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

68084017965 RIBAVIRIN CAP 200MG 12/31/9999 2012368382026004 RIBAVIRIN CAP 200MG 12/31/9999 2012368382026007 RIBAVIRIN CAP 200MG 12/31/9999 2012368382026009 RIBAVIRIN CAP 200MG 12/31/9999 2012368382026012 RIBAVIRIN CAP 200MG 12/31/9999 2012351552081304 RIBAVIRIN POW 12/31/9999 2012351552081305 RIBAVIRIN POW 12/31/9999 2012300093723281 RIBAVIRIN TAB 200MG 12/31/9999 2012300406204616 RIBAVIRIN TAB 200MG 12/31/9999 2012300781517728 RIBAVIRIN TAB 200MG 12/31/9999 2012365862020768 RIBAVIRIN TAB 200MG 12/31/9999 2012368084015065 RIBAVIRIN TAB 200MG 12/31/9999 2012368382004603 RIBAVIRIN TAB 200MG 12/31/9999 2012365483009306 RIDAURA CAP 3MG 12/31/9999 2012300068051030 RIFADIN CAP 150MG 12/31/9999 2012300068050860 RIFADIN CAP 300MG 12/31/9999 2012300068050861 RIFADIN CAP 300MG 12/31/9999 2012300068059701 RIFADIN INJ 600 MG 12/31/9999 2012300068050960 RIFAMATE CAP 12/31/9999 2012300185080101 RIFAMPIN CAP 150MG 12/31/9999 2012300185080130 RIFAMPIN CAP 150MG 12/31/9999 2012300527139301 RIFAMPIN CAP 150MG 12/31/9999 2012300527139330 RIFAMPIN CAP 150MG 12/31/9999 2012361748001511 RIFAMPIN CAP 150MG 12/31/9999 2012361748001530 RIFAMPIN CAP 150MG 12/31/9999 2012368084035721 RIFAMPIN CAP 150MG 12/31/9999 2012300185079901 RIFAMPIN CAP 300MG 12/31/9999 2012300185079905 RIFAMPIN CAP 300MG 12/31/9999 2012300185079930 RIFAMPIN CAP 300MG 12/31/9999 2012300185079960 RIFAMPIN CAP 300MG 12/31/9999 2012300527131501 RIFAMPIN CAP 300MG 12/31/9999 2012300527131506 RIFAMPIN CAP 300MG 12/31/9999 2012300527131530 RIFAMPIN CAP 300MG 12/31/9999 2012300904528206 RIFAMPIN CAP 300MG 12/31/9999 2012351079089001 RIFAMPIN CAP 300MG 12/31/9999 2012351079089017 RIFAMPIN CAP 300MG 12/31/9999 2012351079089019 RIFAMPIN CAP 300MG 12/31/9999 2012351079089020 RIFAMPIN CAP 300MG 12/31/9999 2012352152021730 RIFAMPIN CAP 300MG 12/31/9999 2012361748001801 RIFAMPIN CAP 300MG 12/31/9999 2012361748001811 RIFAMPIN CAP 300MG 12/31/9999 2012361748001830 RIFAMPIN CAP 300MG 12/31/9999 2012361748001860 RIFAMPIN CAP 300MG 12/31/9999 2012363739041510 RIFAMPIN CAP 300MG 12/31/9999 2012368084035801 RIFAMPIN CAP 300MG 12/31/9999 2012300069011201 RIFAMPIN INJ 600 MG 12/31/9999 2012300069014101 RIFAMPIN INJ 600 MG 12/31/9999 2012323360005142 RIFAMPIN INJ 600 MG 11/30/2012 2012355390012301 RIFAMPIN INJ 600 MG 12/31/9999 2012300088057641 RIFATER TAB 12/31/9999 2012300075770060 RILUTEK TAB 50MG 12/31/9999 2012324385040940 RI-MAG PLUS SUS 12/31/9999 2012300115191101 RIMANTADINE TAB 100MG 12/31/9999 2012368405811026 RIMANTALIST PAK 12/31/9999 2012367457017750 RIMSO-50 SOL 50% 12/31/9999 2012300264778000 RINGERS INJ 12/31/9999 2012300338010504 RINGERS INJ 12/31/9999 2012300409798209 RINGERS INJ 12/31/9999 2012300264220200 RINGERS IRR SOL 12/31/9999 2012300338010404 RINGERS IRR SOL 12/31/9999 20123