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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66993004905 OLANZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>2366993004930 OLANZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>2366993046230 OLANZAPINE TAB 7.5MG 12/31/9999 2<strong>01</strong>2351552025906 OLEIC ACID LIQ 12/31/9999 2<strong>01</strong>2343595008003 OLEPTRO TAB 24HR150 12/31/9999 2<strong>01</strong>2343595008103 OLEPTRO TAB 24HR300 12/31/9999 2<strong>01</strong>2351552025006 OLIVE OIL 12/31/9999 2<strong>01</strong>2351552025008 OLIVE OIL 12/31/9999 2<strong>01</strong>2363032003100 OLUX AER 0.05% 12/31/9999 2<strong>01</strong>2363032003150 OLUX AER 0.05% 12/31/9999 2<strong>01</strong>2363032<strong>01</strong><strong>01</strong>00 OLUX-E AER 0.05% 12/31/9999 2<strong>01</strong>2363032<strong>01</strong><strong>01</strong>50 OLUX-E AER 0.05% 12/31/9999 2<strong>01</strong>2365224070711 OMECLAMOX- MIS PAK 12/31/9999 2<strong>01</strong>2349884039711 OMEPRA/BICAR CAP 20-1100 12/31/9999 2<strong>01</strong>2366993041230 OMEPRA/BICAR CAP 20-1100 12/31/9999 2<strong>01</strong>2349884045511 OMEPRA/BICAR CAP 40-1100 12/31/9999 2<strong>01</strong>2366993041330 OMEPRA/BICAR CAP 40-1100 12/31/9999 2<strong>01</strong>2300378521193 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>23007812232<strong>01</strong> OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2300781223210 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2300781223231 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>57<strong>01</strong> OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>5730 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>4500 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>45<strong>01</strong> OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>4502 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2362175<strong>01</strong>1432 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2362175<strong>01</strong>1437 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2368084055521 OMEPRAZOLE CAP 10MG 12/31/9999 2<strong>01</strong>2363868<strong>01</strong>7714 OMEPRAZOLE CAP 20.6MGDR 12/31/9999 2<strong>01</strong>2363868<strong>01</strong>7728 OMEPRAZOLE CAP 20.6MGDR 12/31/9999 2<strong>01</strong>2363868<strong>01</strong>7742 OMEPRAZOLE CAP 20.6MGDR 12/31/9999 2<strong>01</strong>23003786150<strong>01</strong> OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300378615<strong>01</strong>0 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300378615077 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300378615093 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>23007812233<strong>01</strong> OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300781223310 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300781223331 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300781223392 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300904568461 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2300904613561 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2350268061915 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>23510790007<strong>01</strong> OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2351079000717 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2351079000719 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2351079000720 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2351079000730 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2351079000756 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>58<strong>01</strong> OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>5810 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>5830 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2360505006500 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>23605050065<strong>01</strong> OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2360505006502 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2360505006508 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2360505395203 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2362175<strong>01</strong>1832 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2362175<strong>01</strong>1837 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>2362175<strong>01</strong>1841 OMEPRAZOLE CAP 20MG 12/31/9999 2<strong>01</strong>23

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