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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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10337035960 OXISTAT LOT 1% 12/31/9999 2<strong>01</strong>230<strong>01</strong>87040231 OXSORALEN LOT 1% 12/31/9999 2<strong>01</strong>230<strong>01</strong>87065042 OXSORALEN-UL CAP 10MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>21067105 OXYBUTYNIN SYP 5MG/5ML 12/31/9999 2<strong>01</strong>2300603149158 OXYBUTYNIN SYP 5MG/5ML 12/31/9999 2<strong>01</strong>2354838051080 OXYBUTYNIN SYP 5MG/5ML 12/31/9999 2<strong>01</strong>2360432009216 OXYBUTYNIN SYP 5MG/5ML 12/31/9999 2<strong>01</strong>2360505600809 OXYBUTYNIN SYP 5MG/5ML 12/31/9999 2<strong>01</strong>23000935207<strong>01</strong> OXYBUTYNIN TAB 10MG ER 12/31/9999 2<strong>01</strong>23003786610<strong>01</strong> OXYBUTYNIN TAB 10MG ER 12/31/9999 2<strong>01</strong>2300378661005 OXYBUTYNIN TAB 10MG ER 12/31/9999 2<strong>01</strong>23510790723<strong>01</strong> OXYBUTYNIN TAB 10MG ER 12/31/9999 2<strong>01</strong>2351079072320 OXYBUTYNIN TAB 10MG ER 12/31/9999 2<strong>01</strong>2351079072363 OXYBUTYNIN TAB 10MG ER 06/30/2<strong>01</strong>3 2<strong>01</strong>2362175027137 OXYBUTYNIN TAB 10MG ER 12/31/9999 2<strong>01</strong>2362175027141 OXYBUTYNIN TAB 10MG ER 12/31/9999 2<strong>01</strong>23000935208<strong>01</strong> OXYBUTYNIN TAB 15MG ER 12/31/9999 2<strong>01</strong>23003786<strong>01</strong>5<strong>01</strong> OXYBUTYNIN TAB 15MG ER 12/31/9999 2<strong>01</strong>2362175027237 OXYBUTYNIN TAB 15MG ER 12/31/9999 2<strong>01</strong>2362175027241 OXYBUTYNIN TAB 15MG ER 12/31/9999 2<strong>01</strong>2300603497502 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300603497504 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300603497520 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300603497521 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300603497528 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300603497532 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300832003800 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300832003810 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300832003850 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2300904282161 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>235<strong>01</strong>110456<strong>01</strong> OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>235<strong>01</strong>11045602 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>235<strong>01</strong>11045603 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>23510790628<strong>01</strong> OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2351079062817 OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>2351079062819 OXYBUTYNIN TAB 5MG 02/28/2<strong>01</strong>4 2<strong>01</strong>2351079062820 OXYBUTYNIN TAB 5MG 02/28/2<strong>01</strong>4 2<strong>01</strong>23680840400<strong>01</strong> OXYBUTYNIN TAB 5MG 12/31/9999 2<strong>01</strong>23000935206<strong>01</strong> OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>23003786605<strong>01</strong> OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>2300378660505 OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>23510790722<strong>01</strong> OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>2351079072220 OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>2351079072263 OXYBUTYNIN TAB 5MG ER 06/30/2<strong>01</strong>3 2<strong>01</strong>2362175027037 OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>2362175027041 OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>2363739054833 OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>23680840480<strong>01</strong> OXYBUTYNIN TAB 5MG ER 12/31/9999 2<strong>01</strong>2300054279525 OXYCOD/APAP CAP 5-500MG 12/31/9999 2<strong>01</strong>23004060532<strong>01</strong> OXYCOD/APAP CAP 5-500MG 12/31/9999 2<strong>01</strong>2300406053205 OXYCOD/APAP CAP 5-500MG 12/31/9999 2<strong>01</strong>2300555065802 OXYCOD/APAP CAP 5-500MG 12/31/9999 2<strong>01</strong>23005910737<strong>01</strong> OXYCOD/APAP CAP 5-500MG 12/31/9999 2<strong>01</strong>2300591073705 OXYCOD/APAP CAP 5-500MG 12/31/9999 2<strong>01</strong>2300603499721 OXYCOD/APAP CAP 5-500MG 12/31/9999 2<strong>01</strong>23003787106<strong>01</strong> OXYCOD/APAP TAB 10-325MG 12/31/9999 2<strong>01</strong>23004060523<strong>01</strong> OXYCOD/APAP TAB 10-325MG 12/31/9999 2<strong>01</strong>2300406052362 OXYCOD/APAP TAB 10-325MG 12/31/9999 2<strong>01</strong>23005910932<strong>01</strong> OXYCOD/APAP TAB 10-325MG 12/31/9999 2<strong>01</strong>23477810230<strong>01</strong> OXYCOD/APAP TAB 10-325MG 12/31/9999 2<strong>01</strong>23

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