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

37205031440 ANTACID SUS REG ST 12/31/9999 2012337205053040 ANTACID FAST SUS ACTING 12/31/9999 2012336800085140 ANTACID FAST SUS RELIEF 12/31/9999 2012346122006468 ANTACID PAIN TAB RELIEF 12/31/9999 2012363868022936 ANTACID PAIN TAB RELIEF 12/31/9999 2012336800034040 ANTACID PLUS SUS ANTI-GAS 12/31/9999 2012300113034040 ANTACID PLUS SUS GAS REL 12/31/9999 2012300113035740 ANTACID PLUS SUS GAS REL 12/31/9999 2012336800035740 ANTACID PLUS SUS GAS REL 12/31/9999 2012315127074552 ANTACID/ANTI SUS -GAS DS 12/31/9999 2012327437011001 ANTARA CAP 130MG 12/31/9999 2012327437011006 ANTARA CAP 130MG 12/31/9999 2012327437010906 ANTARA CAP 43MG 12/31/9999 2012324385014403 ANTIBIOTIC CRE PLUS 12/31/9999 2012351672207601 ANTIBIOTIC CRE PLUS 12/31/9999 2012300536199553 ANTI-DANDRUF SHA 1% 12/31/9999 2012349348060247 ANTI-DANDRUF SHA COAL TAR 12/31/9999 2012349348075204 ANTI-DIARRHE CAP 2MG 12/31/9999 2012300113037726 ANTI-DIARRHE LIQ 1MG/5ML 12/05/2014 2012300904003620 ANTI-DIARRHE LIQ 1MG/5ML 12/31/9999 2012324385037726 ANTI-DIARRHE LIQ 1MG/5ML 12/31/9999 2012300113022453 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300113022489 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300113022491 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300713041812 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300713041821 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300713041824 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300713041848 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300713041866 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300713041879 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300904772512 ANTI-DIARRHE TAB 2MG 12/31/9999 2012300904772524 ANTI-DIARRHE TAB 2MG 12/31/9999 2012315127033812 ANTI-DIARRHE TAB 2MG 12/31/9999 2012315127033866 ANTI-DIARRHE TAB 2MG 12/31/9999 2012324385038689 ANTI-DIARRHE TAB 2MG 12/31/9999 2012324385055453 ANTI-DIARRHE TAB 2MG 12/31/9999 2012324385055462 ANTI-DIARRHE TAB 2MG 12/31/9999 2012324385055467 ANTI-DIARRHE TAB 2MG 12/31/9999 2012336800022453 ANTI-DIARRHE TAB 2MG 12/31/9999 2012336800022462 ANTI-DIARRHE TAB 2MG 12/31/9999 2012336800022480 ANTI-DIARRHE TAB 2MG 12/31/9999 2012336800022491 ANTI-DIARRHE TAB 2MG 12/31/9999 2012337205037053 ANTI-DIARRHE TAB 2MG 12/31/9999 2012337205037067 ANTI-DIARRHE TAB 2MG 12/31/9999 2012337205037089 ANTI-DIARRHE TAB 2MG 12/31/9999 2012362011015001 ANTI-DIARRHE TAB 2MG 12/31/9999 2012362011015002 ANTI-DIARRHE TAB 2MG 12/31/9999 2012362011015003 ANTI-DIARRHE TAB 2MG 12/31/9999 2012363868033812 ANTI-DIARRHE TAB 2MG 12/31/9999 2012363868033824 ANTI-DIARRHE TAB 2MG 12/31/9999 2012363868033860 ANTI-DIARRHE TAB 2MG 12/31/9999 2012337205034466 ANTIFUNGAL AER 1% 12/31/9999 2012300904072236 ANTIFUNGAL CRE 1% 12/31/9999 2012337205019710 ANTIFUNGAL CRE 1% 12/31/9999 2012353329007964 ANTIFUNGAL CRE 2% 12/31/9999 2012366977002304 ANTI-FUNGAL CRE 1% 12/31/9999 2012324385067630 ANTI-FUNGAL LIQ 25% 12/31/9999 2012324385046072 ANTI-GAS CAP 180MG 12/31/9999 2012363868018023 ANTI-GAS CAP 180MG 12/31/9999 2012368016069257 ANTI-GAS CAP 180MG 12/31/9999 20123