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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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59762669108 NIFEDIPINE TAB 60MG ER 12/31/9999 2<strong>01</strong>2362175026137 NIFEDIPINE TAB 60MG ER 12/31/9999 2<strong>01</strong>2362175026143 NIFEDIPINE TAB 60MG ER 12/31/9999 2<strong>01</strong>2362175026146 NIFEDIPINE TAB 60MG ER 12/31/9999 2<strong>01</strong>2362175026155 NIFEDIPINE TAB 60MG ER 12/31/9999 2<strong>01</strong>2367767<strong>01</strong>51<strong>01</strong> NIFEDIPINE TAB 60MG ER 12/31/9999 2<strong>01</strong>23003780390<strong>01</strong> NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>23003780494<strong>01</strong> NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>23003783495<strong>01</strong> NIFEDIPINE TAB 90MG ER <strong>01</strong>/31/2<strong>01</strong>5 2<strong>01</strong>2345963<strong>01</strong>5202 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>2350268059915 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>23510790897<strong>01</strong> NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>2351079089708 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>23510790969<strong>01</strong> NIFEDIPINE TAB 90MG ER 09/30/2<strong>01</strong>3 2<strong>01</strong>2351079096920 NIFEDIPINE TAB 90MG ER 09/30/2<strong>01</strong>3 2<strong>01</strong>2359762669203 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>2359762669208 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>2362175026232 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>2362175026237 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>2362175026246 NIFEDIPINE TAB 90MG ER 12/31/9999 2<strong>01</strong>230<strong>01</strong>31506668 NIFEREX ELX 100/5ML 12/31/9999 2<strong>01</strong>2300904576412 NIGHT TIME CAP COLD/FLU 12/31/9999 2<strong>01</strong>2324385003553 NIGHT TIME CAP COLD/FLU 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10084<strong>01</strong> NIGHT TIME CAP COLD/FLU 12/31/9999 2<strong>01</strong>2346122000660 NIGHT TIME CAP SINUS 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10082<strong>01</strong> NIGHT TIME LIQ CLD/FLU 12/31/9999 2<strong>01</strong>2362<strong>01</strong>10083<strong>01</strong> NIGHT TIME LIQ CLD/FLU 12/31/9999 2<strong>01</strong>2315127098706 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2315127098710 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385020330 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385020338 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385030538 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385031630 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385031638 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385032238 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2346122000838 NIGHT TIME LIQ COLD/FLU 12/31/9999 2<strong>01</strong>2324385046130 NIGHT TIME LIQ COUGH 12/31/9999 2<strong>01</strong>2324385046138 NIGHT TIME LIQ COUGH 12/31/9999 2<strong>01</strong>2363868061132 NIGHT TIME TAB 25MG 12/31/9999 2<strong>01</strong>2336800093562 NIGHT TIME TAB SINUS 12/31/9999 2<strong>01</strong>230<strong>01</strong>13097753 NIGHTTIME CAP COLD/FLU 03/02/2<strong>01</strong>4 2<strong>01</strong>230<strong>01</strong>13097760 NIGHTTIME CAP COLD/FLU 02/27/2<strong>01</strong>4 2<strong>01</strong>230<strong>01</strong>13004130 NIGHTTIME LIQ COLD/FLU 05/17/2<strong>01</strong>3 2<strong>01</strong>230<strong>01</strong>13004138 NIGHTTIME LIQ COLD/FLU 05/09/2<strong>01</strong>3 2<strong>01</strong>230<strong>01</strong>13033530 NIGHTTIME LIQ COLD/FLU 03/17/2<strong>01</strong>4 2<strong>01</strong>230<strong>01</strong>13033538 NIGHTTIME LIQ COLD/FLU <strong>01</strong>/17/2<strong>01</strong>4 2<strong>01</strong>230<strong>01</strong>13045930 NIGHTTIME LIQ COLD/FLU 12/06/2<strong>01</strong>3 2<strong>01</strong>230<strong>01</strong>13045938 NIGHTTIME LIQ COLD/FLU <strong>01</strong>/15/2<strong>01</strong>4 2<strong>01</strong>230<strong>01</strong>13090830 NIGHTTIME LIQ COLD/FLU 03/14/2<strong>01</strong>3 2<strong>01</strong>230<strong>01</strong>13090838 NIGHTTIME LIQ COLD/FLU 06/22/2<strong>01</strong>3 2<strong>01</strong>2324385043126 NIGHTTIME TAB 25MG 12/31/9999 2<strong>01</strong>2324385043178 NIGHTTIME TAB 25MG 12/31/9999 2<strong>01</strong>2300088111114 NILANDRON TAB 150MG 12/31/9999 2<strong>01</strong>2300074438220 NIMBEX INJ 10MG/ML 12/31/9999 2<strong>01</strong>2300074437805 NIMBEX INJ 2MG/ML 12/31/9999 2<strong>01</strong>2300074438<strong>01</strong>0 NIMBEX INJ 2MG/ML 12/31/9999 2<strong>01</strong>2300555098037 NIMODIPINE CAP 30MG 12/31/9999 2<strong>01</strong>2300555098040 NIMODIPINE CAP 30MG 12/31/9999 2<strong>01</strong>2323155<strong>01</strong>0800 NIMODIPINE CAP 30MG 12/31/9999 2<strong>01</strong>2323155<strong>01</strong>0830 NIMODIPINE CAP 30MG 12/31/9999 2<strong>01</strong>23

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