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

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68180059109 RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>47<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>23762820274<strong>01</strong> RAMIPRIL CAP 10MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0720 RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0725 RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0729 RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>23000937436<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>23162520571<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2316252057150 RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>23317220272<strong>01</strong> RAMIPRIL CAP 2.5MG 03/31/2<strong>01</strong>4 2<strong>01</strong>2331722027205 RAMIPRIL CAP 2.5MG 03/31/2<strong>01</strong>4 2<strong>01</strong>23605052876<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>23658620475<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2365862047505 RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>23680840266<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>23681800589<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2368180058902 RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2368180058909 RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>45<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>23762820272<strong>01</strong> RAMIPRIL CAP 2.5MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0820 RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0825 RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>2300054<strong>01</strong>0829 RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23000937437<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23162520572<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>2316252057250 RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23317220273<strong>01</strong> RAMIPRIL CAP 5MG 04/30/2<strong>01</strong>4 2<strong>01</strong>2331722027305 RAMIPRIL CAP 5MG 04/30/2<strong>01</strong>4 2<strong>01</strong>23605052877<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23658620476<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23680840267<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23681800590<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>2368180059002 RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>2368180059009 RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>2368382<strong>01</strong>46<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23762820273<strong>01</strong> RAMIPRIL CAP 5MG 12/31/9999 2<strong>01</strong>23619581002<strong>01</strong> RANEXA TAB 1000MG 12/31/2<strong>01</strong>5 2<strong>01</strong>23619581004<strong>01</strong> RANEXA TAB 1000MG 12/31/9999 2<strong>01</strong>236195810<strong>01</strong><strong>01</strong> RANEXA TAB 500MG 12/31/2<strong>01</strong>5 2<strong>01</strong>23619581003<strong>01</strong> RANEXA TAB 500MG 12/31/9999 2<strong>01</strong>2367159<strong>01</strong>1203 RANEXA TAB 500MG 03/31/2<strong>01</strong>3 2<strong>01</strong>2300781285505 RANITIDINE CAP 150MG 12/31/9999 2<strong>01</strong>2300781285560 RANITIDINE CAP 150MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>2905 RANITIDINE CAP 150MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>2960 RANITIDINE CAP 150MG 12/31/9999 2<strong>01</strong>2300781286531 RANITIDINE CAP 300MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>30<strong>01</strong> RANITIDINE CAP 300MG 12/31/9999 2<strong>01</strong>2355111<strong>01</strong>3030 RANITIDINE CAP 300MG 12/31/9999 2<strong>01</strong>23553900616<strong>01</strong> RANITIDINE INJ 150/6ML 12/31/9999 2<strong>01</strong>23553900618<strong>01</strong> RANITIDINE INJ 25MG/ML 12/31/9999 2<strong>01</strong>2355390061610 RANITIDINE INJ 50MG/2ML 12/31/9999 2<strong>01</strong>230<strong>01</strong>21472710 RANITIDINE SYP 150/10ML 12/31/9999 2<strong>01</strong>2300603941858 RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>2342192050516 RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>2350383005111 RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>2350383005112 RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>2350383005116 RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>23605050351<strong>01</strong> RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>23646790694<strong>01</strong> RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>2365162066490 RANITIDINE SYP 15MG/ML 12/31/9999 2<strong>01</strong>23

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