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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64679073703 METOPROLOL TAB 200MG ER 12/31/9999 2<strong>01</strong>2364679073708 METOPROLOL TAB 200MG ER 12/31/9999 2<strong>01</strong>2368084030221 METOPROLOL TAB 200MG ER 12/31/9999 2<strong>01</strong>2300378459510 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2300378459577 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2300904616961 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>23498840404<strong>01</strong> METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2349884040410 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2351079<strong>01</strong>69<strong>01</strong> METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2351079<strong>01</strong>6920 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2354458030030 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2354458030031 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>23551110466<strong>01</strong> METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2355111046605 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>23620370830<strong>01</strong> METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2362037083<strong>01</strong>0 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2364679073402 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2364679073403 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2364679073408 METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>23680840303<strong>01</strong> METOPROLOL TAB 25MG ER 12/31/9999 2<strong>01</strong>2300378459610 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2300378459677 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2300904617061 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>23498840405<strong>01</strong> METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2349884040510 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2351079<strong>01</strong>70<strong>01</strong> METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2351079<strong>01</strong>7020 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>235445803<strong>01</strong>30 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>235445803<strong>01</strong>31 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>23551110467<strong>01</strong> METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2355111046705 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>23620370831<strong>01</strong> METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2362037083110 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2364679073502 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2364679073503 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2364679073508 METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>23680840304<strong>01</strong> METOPROLOL TAB 50MG ER 12/31/9999 2<strong>01</strong>2365649043102 METOZOLV ODT TAB 5MG 12/31/9999 2<strong>01</strong>2300264553532 METRO IV INJ 5MG/ML 12/31/9999 2<strong>01</strong>2300299383645 METROCREAM CRE 0.75% 12/31/9999 2<strong>01</strong>23002993820<strong>01</strong> METROGEL GEL 1% 12/31/9999 2<strong>01</strong>2300299382060 METROGEL GEL 1% 12/31/9999 2<strong>01</strong>2399207<strong>01</strong>3070 METROGEL-VAG GEL 0.75% 12/31/9999 2<strong>01</strong>2300299383802 METROLOTION LOT 0.75% 12/31/9999 2<strong>01</strong>230<strong>01</strong>43977226 METRON/NACL INJ 500MG 12/31/9999 2<strong>01</strong>2300338105548 METRON/NACL INJ 500MG 12/31/9999 2<strong>01</strong>2300409781124 METRON/NACL INJ 500MG 12/31/9999 2<strong>01</strong>2300409781137 METRON/NACL INJ 500MG 12/31/9999 2<strong>01</strong>235<strong>01</strong>11088405 METRONIDAZOL CAP 375MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>68032346 METRONIDAZOL CRE 0.75% 12/31/9999 2<strong>01</strong>2300472091145 METRONIDAZOL CRE 0.75% 12/31/9999 2<strong>01</strong>2300713063337 METRONIDAZOL CRE 0.75% 12/31/9999 2<strong>01</strong>2367405<strong>01</strong>1045 METRONIDAZOL CRE 0.75% 12/31/9999 2<strong>01</strong>230<strong>01</strong>15147446 METRONIDAZOL GEL 0.75% 12/31/9999 2<strong>01</strong>230<strong>01</strong>68027545 METRONIDAZOL GEL 0.75% 12/31/9999 2<strong>01</strong>2300713063737 METRONIDAZOL GEL 0.75% 12/31/9999 2<strong>01</strong>2300781707819 METRONIDAZOL GEL 0.75% 06/30/2<strong>01</strong>5 2<strong>01</strong>2351672411606 METRONIDAZOL GEL 0.75% 12/31/9999 2<strong>01</strong>2300781707787 METRONIDAZOL GEL 0.75%VAG 12/31/9999 2<strong>01</strong>2366993093570 METRONIDAZOL GEL 0.75%VAG 12/31/9999 2<strong>01</strong>23

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