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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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006416068<strong>01</strong> MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>23006416070<strong>01</strong> MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>2300641607025 MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7836 MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7837 MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7839 MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7844 MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7862 MORPHINE SUL INJ 10MG/ML 12/31/9999 2<strong>01</strong>2300409602804 MORPHINE SUL INJ 150/30ML 12/31/9999 2<strong>01</strong>2300409126431 MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>23004091894<strong>01</strong> MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>23006416071<strong>01</strong> MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>2300641607125 MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>23006416072<strong>01</strong> MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7936 MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7939 MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7944 MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7963 MORPHINE SUL INJ 15MG/ML 12/31/9999 2<strong>01</strong>2300409202902 MORPHINE SUL INJ 1MG/ML 12/31/9999 2<strong>01</strong>2300409381512 MORPHINE SUL INJ 1MG/ML 12/31/9999 2<strong>01</strong>2300548191125 MORPHINE SUL INJ 1MG/ML 12/31/9999 2<strong>01</strong>2300548339110 MORPHINE SUL INJ 1MG/ML 12/31/9999 2<strong>01</strong>2300409113502 MORPHINE SUL INJ 25MG/ML 12/31/9999 2<strong>01</strong>2300409617714 MORPHINE SUL INJ 25MG/ML 12/31/9999 2<strong>01</strong>2300409617914 MORPHINE SUL INJ 25MG/ML 12/31/9999 2<strong>01</strong>2300409176230 MORPHINE SUL INJ 2MG/ML 12/31/9999 2<strong>01</strong>23004091890<strong>01</strong> MORPHINE SUL INJ 2MG/ML 12/31/9999 2<strong>01</strong>2300409125830 MORPHINE SUL INJ 4MG/ML 12/31/9999 2<strong>01</strong>23004091891<strong>01</strong> MORPHINE SUL INJ 4MG/ML 12/31/9999 2<strong>01</strong>2300409113403 MORPHINE SUL INJ 50MG/ML 12/31/9999 2<strong>01</strong>2300409113405 MORPHINE SUL INJ 50MG/ML 12/31/9999 2<strong>01</strong>23006416073<strong>01</strong> MORPHINE SUL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2300641607325 MORPHINE SUL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7639 MORPHINE SUL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7644 MORPHINE SUL INJ 5MG/ML 12/31/9999 2<strong>01</strong>2300409126069 MORPHINE SUL INJ 8MG/ML 12/31/9999 2<strong>01</strong>23006416075<strong>01</strong> MORPHINE SUL INJ 8MG/ML 12/31/9999 2<strong>01</strong>2300641607525 MORPHINE SUL INJ 8MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7737 MORPHINE SUL INJ 8MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7739 MORPHINE SUL INJ 8MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9<strong>01</strong>7744 MORPHINE SUL INJ 8MG/ML 12/31/9999 2<strong>01</strong>2300574<strong>01</strong>5312 MORPHINE SUL SOL 100/5ML 12/31/9999 2<strong>01</strong>2300574<strong>01</strong>5330 MORPHINE SUL SOL 100/5ML 12/31/9999 2<strong>01</strong>2300054023749 MORPHINE SUL SOL 10MG/5ML 12/31/9999 2<strong>01</strong>2300054023755 MORPHINE SUL SOL 10MG/5ML 12/31/9999 2<strong>01</strong>2300054023763 MORPHINE SUL SOL 10MG/5ML 12/31/9999 2<strong>01</strong>23666890032<strong>01</strong> MORPHINE SUL SOL 10MG/5ML 12/31/9999 2<strong>01</strong>2366689003204 MORPHINE SUL SOL 10MG/5ML 12/31/9999 2<strong>01</strong>2366689003216 MORPHINE SUL SOL 10MG/5ML 12/31/9999 2<strong>01</strong>2366689003250 MORPHINE SUL SOL 10MG/5ML 12/31/9999 2<strong>01</strong>2300054023849 MORPHINE SUL SOL 20MG/5ML 12/31/9999 2<strong>01</strong>2300054023863 MORPHINE SUL SOL 20MG/5ML 12/31/9999 2<strong>01</strong>23666890033<strong>01</strong> MORPHINE SUL SOL 20MG/5ML 12/31/9999 2<strong>01</strong>2366689003304 MORPHINE SUL SOL 20MG/5ML 12/31/9999 2<strong>01</strong>2366689003316 MORPHINE SUL SOL 20MG/5ML 12/31/9999 2<strong>01</strong>2366689003350 MORPHINE SUL SOL 20MG/5ML 12/31/9999 2<strong>01</strong>2300054040441 MORPHINE SUL SOL 20MG/ML 12/31/9999 2<strong>01</strong>2300054040444 MORPHINE SUL SOL 20MG/ML 12/31/9999 2<strong>01</strong>2300054040450 MORPHINE SUL SOL 20MG/ML 12/31/9999 2<strong>01</strong>2300406083<strong>01</strong>2 MORPHINE SUL SOL 20MG/ML 12/31/9999 2<strong>01</strong>23

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