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

00536012297 PAIN & FEVER SOL 160/5ML 12/31/9999 2012300536360696 PAIN & FEVER SUS 160/5ML 12/31/9999 2012337205051826 PAIN & FEVER SUS 160/5ML 12/31/9999 2012337205057516 PAIN & FEVER SUS 160/5ML 12/31/9999 2012337205057616 PAIN & FEVER SUS 160/5ML 12/31/9999 2012337205057716 PAIN & FEVER SUS 160/5ML 12/31/9999 2012337205071726 PAIN & FEVER SUS 160/5ML 12/31/9999 2012346122004203 PAIN & FEVER SUS 160/5ML 12/31/9999 2012346122004246 PAIN & FEVER SUS 160/5ML 12/31/9999 2012346122005603 PAIN & FEVER SUS 160/5ML 12/31/9999 2012362011000101 PAIN & FEVER SUS 160/5ML 12/31/9999 2012362011000201 PAIN & FEVER SUS 160/5ML 12/31/9999 2012362011002201 PAIN & FEVER SUS 160/5ML 12/31/9999 2012300113021771 PAIN REL 8HR TAB 650MG 12/31/9999 2012300113028905 PAIN RELIEF DRO 80/0.8ML 09/02/2013 2012324385028905 PAIN RELIEF DRO 80/0.8ML 12/31/9999 2012324385028910 PAIN RELIEF DRO 80/0.8ML 12/31/9999 2012324385031305 PAIN RELIEF DRO 80/0.8ML 12/31/9999 2012336800000805 PAIN RELIEF DRO 80/0.8ML 12/31/9999 2012336800028905 PAIN RELIEF DRO 80/0.8ML 12/31/9999 2012336800028910 PAIN RELIEF DRO 80/0.8ML 12/31/9999 2012346122003103 PAIN RELIEF DRO 80/0.8ML 12/31/9999 2012300113000805 PAIN RELIEF DRO INFANTS 02/22/2013 2012300113000810 PAIN RELIEF DRO INFANTS 02/04/2013 2012300113010526 PAIN RELIEF SUS 160/5ML 12/31/9999 2012300113013026 PAIN RELIEF SUS 160/5ML 12/31/9999 2012300113017526 PAIN RELIEF SUS 160/5ML 12/31/9999 2012324385010526 PAIN RELIEF SUS 160/5ML 12/31/9999 2012324385013026 PAIN RELIEF SUS 160/5ML 12/31/9999 2012324385014626 PAIN RELIEF SUS 160/5ML 12/31/9999 2012336800010526 PAIN RELIEF SUS 160/5ML 12/31/9999 2012336800013026 PAIN RELIEF SUS 160/5ML 12/31/9999 2012336800017526 PAIN RELIEF SUS 160/5ML 12/31/9999 2012346122005046 PAIN RELIEF SUS 160/5ML 12/31/9999 2012362011002901 PAIN RELIEF SUS 160/5ML 12/31/9999 2012324385098426 PAIN RELIEF SUS PLS COLD 12/31/9999 2012336800090326 PAIN RELIEF SUS PLS COLD 12/31/9999 2012300113043771 PAIN RELIEF TAB 25-500MG 12/31/9999 2012324385043771 PAIN RELIEF TAB 25-500MG 12/31/9999 2012336800043771 PAIN RELIEF TAB 25-500MG 12/31/9999 2012336800043778 PAIN RELIEF TAB 25-500MG 12/31/9999 2012346122002658 PAIN RELIEF TAB 25-500MG 12/31/9999 2012300113040378 PAIN RELIEF TAB 325MG 03/26/2014 2012324385040378 PAIN RELIEF TAB 325MG 12/31/9999 2012336800040378 PAIN RELIEF TAB 325MG 12/31/9999 2012300113022771 PAIN RELIEF TAB 500MG 12/31/9999 2012300113040572 PAIN RELIEF TAB 500MG 03/05/2014 2012300113048452 PAIN RELIEF TAB 500MG 12/31/9999 2012300113048462 PAIN RELIEF TAB 500MG 12/31/9999 2012300113048471 PAIN RELIEF TAB 500MG 12/31/9999 2012300113048478 PAIN RELIEF TAB 500MG 12/31/9999 2012300113048490 PAIN RELIEF TAB 500MG 12/31/9999 2012324385008778 PAIN RELIEF TAB 500MG 12/31/9999 2012324385014571 PAIN RELIEF TAB 500MG 12/31/9999 2012324385040572 PAIN RELIEF TAB 500MG 12/31/9999 2012324385040578 PAIN RELIEF TAB 500MG 12/31/9999 2012324385048447 PAIN RELIEF TAB 500MG 12/31/9999 2012324385048452 PAIN RELIEF TAB 500MG 12/31/9999 2012324385048471 PAIN RELIEF TAB 500MG 12/31/9999 2012324385048478 PAIN RELIEF TAB 500MG 12/31/9999 20123