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

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0078131<strong>01</strong>95 OXACILLIN INJ 2GM 12/31/9999 2<strong>01</strong>2300781911180 OXACILLIN INJ 2GM 12/31/9999 2<strong>01</strong>2300781911195 OXACILLIN INJ 2GM 12/31/9999 2<strong>01</strong>2300781911215 OXACILLIN INJ 2GM 12/31/9999 2<strong>01</strong>2300781911292 OXACILLIN INJ 2GM 12/31/9999 2<strong>01</strong>2325021<strong>01</strong>6224 OXACILLIN INJ 2GM 12/31/9999 2<strong>01</strong>2351552003402 OXALIC ACID CRY 12/31/9999 2<strong>01</strong>2351552003404 OXALIC ACID CRY 12/31/9999 2<strong>01</strong>2351552003406 OXALIC ACID CRY 12/31/9999 2<strong>01</strong>2351552003409 OXALIC ACID CRY 12/31/9999 2<strong>01</strong>23000690070<strong>01</strong> OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>23007033986<strong>01</strong> OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>2325021021250 OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>2341616<strong>01</strong>7840 OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>2347335<strong>01</strong>7840 OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>2361703036322 OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>2363323<strong>01</strong>7650 OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>2363323065020 OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>2363323065027 OXALIPLATIN INJ 100MG 12/31/9999 2<strong>01</strong>23000690074<strong>01</strong> OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>23007033985<strong>01</strong> OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2325021021120 OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2341616<strong>01</strong>7640 OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2347335<strong>01</strong>7640 OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2361703036318 OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2363323<strong>01</strong>7530 OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2363323065<strong>01</strong>0 OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2363323065<strong>01</strong>7 OXALIPLATIN INJ 50MG 12/31/9999 2<strong>01</strong>2354396<strong>01</strong>1060 OXANDRIN TAB 10MG 12/31/9999 2<strong>01</strong>2354396<strong>01</strong>1111 OXANDRIN TAB 2.5MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85027260 OXANDROLONE TAB 10MG 12/31/9999 2<strong>01</strong>2300245027206 OXANDROLONE TAB 10MG 12/31/9999 2<strong>01</strong>2300591354560 OXANDROLONE TAB 10MG 04/30/2<strong>01</strong>4 2<strong>01</strong>2349884030202 OXANDROLONE TAB 10MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>850271<strong>01</strong> OXANDROLONE TAB 2.5MG 12/31/9999 2<strong>01</strong>2300245027111 OXANDROLONE TAB 2.5MG 12/31/9999 2<strong>01</strong>23005913544<strong>01</strong> OXANDROLONE TAB 2.5MG 12/31/9999 2<strong>01</strong>234988403<strong>01</strong><strong>01</strong> OXANDROLONE TAB 2.5MG 12/31/9999 2<strong>01</strong>23000930924<strong>01</strong> OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>2300093092405 OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85<strong>01</strong>4105 OXAPROZIN TAB 600MG 11/30/2<strong>01</strong>2 2<strong>01</strong>2355111<strong>01</strong>70<strong>01</strong> OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>7005 OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>2357664039108 OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>2357664039113 OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>7600 OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>76<strong>01</strong> OXAPROZIN TAB 600MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72480460 OXAZEPAM CAP 10MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72480470 OXAZEPAM CAP 10MG 12/31/9999 2<strong>01</strong>2300228206710 OXAZEPAM CAP 10MG 12/31/9999 2<strong>01</strong>2300228206750 OXAZEPAM CAP 10MG 12/31/9999 2<strong>01</strong>23007812809<strong>01</strong> OXAZEPAM CAP 10MG 12/31/9999 2<strong>01</strong>23625840812<strong>01</strong> OXAZEPAM CAP 10MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72480560 OXAZEPAM CAP 15MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72480570 OXAZEPAM CAP 15MG 12/31/9999 2<strong>01</strong>2300228206910 OXAZEPAM CAP 15MG 12/31/9999 2<strong>01</strong>2300228206950 OXAZEPAM CAP 15MG 12/31/9999 2<strong>01</strong>23007812810<strong>01</strong> OXAZEPAM CAP 15MG 12/31/9999 2<strong>01</strong>23625840813<strong>01</strong> OXAZEPAM CAP 15MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>72480660 OXAZEPAM CAP 30MG 12/31/9999 2<strong>01</strong>23

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