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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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605050249<strong>01</strong> MIRTAZAPINE TAB 45MG 12/31/9999 2<strong>01</strong>2360505024908 MIRTAZAPINE TAB 45MG 12/31/9999 2<strong>01</strong>2365862003230 MIRTAZAPINE TAB 45MG 12/31/9999 2<strong>01</strong>2365862003239 MIRTAZAPINE TAB 45MG 12/31/9999 2<strong>01</strong>2368084<strong>01</strong>21<strong>01</strong> MIRTAZAPINE TAB 45MG 12/31/9999 2<strong>01</strong>2300093730565 MIRTAZAPINE TAB 45MG ODT 12/31/9999 2<strong>01</strong>2359762141407 MIRTAZAPINE TAB 45MG ODT 12/31/9999 2<strong>01</strong>2365862002306 MIRTAZAPINE TAB 45MG ODT 12/31/9999 2<strong>01</strong>2366993071230 MIRTAZAPINE TAB 45MG ODT 12/31/9999 2<strong>01</strong>2357664051083 MIRTAZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>2359762141503 MIRTAZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>2359762141505 MIRTAZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>2359762141506 MIRTAZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>2359762141509 MIRTAZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72443049 MISOPROSTOL TAB 100MCG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72443059 MISOPROSTOL TAB 100MCG 12/31/9999 2<strong>01</strong>2343386<strong>01</strong>6006 MISOPROSTOL TAB 100MCG 12/31/9999 2<strong>01</strong>2343386<strong>01</strong>6<strong>01</strong>2 MISOPROSTOL TAB 100MCG 12/31/9999 2<strong>01</strong>23597625007<strong>01</strong> MISOPROSTOL TAB 100MCG 12/31/9999 2<strong>01</strong>2359762500702 MISOPROSTOL TAB 100MCG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72443149 MISOPROSTOL TAB 200MCG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72443160 MISOPROSTOL TAB 200MCG 12/31/9999 2<strong>01</strong>2343386<strong>01</strong>61<strong>01</strong> MISOPROSTOL TAB 200MCG 12/31/9999 2<strong>01</strong>2343386<strong>01</strong>6106 MISOPROSTOL TAB 200MCG 12/31/9999 2<strong>01</strong>23597625008<strong>01</strong> MISOPROSTOL TAB 200MCG 12/31/9999 2<strong>01</strong>2359762500802 MISOPROSTOL TAB 200MCG 12/31/9999 2<strong>01</strong>230<strong>01</strong>78<strong>01</strong>53<strong>01</strong> MISSION PREN TAB /FA 12/31/9999 2<strong>01</strong>2316729<strong>01</strong>0811 MITOMYCIN INJ 20MG 12/31/9999 2<strong>01</strong>23553900252<strong>01</strong> MITOMYCIN INJ 20MG 12/31/9999 2<strong>01</strong>23553900452<strong>01</strong> MITOMYCIN INJ 20MG 12/31/9999 2<strong>01</strong>2316729<strong>01</strong>1638 MITOMYCIN INJ 40MG 12/31/9999 2<strong>01</strong>23553900253<strong>01</strong> MITOMYCIN INJ 40MG 12/31/9999 2<strong>01</strong>23553900453<strong>01</strong> MITOMYCIN INJ 40MG 12/31/9999 2<strong>01</strong>2316729<strong>01</strong>1505 MITOMYCIN INJ 5MG 12/31/9999 2<strong>01</strong>23553900251<strong>01</strong> MITOMYCIN INJ 5MG 12/31/9999 2<strong>01</strong>23553900451<strong>01</strong> MITOMYCIN INJ 5MG 12/31/9999 2<strong>01</strong>23007034680<strong>01</strong> MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>23007034685<strong>01</strong> MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>23007034686<strong>01</strong> MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>2361703034318 MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>2361703034365 MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>2361703034366 MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>2363323<strong>01</strong>3210 MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>2363323<strong>01</strong>3212 MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>2363323<strong>01</strong>3215 MITOXANTRON INJ 2MG/ML 12/31/9999 2<strong>01</strong>23000640650<strong>01</strong> MITRAZOL POW 2% 12/31/9999 2<strong>01</strong>23005970034<strong>01</strong> MOBIC SUS 7.5/5ML 12/31/9999 2<strong>01</strong>23005970030<strong>01</strong> MOBIC TAB 15MG 12/31/9999 2<strong>01</strong>23005970029<strong>01</strong> MOBIC TAB 7.5MG 12/31/9999 2<strong>01</strong>2300225036<strong>01</strong>1 MOBISYL CRE 10% 12/31/9999 2<strong>01</strong>2300225036033 MOBISYL CRE 10% 12/31/9999 2<strong>01</strong>2300225036035 MOBISYL CRE 10% 12/31/9999 2<strong>01</strong>23003785573<strong>01</strong> MODAFINIL TAB 100MG 12/31/9999 2<strong>01</strong>2300378557305 MODAFINIL TAB 100MG 12/31/9999 2<strong>01</strong>2349884053411 MODAFINIL TAB 100MG 12/31/9999 2<strong>01</strong>23510790561<strong>01</strong> MODAFINIL TAB 100MG 12/31/9999 2<strong>01</strong>2351079056103 MODAFINIL TAB 100MG 12/31/9999 2<strong>01</strong>235525308<strong>01</strong>30 MODAFINIL TAB 100MG 12/31/9999 2<strong>01</strong>235525308<strong>01</strong>90 MODAFINIL TAB 100MG 12/31/9999 2<strong>01</strong>23003785575<strong>01</strong> MODAFINIL TAB 200MG 12/31/9999 2<strong>01</strong>23

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