12.07.2015 Views

Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...

Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...

Rebatable Drug List for Iowa Medicaid Effective Date December 01 ...

SHOW MORE
SHOW LESS
  • No tags were found...

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

00517003425 NEOSTIG METH INJ 0.5MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9027110 NEOSTIG METH INJ 0.5MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9027137 NEOSTIG METH INJ 0.5MG/ML 12/31/9999 2<strong>01</strong>2363323038210 NEOSTIG METH INJ 0.5MG/ML 12/31/9999 2<strong>01</strong>2300517003325 NEOSTIG METH INJ 1MG/ML 12/31/9999 2<strong>01</strong>23006416077<strong>01</strong> NEOSTIG METH INJ 1MG/ML 12/31/9999 2<strong>01</strong>2300641607710 NEOSTIG METH INJ 1MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9027<strong>01</strong>0 NEOSTIG METH INJ 1MG/ML 12/31/9999 2<strong>01</strong>2310<strong>01</strong>9027039 NEOSTIG METH INJ 1MG/ML 12/31/9999 2<strong>01</strong>2363323038310 NEOSTIG METH INJ 1MG/ML 12/31/9999 2<strong>01</strong>23004091800<strong>01</strong> NEO-SYNEPHRI INJ 10MG/ML 08/<strong>01</strong>/2<strong>01</strong>4 2<strong>01</strong>2324338081020 NEOTIC DRO 12/31/9999 2<strong>01</strong>23595280317<strong>01</strong> NEPHPLEX RX TAB 12/31/9999 2<strong>01</strong>2300264190955 NEPHRAMINE INJ 5.4% 12/31/9999 2<strong>01</strong>230<strong>01</strong>875268<strong>01</strong> NEPHROCAPS CAP 12/31/9999 2<strong>01</strong>2300256<strong>01</strong>8504 NEPHROCAPS CAP 05/31/2<strong>01</strong>4 2<strong>01</strong>2300256<strong>01</strong>8505 NEPHROCAPS CAP 12/31/9999 2<strong>01</strong>23680840065<strong>01</strong> NEPHROCAPS CAP 12/31/9999 2<strong>01</strong>230<strong>01</strong>875269<strong>01</strong> NEPHROCAPS TAB QT 12/31/9999 2<strong>01</strong>230<strong>01</strong>87526902 NEPHROCAPS TAB QT 12/31/9999 2<strong>01</strong>23002560233<strong>01</strong> NEPHROCAPS TAB QT 03/31/2<strong>01</strong>5 2<strong>01</strong>2300256023302 NEPHROCAPS TAB QT 04/30/2<strong>01</strong>4 2<strong>01</strong>23595284456<strong>01</strong> NEPHRON FA TAB 12/31/9999 2<strong>01</strong>23005367300<strong>01</strong> NEPHRO-VITE TAB 12/31/9999 2<strong>01</strong>23525440977<strong>01</strong> NEPHRO-VITE TAB RX 12/31/9999 2<strong>01</strong>23481020<strong>01</strong>490 NEPTAZANE TAB 25MG 12/31/9999 2<strong>01</strong>23481020<strong>01</strong>590 NEPTAZANE TAB 50MG 12/31/9999 2<strong>01</strong>2363323047537 NESACAINE INJ 1% 12/31/9999 2<strong>01</strong>2363323047637 NESACAINE INJ 2% 12/31/9999 2<strong>01</strong>2363323047720 NESACAINE INJ -MPF 2% 12/30/2<strong>01</strong>2 2<strong>01</strong>2363323047727 NESACAINE INJ -MPF 2% 12/31/9999 2<strong>01</strong>2363323047827 NESACAINE INJ -MPF 3% 12/31/9999 2<strong>01</strong>2350967021990 NESTABS TAB 12/31/9999 2<strong>01</strong>2350967031730 NESTABS DHA PAK 12/31/9999 2<strong>01</strong>2351552113107 NETTLES ROOT POW 12/31/9999 2<strong>01</strong>2355513<strong>01</strong>90<strong>01</strong> NEULASTA INJ 6MG/0.6M 12/31/9999 2<strong>01</strong>2358394000408 NEUMEGA INJ 5MG 12/31/9999 2<strong>01</strong>23555130924<strong>01</strong> NEUPOGEN INJ 300/0.5 12/31/9999 2<strong>01</strong>2355513092410 NEUPOGEN INJ 300/0.5 12/31/9999 2<strong>01</strong>23555130530<strong>01</strong> NEUPOGEN INJ 300MCG 12/31/9999 2<strong>01</strong>2355513053<strong>01</strong>0 NEUPOGEN INJ 300MCG 12/31/9999 2<strong>01</strong>23555130209<strong>01</strong> NEUPOGEN INJ 480/0.8 12/31/9999 2<strong>01</strong>2355513020910 NEUPOGEN INJ 480/0.8 12/31/9999 2<strong>01</strong>23555130546<strong>01</strong> NEUPOGEN INJ 480MCG 12/31/9999 2<strong>01</strong>2355513054610 NEUPOGEN INJ 480MCG 12/31/9999 2<strong>01</strong>235047408<strong>01</strong>03 NEUPRO DIS 1MG/24HR 12/31/9999 2<strong>01</strong>2350474080203 NEUPRO DIS 2MG/24HR 12/31/9999 2<strong>01</strong>2350474080303 NEUPRO DIS 3MG/24HR 12/31/9999 2<strong>01</strong>2350474080403 NEUPRO DIS 4MG/24HR 12/31/9999 2<strong>01</strong>2350474080503 NEUPRO DIS 6MG/24HR 12/31/9999 2<strong>01</strong>2350474080603 NEUPRO DIS 8MG/24HR 12/31/9999 2<strong>01</strong>2300071080324 NEURONTIN CAP 100MG 12/31/9999 2<strong>01</strong>2300071080524 NEURONTIN CAP 300MG 12/31/9999 2<strong>01</strong>2300071080540 NEURONTIN CAP 300MG 12/31/9999 2<strong>01</strong>2300071080624 NEURONTIN CAP 400MG 12/31/9999 2<strong>01</strong>2300071080640 NEURONTIN CAP 400MG 12/31/9999 2<strong>01</strong>23000712<strong>01</strong>223 NEURONTIN SOL 250/5ML 12/31/9999 2<strong>01</strong>2300071051324 NEURONTIN TAB 600MG 12/31/9999 2<strong>01</strong>230007104<strong>01</strong>24 NEURONTIN TAB 800MG 12/31/9999 2<strong>01</strong>2300409660902 NEUT INJ 4% 12/31/9999 2<strong>01</strong>23

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!