUS 400MG/10 12/31/9999 2<strong>01</strong>2300054354258 MEGESTROL AC SUS 40MG/ML 12/31/9999 2<strong>01</strong>2349884090738 MEGESTROL AC SUS 40MG/ML 12/31/9999 2<strong>01</strong>2349884090761 MEGESTROL AC SUS 40MG/ML 12/31/9999 2<strong>01</strong>2360432<strong>01</strong>2608 MEGESTROL AC SUS 40MG/ML 12/31/9999 2<strong>01</strong>2360432<strong>01</strong>2616 MEGESTROL AC SUS 40MG/ML 12/31/9999 2<strong>01</strong>23605050368<strong>01</strong> MEGESTROL AC SUS 40MG/ML 12/31/9999 2<strong>01</strong>2368094051859 MEGESTROL AC SUS 800MG/20 12/31/9999 2<strong>01</strong>2368094051862 MEGESTROL AC SUS 800MG/20 12/31/9999 2<strong>01</strong>2300054460325 MEGESTROL AC TAB 20MG 12/31/9999 2<strong>01</strong>2300054860325 MEGESTROL AC TAB 20MG 12/31/9999 2<strong>01</strong>2300555060602 MEGESTROL AC TAB 20MG 12/31/9999 2<strong>01</strong>23498840289<strong>01</strong> MEGESTROL AC TAB 20MG 12/31/9999 2<strong>01</strong>23510790434<strong>01</strong> MEGESTROL AC TAB 20MG 12/31/9999 2<strong>01</strong>2351079043420 MEGESTROL AC TAB 20MG 12/31/9999 2<strong>01</strong>2300054460425 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2300054860425 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2300555060702 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2300555060704 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2300904357161 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>23498840290<strong>01</strong> MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2349884029004 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2349884029005 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>23510790435<strong>01</strong> MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2351079043520 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2363739<strong>01</strong>6510 MEGESTROL AC TAB 40MG 12/31/9999 2<strong>01</strong>2300536641208 MELATONIN TAB 3MG 12/31/9999 2<strong>01</strong>2300054022849 MELOXICAM SUS 7.5/5ML 12/31/9999 2<strong>01</strong>23000937299<strong>01</strong> MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>23003781089<strong>01</strong> MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>2300378108905 MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>2329300<strong>01</strong>25<strong>01</strong> MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>2329300<strong>01</strong>2510 MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>23510790459<strong>01</strong> MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>2351079045920 MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>2354458090902 MELOXICAM TAB 15MG 12/31/9999 2<strong>01</strong>2354458092305 MELOXICAM TAB 15MG 03/<strong>01</strong>/2<strong>01</strong>4 2<strong>01</strong>23

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