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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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60505<strong>01</strong>7500 QUINAPRIL TAB 40MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>75<strong>01</strong> QUINAPRIL TAB 40MG 12/31/9999 2<strong>01</strong>2368180055909 QUINAPRIL TAB 40MG 12/31/9999 2<strong>01</strong>2331722026790 QUINAPRIL TAB 5MG 12/31/9999 2<strong>01</strong>23597625<strong>01</strong>9<strong>01</strong> QUINAPRIL TAB 5MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>7200 QUINAPRIL TAB 5MG 12/31/9999 2<strong>01</strong>2360505<strong>01</strong>72<strong>01</strong> QUINAPRIL TAB 5MG 12/31/9999 2<strong>01</strong>2368180055609 QUINAPRIL TAB 5MG 12/31/9999 2<strong>01</strong>2352152023808 QUINARETIC TAB 10-12.5 12/31/9999 2<strong>01</strong>2352152023830 QUINARETIC TAB 10-12.5 12/31/9999 2<strong>01</strong>2352152023908 QUINARETIC TAB 20-12.5 12/31/9999 2<strong>01</strong>2352152023930 QUINARETIC TAB 20-12.5 12/31/9999 2<strong>01</strong>2352152024008 QUINARETIC TAB 20-25MG 12/31/9999 2<strong>01</strong>2352152024030 QUINARETIC TAB 20-25MG 12/31/9999 2<strong>01</strong>23000021407<strong>01</strong> QUINIDINE GL INJ 80MG/ML 12/31/9999 2<strong>01</strong>23510790027<strong>01</strong> QUINIDINE GL TAB 324MG CR 12/31/9999 2<strong>01</strong>2351079002720 QUINIDINE GL TAB 324MG CR 12/31/9999 2<strong>01</strong>2353489<strong>01</strong>41<strong>01</strong> QUINIDINE GL TAB 324MG CR 12/31/9999 2<strong>01</strong>2353489<strong>01</strong>4103 QUINIDINE GL TAB 324MG CR 02/28/2<strong>01</strong>3 2<strong>01</strong>2353489<strong>01</strong>4105 QUINIDINE GL TAB 324MG CR 02/28/2<strong>01</strong>3 2<strong>01</strong>230<strong>01</strong>854346<strong>01</strong> QUINIDINE SU TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85434610 QUINIDINE SU TAB 200MG 12/31/9999 2<strong>01</strong>2300228235610 QUINIDINE SU TAB 200MG 12/31/9999 2<strong>01</strong>23005915438<strong>01</strong> QUINIDINE SU TAB 200MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>851047<strong>01</strong> QUINIDINE SU TAB 300MG 12/31/9999 2<strong>01</strong>230<strong>01</strong>85104710 QUINIDINE SU TAB 300MG 12/31/9999 2<strong>01</strong>23005915454<strong>01</strong> QUINIDINE SU TAB 300MG 12/31/9999 2<strong>01</strong>23000939175<strong>01</strong> QUINIDINE SU TAB 300MG ER 12/31/9999 2<strong>01</strong>2300093300256 QUININE SULF CAP 324MG 12/31/9999 2<strong>01</strong>2353489070007 QUININE SULF CAP 324MG 12/31/9999 2<strong>01</strong>2368669<strong>01</strong>3505 QUIXIN SOL 0.5% <strong>01</strong>/31/2<strong>01</strong>3 2<strong>01</strong>23496850928<strong>01</strong> QUTENZA KIT 8% 1-PCH 12/31/9999 2<strong>01</strong>2349685092802 QUTENZA KIT 8% 2-PCH 12/31/9999 2<strong>01</strong>2359310020240 QVAR AER 40MCG 12/31/9999 2<strong>01</strong>2359310020480 QVAR AER 80MCG 12/31/9999 2<strong>01</strong>2366977<strong>01</strong><strong>01</strong>05 RADIAPLEXRX GEL 12/31/9999 2<strong>01</strong>2366977<strong>01</strong><strong>01</strong>06 RADIAPLEXRX GEL 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0625 RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>2316252057030 RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>23317220271<strong>01</strong> RAMIPRIL CAP 1.25MG 02/28/2<strong>01</strong>4 2<strong>01</strong>23605052875<strong>01</strong> RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>23658620474<strong>01</strong> RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>2365862047430 RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>2368084029421 RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>23681800588<strong>01</strong> RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>4406 RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>23762820271<strong>01</strong> RAMIPRIL CAP 1.25MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0925 RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0929 RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23000937438<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23162520573<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>2316252057350 RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23317220274<strong>01</strong> RAMIPRIL CAP 10MG 04/30/2<strong>01</strong>4 2<strong>01</strong>2331722027405 RAMIPRIL CAP 10MG 04/30/2<strong>01</strong>4 2<strong>01</strong>2360505287800 RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23605052878<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23658620477<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23680840268<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23681800591<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>2368180059102 RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23

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