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

00185064701 PHENTERMINE CAP 30MG 12/31/9999 2012300185064710 PHENTERMINE CAP 30MG 12/31/9999 2012300185500001 PHENTERMINE CAP 30MG 12/31/9999 2012300185500010 PHENTERMINE CAP 30MG 12/31/9999 2012300527059701 PHENTERMINE CAP 30MG 12/31/9999 2012300527059710 PHENTERMINE CAP 30MG 12/31/9999 2012300527130801 PHENTERMINE CAP 30MG 12/31/9999 2012300527130810 PHENTERMINE CAP 30MG 12/31/9999 2012300527131001 PHENTERMINE CAP 30MG 12/31/9999 2012300527131010 PHENTERMINE CAP 30MG 12/31/9999 2012300527143801 PHENTERMINE CAP 30MG 12/31/9999 2012300527143810 PHENTERMINE CAP 30MG 12/31/9999 2012310702002701 PHENTERMINE CAP 30MG 12/31/9999 2012310702002710 PHENTERMINE CAP 30MG 12/31/9999 2012310702002801 PHENTERMINE CAP 30MG 12/31/9999 2012310702002810 PHENTERMINE CAP 30MG 12/31/9999 2012352152017302 PHENTERMINE CAP 30MG 12/31/9999 2012352152017305 PHENTERMINE CAP 30MG 12/31/9999 2012353489043301 PHENTERMINE CAP 30MG 12/31/9999 2012353489043310 PHENTERMINE CAP 30MG 12/31/9999 2012300527174301 PHENTERMINE CAP 37.5MG 12/31/9999 2012300527174310 PHENTERMINE CAP 37.5MG 12/31/9999 2012300527174330 PHENTERMINE CAP 37.5MG 12/31/9999 2012310702002901 PHENTERMINE CAP 37.5MG 12/31/9999 2012310702002910 PHENTERMINE CAP 37.5MG 12/31/9999 2012352152016702 PHENTERMINE CAP 37.5MG 12/31/9999 2012352152016705 PHENTERMINE CAP 37.5MG 12/31/9999 2012300527144501 PHENTERMINE TAB 37.5MG 12/31/9999 2012300527144510 PHENTERMINE TAB 37.5MG 12/31/9999 2012300603519216 PHENTERMINE TAB 37.5MG 12/31/9999 2012300603519221 PHENTERMINE TAB 37.5MG 12/31/9999 2012300603519232 PHENTERMINE TAB 37.5MG 12/31/9999 2012310702002501 PHENTERMINE TAB 37.5MG 12/31/9999 2012310702002503 PHENTERMINE TAB 37.5MG 12/31/9999 2012310702002510 PHENTERMINE TAB 37.5MG 12/31/9999 2012351224010150 PHENTERMINE TAB 37.5MG 12/31/9999 2012351224010170 PHENTERMINE TAB 37.5MG 12/31/9999 2012352152015902 PHENTERMINE TAB 37.5MG 12/31/9999 2012352152015905 PHENTERMINE TAB 37.5MG 12/31/9999 2012353489040601 PHENTERMINE TAB 37.5MG 12/31/9999 2012353489040610 PHENTERMINE TAB 37.5MG 12/31/9999 2012355390011301 PHENTOLAMINE INJ MESYLATE 12/31/9999 2012351552019905 PHENYL SALIC CRY 12/31/9999 2012351552019906 PHENYL SALIC CRY 12/31/9999 2012300517029925 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012300517040525 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012300641608801 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012300641608825 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012310019016312 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012310019016339 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012366758001601 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012366758001603 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012366758001604 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012366758001701 PHENYLEPHRIN INJ 10MG/ML 12/31/9999 2012317478020510 PHENYLEPHRIN SOL 10% OP 12/31/9999 2012317478020012 PHENYLEPHRIN SOL 2.5% OP 12/31/9999 2012317478020020 PHENYLEPHRIN SOL 2.5% OP 12/31/9999 2012324208074002 PHENYLEPHRIN SOL 2.5% OP 12/31/9999 2012324208074006 PHENYLEPHRIN SOL 2.5% OP 12/31/9999 2012324208074059 PHENYLEPHRIN SOL 2.5% OP 12/31/9999 20123