Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...
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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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00409603004 MEPERIDINE INJ 10MG/ML 12/31/9999 2<strong>01</strong>23006416052<strong>01</strong> MEPERIDINE INJ 25MG/ML 12/31/9999 2<strong>01</strong>2300641605225 MEPERIDINE INJ 25MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>59<strong>01</strong> MEPERIDINE INJ 25MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>5944 MEPERIDINE INJ 25MG/ML 12/31/9999 2<strong>01</strong>23006416053<strong>01</strong> MEPERIDINE INJ 50MG/ML 12/31/9999 2<strong>01</strong>2300641605325 MEPERIDINE INJ 50MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>60<strong>01</strong> MEPERIDINE INJ 50MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>6044 MEPERIDINE INJ 50MG/ML 12/31/9999 2<strong>01</strong>2300054354563 MEPERIDINE SOL 50MG/5ML 12/31/9999 2<strong>01</strong>2300054459625 MEPERIDINE TAB 100MG 12/31/9999 2<strong>01</strong>2300555038202 MEPERIDINE TAB 100MG 12/31/9999 2<strong>01</strong>23428060051<strong>01</strong> MEPERIDINE TAB 100MG 12/31/9999 2<strong>01</strong>2352152<strong>01</strong>5702 MEPERIDINE TAB 100MG 12/31/9999 2<strong>01</strong>2300054459525 MEPERIDINE TAB 50MG 12/31/9999 2<strong>01</strong>2300054859511 MEPERIDINE TAB 50MG 12/31/9999 2<strong>01</strong>2300555038102 MEPERIDINE TAB 50MG 12/31/9999 2<strong>01</strong>23428060050<strong>01</strong> MEPERIDINE TAB 50MG 12/31/9999 2<strong>01</strong>2351224<strong>01</strong>5550 MEPERIDINE TAB 50MG 12/31/9999 2<strong>01</strong>2352152<strong>01</strong>5802 MEPERIDINE TAB 50MG 12/31/9999 2<strong>01</strong>2300603441621 MEPERITAB TAB 100MG 12/31/9999 2<strong>01</strong>2300603441521 MEPERITAB TAB 50MG 12/31/9999 2<strong>01</strong>2325<strong>01</strong>0040515 MEPHYTON TAB 5MG 12/31/9999 2<strong>01</strong>23004097551<strong>01</strong> MEPIVACAINE INJ 3% 12/31/9999 2<strong>01</strong>23005915239<strong>01</strong> MEPROBAMATE TAB 200MG 12/31/9999 2<strong>01</strong>2323155<strong>01</strong>28<strong>01</strong> MEPROBAMATE TAB 200MG 12/31/9999 2<strong>01</strong>23551110640<strong>01</strong> MEPROBAMATE TAB 200MG 12/31/9999 2<strong>01</strong>23005915238<strong>01</strong> MEPROBAMATE TAB 400MG 12/31/9999 2<strong>01</strong>2323155<strong>01</strong>29<strong>01</strong> MEPROBAMATE TAB 400MG 12/31/9999 2<strong>01</strong>23551110641<strong>01</strong> MEPROBAMATE TAB 400MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>73054700 MEPRON SUS 12/31/9999 2<strong>01</strong>230<strong>01</strong>73066518 MEPRON SUS 12/31/9999 2<strong>01</strong>2300054458111 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>2300054458127 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>2300093551006 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>2300378354725 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>2300378354752 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>2349884092202 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>2349884092204 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>2368084032521 MERCAPTOPUR TAB 50MG 12/31/9999 2<strong>01</strong>23004093506<strong>01</strong> MEROPENEM INJ 1GM 12/31/9999 2<strong>01</strong>2300781326790 MEROPENEM INJ 1GM 12/31/9999 2<strong>01</strong>2300781326795 MEROPENEM INJ 1GM 12/31/9999 2<strong>01</strong>2363323050830 MEROPENEM INJ 1GM 12/31/9999 2<strong>01</strong>23004093505<strong>01</strong> MEROPENEM INJ 500MG 12/31/9999 2<strong>01</strong>2300781326580 MEROPENEM INJ 500MG 12/31/9999 2<strong>01</strong>2300781326595 MEROPENEM INJ 500MG 12/31/9999 2<strong>01</strong>2363323050720 MEROPENEM INJ 500MG 12/31/9999 2<strong>01</strong>2300310032130 MERREM INJ 1GM 12/31/9999 2<strong>01</strong>2300310032165 MERREM INJ 1GM 02/18/2<strong>01</strong>5 2<strong>01</strong>2300310032520 MERREM INJ 500MG 12/31/9999 2<strong>01</strong>2300310032564 MERREM INJ 500MG <strong>01</strong>/31/2<strong>01</strong>4 2<strong>01</strong>2300093688871 MESALAMINE ENE 4GM <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>2343386051087 MESALAMINE ENE 4GM 12/31/9999 2<strong>01</strong>2345802009828 MESALAMINE ENE 4GM 12/31/9999 2<strong>01</strong>2345802009851 MESALAMINE ENE 4GM 12/31/9999 2<strong>01</strong>2345802092341 MESALAMINE KIT 4GM 12/31/9999 2<strong>01</strong>2345802092349 MESALAMINE KIT 4GM 12/31/9999 2<strong>01</strong>2313811008516 MESEHIST DM LIQ 12/31/9999 2<strong>01</strong>2313811007516 MESEHIST WC LIQ 12/31/9999 2<strong>01</strong>23

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