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

68180048802 PRAVASTATIN TAB 80MG 12/31/9999 2012368180048809 PRAVASTATIN TAB 80MG 12/31/9999 2012368382007305 PRAVASTATIN TAB 80MG 12/31/9999 2012368382007316 PRAVASTATIN TAB 80MG 12/31/9999 2012368462019805 PRAVASTATIN TAB 80MG 12/31/9999 2012368462019890 PRAVASTATIN TAB 80MG 12/31/9999 2012338779009004 PRAZIQUANTEL POW 12/31/9999 2012338779009005 PRAZIQUANTEL POW 12/31/9999 2012338779009009 PRAZIQUANTEL POW 12/31/9999 2012368405802806 PRAZOLAMINE PAK 12/31/9999 2012300093406701 PRAZOSIN HCL CAP 1MG 12/31/9999 2012300093406710 PRAZOSIN HCL CAP 1MG 12/31/9999 2012300093406752 PRAZOSIN HCL CAP 1MG 02/28/2013 2012300378110101 PRAZOSIN HCL CAP 1MG 12/31/9999 2012300378110110 PRAZOSIN HCL CAP 1MG 12/31/9999 2012351079063001 PRAZOSIN HCL CAP 1MG 12/31/9999 2012351079063020 PRAZOSIN HCL CAP 1MG 12/31/9999 2012300093406801 PRAZOSIN HCL CAP 2MG 12/31/9999 2012300093406810 PRAZOSIN HCL CAP 2MG 12/31/9999 2012300093406852 PRAZOSIN HCL CAP 2MG 06/30/2013 2012300378230201 PRAZOSIN HCL CAP 2MG 12/31/9999 2012300378230210 PRAZOSIN HCL CAP 2MG 12/31/9999 2012351079063101 PRAZOSIN HCL CAP 2MG 12/31/9999 2012351079063120 PRAZOSIN HCL CAP 2MG 12/31/9999 2012300093406901 PRAZOSIN HCL CAP 5MG 12/31/9999 2012300093406905 PRAZOSIN HCL CAP 5MG 12/31/9999 2012300093406952 PRAZOSIN HCL CAP 5MG 12/31/9999 2012300378320501 PRAZOSIN HCL CAP 5MG 12/31/9999 2012300378320525 PRAZOSIN HCL CAP 5MG 12/31/9999 2012351079063201 PRAZOSIN HCL CAP 5MG 12/31/9999 2012351079063220 PRAZOSIN HCL CAP 5MG 12/31/9999 2012300409163802 PRECEDEX INJ 100MCG 12/31/9999 2012350419086251 PRECOSE TAB 100MG 12/31/9999 2012350419086351 PRECOSE TAB 25MG 12/31/9999 2012350419086148 PRECOSE TAB 50MG 12/31/9999 2012350419086151 PRECOSE TAB 50MG 12/31/9999 2012311980018001 PRED FORTE SUS 1% OP 12/31/9999 2012311980018005 PRED FORTE SUS 1% OP 12/31/9999 2012311980018010 PRED FORTE SUS 1% OP 12/31/9999 2012311980018015 PRED FORTE SUS 1% OP 12/31/9999 2012311980017405 PRED MILD SUS 0.12% OP 12/31/9999 2012311980017410 PRED MILD SUS 0.12% OP 12/31/9999 2012324208071510 PRED SOD PHO SOL 1% OP 12/31/9999 2012350383004004 PRED SOD PHO SOL 5MG/5ML 12/31/9999 2012365580025101 PRED SOD PHO SOL 6.7/5ML 12/31/9999 2012300023010605 PRED-G SUS OP 12/31/9999 2012300023006604 PRED-G S.O.P OIN OP 12/31/9999 2012366993088015 PREDNICARBAT CRE 0.1% 12/31/9999 2012366993088061 PREDNICARBAT CRE 0.1% 12/31/9999 2012300168041015 PREDNICARBAT OIN 0.1% 12/31/9999 2012300168041060 PREDNICARBAT OIN 0.1% 12/31/9999 2012300093611816 PREDNISOLONE SOL 15MG/5ML 12/31/9999 2012300093611887 PREDNISOLONE SOL 15MG/5ML 12/31/9999 2012300121075908 PREDNISOLONE SOL 15MG/5ML 12/31/9999 2012350383004224 PREDNISOLONE SOL 15MG/5ML 12/31/9999 2012350383004248 PREDNISOLONE SOL 15MG/5ML 12/31/9999 2012360432021208 PREDNISOLONE SOL 15MG/5ML 12/31/9999 2012365162066788 PREDNISOLONE SOL 15MG/5ML 01/31/2013 2012365162066790 PREDNISOLONE SOL 15MG/5ML 01/31/2013 2012300178058208 PREDNISOLONE SOL 25MG/5ML 12/31/9999 20123